CMS ACCESS Model API
0.9.0 - ci-build
CMS ACCESS Model API
0.9.0 - ci-build
CMS ACCESS Model API - Local Development build (v0.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://globalalliantinc.com/access/OperationDefinition/CheckEligibility | Version: 0.9.0 | |||
| Active as of 2026-03-06 | Computable Name: CheckEligibility | |||
The $check-eligibility operation allows a participant to submit basic information on a patient who they believe will be a good candidate for the ACCESS model and who wants to be part of the ACCESS Model. The participant can use this API to do a quick check on which patients may be eligible before officially submitting the patient's information for consideration and inclusion in the ACCESS Model.
URL: [base]/Patient/$check-eligibility
Input parameters Profile:ACCESS Check Eligibility Request Parameters
| Use | Name | Scope | Cardinality | Type | Binding | Documentation |
| IN | participantID | 1..1 | Identifier | ACCESS participant identifier. Must follow the pattern ACCESS#### where #### represents exactly 4 digits (e.g., ACCESS0001, ACCESS1234). | ||
| IN | payerID | 1..1 | Identifier | Payer ID for the patient. | ||
| IN | patient | 1..1 | Patient | Patient information. It SHOULD contain the Medicare Beneficiary Identifier (MBI). | ||
| IN | track | 1..1 | CodeableConcept | ACCESS Model Tracks Value Set (Required) | ACCESS track for which eligibility is being checked. | |
| IN | condition | 0..* | Condition | Patient's conditions. |