CMS ACCESS Model API
0.9.8 - draft US

This page is part of the ACCESS Model IG v0.9.8 DRAFT (v0.9.8: Releases Draft) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions

ValueSet: ACCESS Unalignment Reason Value Set

Official URL: https://dsacms.github.io/cmmi-access-model/ValueSet/ACCESSUnalignmentReasonVS Version: 0.9.8
Draft as of 2026-05-20 Computable Name: ACCESSUnalignmentReasonVS

Copyright/Legal: Copyright (c) 2026 Centers for Medicare and Medicaid Services (CMS).

This value set includes all codes from the ACCESS Unalignment Reason code system.

References

Logical Definition (CLD)

 

Expansion

Expansion performed internally based on codesystem ACCESS Unalignment Reason Codes v0.9.8 (CodeSystem)

This value set contains 4 concepts

SystemCodeDisplay (en)DefinitionJSONXML
https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSUnalignmentReasonCS  geographic-relocatedGeographic relocatedPatient has relocated outside of the geographic area in which the aligned participant is licensed to provide services.
https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSUnalignmentReasonCS  loss-of-contactLoss of contactDespite good faith efforts, defined as making three or more outreach attempts over 30 or more days, contact with the patient has been lost and therefore no longer able to engage with them.
https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSUnalignmentReasonCS  no-longer-clinically-eligibleNo longer clinically eligiblePatient's conditions have changed such that they are no longer eligible for the ACCESS Model.
https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSUnalignmentReasonCS  patient-initiatedPatient initiatedPatient no longer wants to participate in the ACCESS Model after the initial 90-day lock-in period.

Description of the above table(s).