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

## ValueSet: ACCESS Unalignment Reason Value Set

Official URL: https://globalalliantinc.com/access/ValueSet/ACCESSUnalignmentReasonVS | Version: 0.9.0
Draft as of 2026-03-06 | 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

- ACCESS Unalignment Request Parameters

### Logical Definition (CLD)

- Include all codes defined in `https://globalalliantinc.com/access/CodeSystem/ACCESSUnalignmentReasonCS` version 📍0.9.0

### Expansion

Expansion performed internally based on codesystem ACCESS Unalignment Reason Codes v0.9.0 (CodeSystem)

This value set contains 4 concepts

System | Code | Display (en) | Definition | JSON | XML
`https://globalalliantinc.com/access/CodeSystem/ACCESSUnalignmentReasonCS` | geographic-relocated | Geographic relocated | Patient has relocated outside of the geographic area in which the aligned participant is licensed to provide services. |  |
`https://globalalliantinc.com/access/CodeSystem/ACCESSUnalignmentReasonCS` | loss-of-contact | Loss of contact | Despite 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://globalalliantinc.com/access/CodeSystem/ACCESSUnalignmentReasonCS` | no-longer-clinically-eligible | No longer clinically eligible | Patient's conditions have changed such that they are no longer eligible for the ACCESS Model. |  |
`https://globalalliantinc.com/access/CodeSystem/ACCESSUnalignmentReasonCS` | patient-initiated | Patient initiated | Patient no longer wants to participate in the ACCESS Model after the initial 90-day lock-in period. |  |

Explanation of the columns that may appear on this page:

Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System | The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code | The code (used as the code in the resource instance)
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition | An explanation of the meaning of the concept
Comments | Additional notes about how to use the code