ACCESS Program
Physician-directed ACCESS support that keeps patients connected between visits
New York Pulmonary Care ACCESS Model helps eligible Original Medicare patients and referral partners turn chronic-care follow-up into an organized support system: monitoring when appropriate, education, device help, patient outreach, and secure clinician coordination.
ACCESS care support
Device visibility, outreach, and clinician coordination between visits
Care Team
800-745-1444Office hours: Monday - Friday, 8:00 AM - 5:00 PM
ACCESS Model accepted applicant. Final participation remains subject to CMS requirements and Participation Agreement execution.
Voluntary Medicare Support
Participation does not replace Original Medicare benefits, regular doctors, or the patient's right to see any Medicare provider.
Physician-Directed Oversight
Care support is organized around clinician oversight, patient safety, and coordination with the patient's existing care team.
Accepted Applicant Status
ACCESS Model accepted applicant. Final participation remains subject to CMS requirements and Participation Agreement execution.
Clinical direction
Built under experienced, multi-specialty physician leadership.
New York Pulmonary Care ACCESS Model is guided by physicians with broad board-certified experience across internal medicine, pulmonary medicine, nephrology, and critical care medicine. That clinical breadth gives the program a serious medical foundation for patient support, monitoring visibility, escalation readiness, and coordinated follow-through.
What makes this different
We are not just listing ACCESS services. We are building the follow-through layer patients and doctors actually need.
Chronic care breaks down in the small moments: a missed reading, a disconnected device, an unanswered question, an incomplete form, or a patient who does not know what to do next. Our role is to keep those moments organized, visible, and supported.
ACCESS Tracks
The care team checks each patient's condition, Medicare status, service area, and program requirements before enrollment.
eCKM / CKM
Cardio-Kidney-Metabolic Support
Care support for eligible Original Medicare patients with cardio-kidney-metabolic needs. eCKM may include hypertension, or two or more of dyslipidemia, obesity or overweight with a central obesity marker, and prediabetes. CKM may include diabetes, chronic kidney disease stage 3a or 3b, or atherosclerotic cardiovascular disease.
MSK
Musculoskeletal Support
Support for eligible Original Medicare patients with chronic musculoskeletal pain through education, coaching, tracking, and clinician support.
BH
Behavioral Health Support
Support for eligible Original Medicare patients with depression or anxiety, including check-ins, education, and care coordination when appropriate.
Services Included When Appropriate
Services are matched to the patient's track, care plan, and clinical needs.
Nutrition Support
Guidance to support eating habits related to the patient's care plan.
Activity Coaching
Support with safe movement and activity goals when appropriate.
Behavioral Health Support
Support for emotional and behavioral health needs as part of the care program.
Remote Monitoring
Connected devices may help the care team monitor health information between visits.
Medication Support
Medication review and support to help patients follow their care plan.
Clinician Communication
Patients and clinicians may communicate with the care team about program-related needs.
Education
Plain-language information to help patients understand their condition and care steps.
Community Resource Support
Help identifying services such as food, housing, or transportation support when needed.
How Enrollment Works
- 1
Patient or clinician submits request.
- 2
Care team checks eligibility and service area.
- 3
Baseline needs and care plan are reviewed.
- 4
Patient begins services if eligible.
- 5
PCP or referring clinician receives updates when appropriate.
Who This Is For
Original Medicare beneficiaries, caregivers, PCPs, specialists, discharge planners, and referring clinicians may use this site to request enrollment review or referral support.
Provider Coordination
Our care team coordinates with PCPs and referring clinicians through secure updates when appropriate and permitted.
Service Area
New York State and Florida, with eligibility confirmed during enrollment
For doctors and referral partners
Choose the partner built to protect your patient relationship.
When support breaks down, patient frustration often comes back to the doctor who made the referral. Our physician-directed workflow focuses on follow-up ownership, patient communication, device support, and clear visibility for clinicians.
Control for doctors. Trust for patients.
Better follow-through without adding more daily operational work to the referring practice.
Ready to get started?
Submit an enrollment or referral request. PCPs and referring clinicians can submit a referral online or contact the care team for referral support.