FAQ
Frequently asked questions
Basic patient and provider answers about ACCESS care support, enrollment, referrals, and privacy.
Who can enroll?
Eligible Original Medicare beneficiaries who meet program and service area requirements. Eligibility is reviewed during enrollment.
Can a patient qualify for more than one ACCESS track?
Yes. Some patients may meet requirements for more than one ACCESS track. The care team checks the patient's health needs, program rules, and available services before enrollment.
Are Medicare Advantage patients included?
The CMS ACCESS Model is being tested in Original Medicare. Medicare Advantage enrollees are not included in the Medicare ACCESS test, although plans may offer similar programs separately.
Will everyone who requests enrollment receive ACCESS services?
Not always. CMS may assign a small share of people trying to enroll in an ACCESS track to a control group for model evaluation. If this applies, the care team will explain next steps.
Can my doctor refer me?
Yes. PCPs and referring clinicians can submit a referral request online or contact the care team.
Does ACCESS replace my Medicare benefits?
No. Participation does not replace Original Medicare benefits or the patient's right to see any Medicare provider.
Do I need to come into the office?
Some services may be provided remotely. The care team will explain what applies to your enrollment.
Do I need a device?
Some patients may use connected devices if clinically appropriate and consistent with program requirements. The care team will explain what applies.
Will I have to buy a monitoring device?
ACCESS participants cannot require a patient to buy, rent, or otherwise obtain a clinical monitoring item out-of-pocket as a condition of ACCESS enrollment or continued participation. The care team will explain the device path before enrollment.
What services are included?
Services may include remote monitoring, education, medication support, nutrition guidance, activity coaching, behavioral health support, clinician communication, and community resource support.
Is this emergency care?
No. This program is not for emergencies. Call 911 or go to the emergency room for urgent or emergency medical needs.
Will this replace my doctor?
No. The program supports care coordination and patient support. It does not replace your regular physicians.
How do I start?
Start at vital-sync.org/access/enroll or call the care team.
What happens after I submit the form?
The care team checks the request and contacts the patient or referring clinician about next steps. Submitting the form is not final ACCESS enrollment.
Will you share updates with my doctor?
Care updates may be shared through secure methods with PCPs and referring clinicians when appropriate and permitted.
Is this endorsed by CMS?
New York Pulmonary Care ACCESS Model is an ACCESS Model accepted applicant. This website is practice information and should not be read as CMS endorsement.
Is my information private?
Information submitted through the website is handled according to the practice's privacy policies and HIPAA notice.