| Sign Up Now for the IDR Gateway!
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| 09/15/2026
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Sign Up Now for the IDR Gateway!
Today, account creation for the Independent Dispute Resolution (IDR) Gateway opens for participants in the Federal IDR process. Create an account, sign in to the IDR Gateway, and join an organization.
IDR Gateway
In late 2026, the Federal Independent Dispute Resolution (IDR) process will transition from single-use web forms to the new IDR Gateway, which will provide a secure, centralized platform that parties can use to manage disputes. IDR Gateway users will be able to:
- Start and respond to disputes.
- Access dispute dashboards and reports associated with their organization.
- Track dispute information, including disputes assigned to a certified IDR entity.
- Monitor assigned disputes by process phase.
- Review notifications regarding dispute activity.
The IDR Gateway includes important new security features, including identity verification processes and protocols that permit only U.S.-based users to access the Federal IDR process.
Who Should Sign Up?
Organizations and individuals that process disputes, represent parties, or submit IDR web forms in the current Federal IDR process must sign up to manage disputes in the IDR Gateway. If a party uses a third-party administrator or another organization to process disputes, the party does not need to sign up for the IDR Gateway but must ensure the third-party administrator or organization responsible for managing dispute activities signs up for an IDR Gateway account.
For a limited period, parties can continue to submit web forms without signing in to the IDR Gateway. The web forms will no longer be available outside the IDR Gateway after January 15, 2027, except for the “Notice of IDR Initiation – Resubmission” web form. To continue using the Federal IDR process, sign up for the IDR Gateway.
To sign up for the IDR Gateway:
- Navigate to the IDR Gateway Access page and select the Sign Up
- Create an account and verify your identity using a credential service provider. If you already have an account with a credential service provider, sign in to the IDR Gateway using your existing credentials.
- Check your email for confirmation that you successfully created your account.
- Sign in to the IDR Gateway to finish setting up your profile.
Questions?
Email IDRGatewayHelp@cms.hhs.gov or call 1-800-985-3059.
For more information about the IDR Gateway, refer to the IDR Gateway page.
Federal IDR Team
Center for Consumer Information and Insurance Oversight (CCIIO)
Department of Health and Human Services
Centers for Medicare & Medicaid Services
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| CMS News: CMS Adds Medicare Options to Help People Manage Substance Use Disorder, Heart Failure, and Other Common Chronic Conditions
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| 09/15/2026
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FOR IMMEDIATE RELEASE
Sept. 15, 2026
Contact: CMS Media Relations
(202) 690-6145 | CMS Media Inquiries
CMS Adds Medicare Options to Help People Manage Substance Use Disorder, Heart Failure, and Other Common Chronic Conditions
ACCESS Model Now Available to People with Original Medicare
Starting in Spring 2027, the Centers for Medicare & Medicaid Services (CMS) will expand an existing initiative to offer technology-supported care options to Medicare beneficiaries who have heart failure, chronic obstructive pulmonary disease (COPD), substance use disorders, and nicotine dependence. With these additions, CMS will enable more people with common chronic conditions and Original Medicare to receive ongoing care, designed to help them improve their health and stay independent, from the comfort of their homes.
This disease management support is made possible by the Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model. The model supports CMS’s work on modernizing the nation’s digital health ecosystem and empowering Medicare beneficiaries through greater access to innovative health technologies. ACCESS uses a new payment approach that emphasizes achieving specified health outcomes. Instead of paying solely for individual services, CMS ties payments directly to measurable improvements in patient health.
“We built ACCESS because too many people with chronic conditions were falling through the cracks between appointments,” said CMS Administrator Dr. Mehmet Oz. “ACCESS is one of the tools we are using to bring healthcare into the digital age, giving patients and their providers greater access to AI-enabled technologies, remote monitoring, connected devices, and other innovative tools that can help identify problems earlier and improve care. This latest expansion of the program will help more Americans get the care they need and reward providers who deliver actual results.”
The ACCESS Model enables participating organizations to potentially provide virtual care, health coaching, remote monitoring, and connected devices and wearables between regular doctor visits. It is designed to integrate with the broader healthcare system, enabling healthcare professionals, such as those in primary care, to refer people with Medicare to ACCESS participants who will work with their care team. Participation is completely voluntary and does not negatively alter a beneficiary’s Medicare benefits, coverage, or provider choice.
The ACCESS Model currently offers care options for people with chronic conditions, including high blood pressure, diabetes, chronic musculoskeletal pain, and depression. Three out of four people with Medicare qualify for at least one ACCESS track.
CMS will grow the ACCESS Model across several areas:
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Heart failure: Supporting eligible patients with continuous monitoring focused on measurable gains in function, symptom management, and quality of life.
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Chronic obstructive pulmonary disease: Offering targeted support to help maintain or improve lung function, ease symptoms, and support day-to-day activities.
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Substance use disorders: Providing comprehensive care for opioid, alcohol, and other substance use disorders, including integrated support for co-occurring depression and anxiety, consistent with President Trump’s Great American Recovery initiative.
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Tobacco cessation: Assisting individuals with tobacco cessation.
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Expanded support for bone, joint and mobility conditions: Providing ongoing support for chronic musculoskeletal pain for certain specified conditions beyond the initial 12-month care period.
The new condition tracks will start in spring 2027.
The number of organizations participating in ACCESS at launch is now 160, and Medicare will continue to add to this list throughout the model’s 10 years. CMS is maintaining a directory at Medicare.gov/ACCESS of participating organizations and covered conditions in the ACCESS Model to help patients and providers evaluate their options. ACCESS supports people with Original Medicare; Medicare Advantage enrollees are not eligible, though their plans may offer similar programs.
Major health payers representing 165 million Americans with Medicare Advantage, Medicaid, and private health insurance plans have pledged to adopt an outcomes-based payment structure aligned to ACCESS, supported by CMS implementation resources. Eighteen clinical and patient societies have also expressed support for CMS’s efforts to support clinicians in delivering and expanding patient access to effective technology-supported care for chronic conditions.
If Medicare beneficiaries with chronic health conditions have questions about ACCESS, they should visit Medicare.gov/ACCESS or call 1-800-MEDICARE.
To hear from CMS and HHS leaders about ACCESS and the future of chronic care, view the Sept. 15 HHS event at HHS.gov/live or the HHS YouTube page.
For more information, visit the ACCESS Model webpage on CMS.gov.
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Get CMS news at cms.gov/newsroom, sign up for CMS news via email and follow
CMS on X @CMSgov
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| CMS Adds Medicare Options to Help People Manage Substance Use Disorder, Heart Failure, and Other Common Chronic Conditions
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| 09/15/2026
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CMS Adds Medicare Options to Help People Manage Substance Use Disorder, Heart Failure, and Other Common Chronic Conditions
Hear from CMS and HHS leaders about ACCESS and the future of chronic care today at 10 a.m. on HHS.gov/live or the HHS YouTube page.
Starting in Spring 2027, the Centers for Medicare & Medicaid Services (CMS) will expand an existing initiative to offer technology-supported care options to Medicare beneficiaries who have heart failure, chronic obstructive pulmonary disease (COPD), substance use disorders, and nicotine dependence. With these additions, CMS will enable more people with common chronic conditions and Original Medicare to receive ongoing care, designed to help them improve their health and stay independent, from the comfort of their homes.
This disease management support is made possible by the Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model. The model supports CMS’s work on modernizing the nation’s digital health ecosystem and empowering Medicare beneficiaries through greater access to innovative health technologies. ACCESS uses a new payment approach that emphasizes achieving specified health outcomes. Instead of paying solely for individual services, CMS ties payments directly to measurable improvements in patient health.
“We built ACCESS because too many people with chronic conditions were falling through the cracks between appointments,” said CMS Administrator Dr. Mehmet Oz. “ACCESS is one of the tools we are using to bring healthcare into the digital age, giving patients and their providers greater access to AI-enabled technologies, remote monitoring, connected devices, and other innovative tools that can help identify problems earlier and improve care. This latest expansion of the program will help more Americans get the care they need and reward providers who deliver actual results.”
The ACCESS Model enables participating organizations to potentially provide virtual care, health coaching, remote monitoring, and connected devices and wearables between regular doctor visits. It is designed to integrate with the broader healthcare system, enabling healthcare professionals, such as those in primary care, to refer people with Medicare to ACCESS participants who will work with their care team. Participation is completely voluntary and does not negatively alter a beneficiary’s Medicare benefits, coverage, or provider choice
The ACCESS Model currently offers care options for people with chronic conditions, including high blood pressure, diabetes, chronic musculoskeletal pain, and depression. Three out of four people with Medicare qualify for at least one ACCESS track.
CMS will grow the ACCESS Model across several areas:
Heart failure: Supporting eligible patients with continuous monitoring focused on measurable gains in function, symptom management, and quality of life.
Chronic obstructive pulmonary disease: Offering targeted support to help maintain or improve lung function, ease symptoms, and support day-to-day activities.
Substance use disorders: Providing comprehensive care for opioid, alcohol, and other substance use disorders, including integrated support for co-occurring depression and anxiety, consistent with President Trump’s Great American Recovery initiative.
Tobacco cessation: Assisting individuals with tobacco cessation.
Expanded support for bone, joint and mobility conditions: Providing ongoing support for chronic musculoskeletal pain for certain specified conditions beyond the initial 12-month care period.
The new condition tracks will start in spring 2027.
The number of organizations participating in ACCESS at launch is now 160, and Medicare will continue to add to this list throughout the model’s 10 years. CMS is maintaining a directory at Medicare.gov/ACCESS of participating organizations and covered conditions in the ACCESS Model to help patients and providers evaluate their options. ACCESS supports people with Original Medicare; Medicare Advantage enrollees are not eligible, though their plans may offer similar programs.
Major health payers representing 165 million Americans with Medicare Advantage, Medicaid, and private health insurance plans have pledged to adopt an outcomes-based payment structure aligned to ACCESS, supported by CMS implementation resources. Eighteen clinical and patient societies have also expressed support for CMS’s efforts to support clinicians in delivering and expanding patient access to effective technology-supported care for chronic conditions.
If Medicare beneficiaries with chronic health conditions have questions about ACCESS, they should visit Medicare.gov/ACCESS or call 1-800-MEDICARE.
For more information, visit the ACCESS Model webpage.
Follow us on: X (formerly Twitter) | LinkedIn: Centers for Medicare & Medicaid Services Visit the CMS Innovation Center website
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| Centers for Medicare & Medicaid Services (CMS) has sent this update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us page. |
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| ACTION REQUIRED: MDPP Supplier Reminders
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| 09/15/2026
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Dear MDPP Suppliers,
Please take a moment to ensure the following MDPP items are current:
- Update PECOS: Review your MDPP enrollment information in PECOS and make any necessary updates.
- Submit claims: Submit eligible MDPP claims on an ongoing basis to support timely reimbursement and maintain your MDPP enrollment.
- Submit your crosswalk: Ensure your required crosswalk is submitted to RTI on time.
If you have already completed these items, no action is needed.
For questions or assistance, please contact the MDPP Supplier Support Center. Thank you for your continued participation in MDPP.
Best,
The MDPP Team
MDPP@CMS.HHS.GOV
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| [ALERT] Availability of PECOS AI and PI in the IMPL Environment, 9/17/26
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| 09/15/2026
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This message is for users of the PECOS AI and PI applications in the IMPL environment.
Please be advised that the PECOS IMPL database is scheduled for maintenance this Thursday, 9/17/26. The PECOS AI and PI applications in the IMPL environment will be unavailable from 11am until 12:30pm EDT.
Thank you,
PECOS UAT and Production Support Teams
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| Centers for Medicare & Medicaid Services (CMS) has sent this update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us page. |
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| CMS Coverage Email Updates
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| 09/15/2026
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Medicare Coverage Determination Process
The National Coverage Determination (NCD) Dashboard has been updated to reflect current lists of open NCDs, finalized NCDs, pending Transitional Coverage for Emerging Technologies (TCET) topics, and accepted NCD requests.
https://www.cms.gov/files/document/ncddashboard.pdf
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| Centers for Medicare & Medicaid Services (CMS) has sent this update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us page. |
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