FOR APPROVED CMS ACCESS PARTICIPANTS

ACCESS HIE Readiness Assessment

Get a Clear View of Your HIE Connectivity Path

The ACCESS Model requires bidirectional health information exchange connectivity, and many Participants are still evaluating how their current systems and integrations align with that expectation.

This assessment helps your organization identify which connectivity is already in place, where critical HIE gaps remain, and what implementation sequencing may look like before vendor evaluations and RFP discussions begin.

IMPLEMENTATION TIMING

Why ACCESS Participants Start Here

Many ACCESS Participants are still in the planning and scoping phase, but key milestones are approaching quickly:

  • July 5, 2026 — First cohort launch
  • July 5, 2027 — HIE connectivity deadline

Participants are asked to operationalize bidirectional exchange, standardized APIs, reporting infrastructure, endpoint verification, and proactive care coordination.

In many cases, interoperability and reporting dependencies are not fully understood until implementation planning is already underway.

For many organizations, the challenge is not a single technical requirement, but coordinating connectivity, reporting, and care coordination capabilities into a cohesive operational model.

ACEESS Timeline V3 Edit
HEALTH INFORMATION EXCHANGE ONBOARDING

HIE Connectivity: As Fast as 14 Days (vs 14 Months)*

For Health IT vendors, establishing a direct connection to a national HIE typically requires multiple stages of work that can take over a year.

Metriport collapses that timeline, allowing ACCESS Participants to connect in as little as two weeks. No separate network application, conformance testing, or directory provisioning work is required on your side.

HIE CONNECTIVITY

Where HIE Readiness Gaps Appear

The ACCESS Model's HIE connectivity requirements drive a broader set of interoperability and care coordination obligations.

ESTABLISHING CONNECTION
Network applications, legal agreements, security review, and technical conformance testing required before exchange can begin. This work is often the longest-lead-time gate to ACCESS HIE compliance.

 

BIDIRECTIONAL DATA SHARING
Clinical data exchange across the geographies where care is delivered, including reciprocal updates between external provider networks. Query-only participation is currently understood to not satisfy the ACCESS HIE connectivity requirement.
COORDINATING CARE
ACCESS requires a good-faith effort to identify each beneficiary's PCP or referring clinician, plus verification of the recipient's identity and endpoint through a trusted directory before transmitting PHI.
PROACTIVE UPDATES
ACCESS requires proactive sharing of care updates at care initiation, completion, and escalation, transmitted to the Identified Care Team through secure, nationally recognized exchange methods.
ASSESSMENT PROCESS

Map Your Existing Stack Against the Connectivity Requirements

ACCESS HIE Readiness Assessment

We'll review your current systems, interoperability capabilities, HIE connectivity plans, reporting workflows, and care coordination processes to understand how your existing environment aligns with the ACCESS HIE requirements.

  • Existing connectivity that may already support ACCESS requirements
  • Areas where HIE exchange or reporting workflows are only partially operationalized
  • Dependencies across HIE connectivity, APIs, reporting, and care coordination processes
  • Implementation gaps, sequencing considerations, and likely timeline constraints

Your assessment is tailored to the specific reporting and care coordination requirements tied to your ACCESS track.

Requirements summarized from the CMS ACCESS Model RFA, including HIE connectivity, interoperability, reporting, and care coordination obligations.

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Scorecard11
CUSTOM REPORT

HIE Connectivity Readiness Scorecard

You'll receive a report covering the relevant requirements tied to network connectivity, interoperability, reporting, care coordination, and operational readiness.

For each requirement, the scorecard includes:

  • Current-state assessment
  • Readiness gap
  • Implementation considerations
  • Timeline estimates

The scorecard is designed to support implementation planning, vendor evaluation, and internal alignment across the ACCESS HIE requirements.

NEXT STEPS

Get a Clear View of Your HIE Connectivity Readiness

Evaluate your readiness before committing to implementation paths, vendor evaluations, or architectural decisions.

OUR CUSTOMERS

Metriport is trusted by healthcare organizations across the country

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“Cercanos was built on value-based care, so when CMS announced ACCESS, we knew it was a perfect fit. Metriport was the obvious partner to work with: HIE connectivity, network reciprocity, and the clinical depth that value-based care requires.”

FAQ

Establishing a Connection to a Health Information Exchange

Who is this assessment intended for?

The assessment is intended specifically for organizations already accepted into the CMS ACCESS Model.
Organizations in the planning, scoping, or vendor evaluation phase typically get the most value.

Who should attend?

A technical lead is strongly recommended. Clinical, operational, and care coordination stakeholders are also often helpful because many ACCESS requirements involve workflow and communication processes in addition to infrastructure.

What if we already have HIE connectivity?

Many organizations participate in HIEs through their EHR vendor or have some interoperability infrastructure already in place. That's a good starting point, but it's worth validating whether your current connections cover the region(s) where you provide care. 

Some EHR integrations are limited to CCDA-only exchange, which may not meet the full scope of ACCESS HIE requirements. The assessment can help you evaluate your current interoperability environment, identify any gaps, and weigh your options.

What do we receive after the session?

You receive an HIE Connectivity Readiness Scorecard mapping your current capabilities against the relevant technical requirements.

What if we are a Health IT company, not a provider?

The consultation also applies to Health IT organizations serving provider organizations delivering care.

How is the assessment conducted?

The session is conducted via video conference. If needed, it can be split across two calls.

*Based on typical direct network onboarding timelines. Individual timelines vary based on organization readiness and network requirements. 

This assessment is intended to support organizational readiness assessment and implementation planning for the CMS ACCESS Model. It does not constitute legal, regulatory, or compliance advice. Organizations should review the official CMS ACCESS Model documentation and consult internal compliance stakeholders as appropriate. Implementation timelines referenced are estimates based on typical onboarding scenarios and are not guarantees of specific outcomes.