Connected Device Requirements for ACCESS (eCKM and CKM Tracks)

Understand device requirements for CMS ACCESS cardiometabolic tracks, including FDA-cleared blood pressure devices, data provenance, and transmission standards.

CMS ACCESS

What applicants must show about device-based data

For cardiometabolic tracks under the CMS ACCESS Model, device data plays a direct role in outcome measurement.

This is not a general remote monitoring scenario. CMS expects source-verifiable vital sign data.

Are devices required under ACCESS?

For tracks involving hypertension and cardiometabolic conditions, blood pressure measurement is central.

Applicants must demonstrate that:

  • Blood pressure is collected using validated, FDA-cleared upper-arm devices

  • Readings are not manually entered

  • Data includes timestamp, device source, and patient attribution

  • Transmission is reliable for Medicare populations

Manual transcription does not meet expectations.

Why data provenance matters

CMS requires confidence that device readings are:

  • Authentic

  • Attributable

  • Time-specific

  • Clinically relevant

Without device source and timestamp, data cannot support outcome reporting.

What applicants must describe

Organizations should outline:

  • Their device strategy

  • How devices connect and transmit data

  • How device identity is preserved

  • How patient attribution is handled

  • How device data integrates with outcome reporting

Device infrastructure becomes part of the reporting architecture, not a separate add-on.