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Medicare Chronic Care Through Lifestyle Medicine

Central Valley Lifestyle Medicine is a participant in the ACCESS Model, a Centers for Medicare & Medicaid Services (CMS) program that supports people with certain chronic conditions through ongoing, coordinated care - delivered alongside your regular doctor.

What is the ACCESS Model?

The ACCESS Model (Advancing Chronic Care with Effective, Scalable Solutions) is a program from the CMS Innovation Center.

It is designed to help Medicare patients better manage long-term health conditions through
regular monitoring, coaching, medication management, and close coordination with your existing care team.

Participating in ACCESS does not replace your primary care doctor or your other providers. It works
alongside them. We keep your regular doctor informed by sending updates on your progress, so everyone caring for you stays on the same page.

Participation is voluntary. You can choose to enroll, and you can leave the program at any time.
Enroll in the ACCESS Program Are you a Clinician? Refer a patient

Who Can Join?

You may be eligible if you:

Are enrolled in Medicare Part B

Live in California

Have one or more of the qualifying conditions listed below,
You do not need a referral to join - you can enroll yourself. If your doctor refers you, that is welcome too.

The conditions we support:

We participate in three ACCESS care tracks. You may qualify for more than one.

Heart, Kidney & Metabolic Health - Early Stage (eCKM): For people managing high blood pressure, high cholesterol, prediabetes, or overweight/obesity.

Heart, Kidney & Metabolic Health (CKM): For people managing diabetes, chronic kidney disease, or cardiovascular (heart and artery) disease.

Joint & Muscle Health (MSK): For people living with ongoing muscle or joint pain that affects daily activities and function.

How the Program Works

1. Get started. Enroll online or by phone. We confirm your eligibility and walk you through a simple consent
form.

2. Build your plan. We gather baseline information (such as blood pressure, weight, and lab results) and
create a care plan tailored to you.

3. Ongoing support. You receive nutrition and physical-activity coaching, medication management, and
regular check-ins
with our clinical team - by video, phone, secure message, or in person at our Fresno
office. Where helpful, we provide connected devices such as blood pressure cuffs and glucose monitors so
we can track your progress between visits.

4. Coordinated care. We send regular updates to your primary care doctor and coordinate with specialists or
urgent care if your needs change.

5. Measurable progress. Over a 12-month care period, we track your health toward clear, measurable goals
and adjust your plan as you improve.

Physician-led care
 
Your care is led by Dr. Sundeep Grandhe, who holds advanced board certification in Lifestyle Medicine
(Diplomate, American Board of Lifestyle Medicine) and the Lifestyle Medicine Intensivist designation. Our
approach combines evidence-based lifestyle medicine with conventional medical care to prevent, treat, and in
some cases reverse chronic disease
.

What it Costs?

ACCESS services are billed to Medicare. Standard Medicare Part B cost-sharing applies. If you have
questions about cost or coverage, contact us and we will help.

How To Enroll

For patients - Ready to get started, or want to learn more?

Enroll online: (enrollment form button - see spec below)
• Call us: (559) 321-8511

• Email: info@cvlm.org

For referring clinicians - You can refer a patient to our ACCESS program by calling (559) 321-8511 or
emailing info@cvlm.org. We will keep you informed with regular electronic Care Updates on your patient’s
progress.



Central Valley Lifestyle Medicine, PC is a Medicare-enrolled participant in the CMS Innovation Center’s
ACCESS Model. 1805 E. Fir Ave, Suite 103, Fresno, CA 93720-3859 | (559) 321-8511 | info@cvlm.org

Contact Us

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Please do NOT SEND health details, diagnoses, Medicare ID numbers, or dates of birth through this public
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