*The CMS GUIDE Model is a Medicare program that helps people living with dementia receive coordinated care while providing education, resources, and support for their caregivers.
To qualify, you must be enrolled in Medicare Parts A and B with Medicare as your primary insurance. If you are not enrolled in Medicare, please contact our Care Team to learn more.
Find out instantly if you’re eligible for dementia care covered under CMS guidelines. Our quick eligibility checker makes it simple to determine if you qualify for essential support and services.
To be eligible, you must be enrolled in Medicare Parts A and B with Medicare as your primary insurance. You are not eligible if your primary insurance is Medicare Advantage or another Medicare health plan (including Special Needs Plans and the Program of All Inclusive Care for the Elderly). You are not eligible if enrolled in Medicare hospice benefit or if you are a long-term nursing home resident (defined as a nursing home stay of 4 months or longer and not covered under the Medicare skilled nursing facility benefit).
If you are not enrolled in Medicare but are still interested in receiving care for yourself or a loved one, reach out to our Care Team to learn more about how MedBetterHealth’s other services can support you and your loved ones. We work with most major insurance plans for non-GUIDE services, which include assessment, treatment, and care management for dementia.
If you are eligible for GUIDE, you will be fully covered by Medicare for all services you receive through the program.
The CMS GUIDE Model may include comprehensive dementia assessments, personalized care planning, medication management, caregiver education, care coordination, 24/7 support, and referrals to community resources. Services are provided based on each patient's individual needs and program eligibility.
The CMS GUIDE Model is a Medicare initiative. Eligible beneficiaries enrolled in Medicare Parts A and B may receive GUIDE services covered under Medicare. Coverage depends on individual eligibility and CMS program requirements.
Yes. The GUIDE Model includes education, training, care coordination, and ongoing support to help family caregivers better care for loved ones living with dementia.
Contact MedBetter Health to schedule an eligibility review. Our care team will determine whether you qualify for the CMS GUIDE Model and guide you through the enrollment process.
Yes. Patients generally need a confirmed dementia diagnosis and must meet Medicare eligibility requirements to participate in the CMS GUIDE Model.
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