CMS Announces New Dementia Care Model

CMS issues advisory on Medicaid pass-through payments | Fierce Healthcare

This week, the Centers for Medicare & Medicaid Services (CMS) announced its “Guiding an Improved Dementia Experience (GUIDE) Model”, which aims to improve the quality of life for people living with dementia, reduce strain on unpaid caregivers, and help people remain in their homes and communities through care coordination and management, caregiver support, and respite services. Through the GUIDE Model, CMS will test an alternative payment for participants who deliver key supportive services to people with dementia, including comprehensive, person-centered assessments and care plans, care coordination, and 24/7 access to a support line. The intended beneficiary population is community-dwelling Medicare fee-for-service beneficiaries, including beneficiaries dually eligible for Medicare and Medicaid, living with dementia. Through the eight-year voluntary model, Medicare Part B-enrolled providers and suppliers will provide longitudinal care and support to eligible Medicare beneficiaries.  

The GUIDE Model is a key deliverable from President Biden’s April 2023 Executive Order on Increasing Access to High-Quality Care and Supporting Caregivers, as well as key goals of the National Plan to Address Alzheimer’s Disease.

Interested parties may submit letters of intent to CMS no later than September 15, 2023. Request for Applications will be made available in Fall 2023

Click here to view the GUIDE Model webpage or review the GUIDE Model Fact Sheet.

Share the Post:

Related Posts

TPA_ODP

ODPANN 23-101: Provider Qualification Process

The Centers for Medicare and Medicaid Services (CMS) require a statewide process to ensure providers are qualified to render services to waiver-funded individuals. The Provider Qualification Process described in ODPANN 23-101 outlines the steps the Assigned AE and provider must follow to meet these requirements and the steps SCs ...
Read More →
TPA_ODP

Housing Myth Busting Survey- We Need Your Help!

We need your help sharing this important survey on Housing out to all families, caregivers and individuals with disabilities!!! Please click here to download the pdf to ...
Read More →
TPA_ODP

ODPANN 23-071 Targeted Service Recovery and Expansion Supplemental Payments Update

This announcement provides eligible providers with additional information about payments processed by ODP. For additional Information, please review ODPANN 23-071 (Updated).
Read More →