Dementia Support Through the GUIDE Medicare Model
GUIDE is a Medicare dementia-care model designed to improve care coordination for people living with dementia and provide additional support for their caregivers.
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At a glance
- Funding source
- GUIDE Medicare Model
- Best for
- Medicare beneficiaries living with dementia
- Care type
- Care coordination, caregiver support, and respite
Understanding GUIDE Program
GUIDE (Guiding an Improved Dementia Experience) is a Medicare dementia-care model designed to improve care coordination for people living with dementia and provide additional support for their caregivers.
The model focuses on comprehensive care planning, caregiver education and support, respite services, and 24/7 access to a care line for qualifying participants. It is intended to help families navigate the challenges of dementia with coordinated, compassionate support.
Who may qualify?
GUIDE is intended for eligible Medicare beneficiaries living with dementia who meet CMS requirements and align with a participating GUIDE organization. Exact eligibility should be confirmed with the participating GUIDE provider.
- Enrolled in Medicare with a diagnosis of dementia
- Meets CMS requirements for the GUIDE Model
- Aligns with a participating GUIDE organization
- May benefit from care coordination and caregiver support
- Family caregivers who may benefit from education and respite
What support may be available
Care navigation
A dedicated care navigator helps coordinate care and connect families with resources.
Caregiver education and support
Training and ongoing support for family caregivers.
Respite services
Short-term relief for unpaid family caregivers, for qualifying participants.
Community resource coordination
Connections to local services and support programs.
24/7 access
Round-the-clock access through the GUIDE participant’s care and support system.
How it works
Talk with Healthy at Home
We help you understand the GUIDE Model and whether it may apply.
Confirm GUIDE participation and eligibility
We help you connect with a participating GUIDE organization.
Connect with a GUIDE care team
The GUIDE organization assigns a care navigator and builds a care plan.
Build a dementia care plan
We provide complementary home-care and respite support alongside GUIDE services.
Begin coordinated support
Your loved one receives coordinated care and your family receives ongoing support.
How Healthy at Home helps
We provide non-medical home care and respite services that complement GUIDE Model support, helping families living with dementia maintain dignity, routine, and connection at home.
- Help you understand the GUIDE Model and connect with participating organizations
- Provide dementia-trained caregivers for personal care and companionship
- Offer respite care that gives family caregivers time to rest
- Create calm, predictable routines that reduce anxiety and confusion
- Keep families informed with regular updates about their loved one
Frequently asked questions
Related programs
Official resources
We encourage you to verify eligibility and coverage details with the official sources below.
Please note: GUIDE is a CMS model. Participation and eligibility are determined by CMS and participating GUIDE organizations. Healthy at Home does not determine GUIDE eligibility.
Have questions about guide program?
Tell us about your situation and our team will help you understand your options and next steps. There is no cost or obligation.