Living With Dementia Is a Journey
Nearly 6.7 million Americans live with dementia or some form of cognitive decline. The GUIDE Model was designed by The Centers for Medicare & Medicaid Services (CMS) to connect caregivers and those living with dementia with essential resources, support and education within their community and partner with them throughout their journey.GUIDE Model Goals for You
Improved Health
Help you manage your condition better, reducing complications and hospitalizations.
Coordination of Care
Provide seamless, coordinated care by a team of professionals, including a care navigator, geriatrician, nurse and pharmacist.
Enhanced Quality of Life
Manage your condition more effectively to improve your overall quality of life.
What Services Does the GUIDE Model Provide?
Personalize Care Plans
You will have a care plan tailored to meet your specific needs and goals.
Regular Check-Ins
Your care navigator will regularly check in with you by phone, virtual visits or in-person appointments.
Medication Management
You will have support to ensure that you are able to maintain the goals of your medication plan.
24/7 Support
Urgent concerns can be addressed 24/7 through access to a dedicated support line.
Benefits of the GUIDE Model for Caregivers
Identification of community-based resources and social engagement opportunities.
Program costs are covered by Medicare.
Education, coaching and skill-building opportunities for caregivers.
Access to respite care for an occasional break with caregiving responsibilities.
Assistance with coordinating things like transportation, meal deliveries and even energy support.
GUIDE Model Program Eligibility
To be eligible for the GUIDE Model, participants must be community-dwelling* and meet the following criteria:
- Have a confirmed diagnosis of dementia
- Be enrolled in Medicare Parts A and B and have Medicare as their primary payor
- Not enrolled in Medicare Advantage
- Not enrolled in the Program of All-Inclusive Care for the Elderly (PACE)
- Not enrolled in Medicare hospice
* “Community-dwelling” is defined as living in a personal home, assisted living facility, group home or other community setting and excludes long-term nursing home residents.
What Are Your Next Steps for Participating in the GUIDE Model Program?
For more information about the program’s services, participation or eligibility, talk to your primary care provider or contact The Martha W. Goodson Center to schedule an appointment with an enrollment specialist.
To learn more about The Martha W. Goodson Center, visit us online at riversideonline.com/memorycare.
460 McLaws Circle, Suite 110
Williamsburg, VA 23185
757-220-4751