The GUIDE (Guiding an Improved Dementia Experience) Model is a free Medicare program that covers the costs of dementia care navigation services for those who are eligible. A patient care navigator coordinates dementia care to support both people with dementia and their caregivers by providing evidence-based services including: care navigation, 24/7 access to a support line, caregiver training and education, respite services, and connections to community resources.

Services included:

• 24/7 access to support service
• Care coordination and transitional care management
• Caregiver education and support
• Care planning
• Comprehensive assessment and home visit
• Medication management and reconciliation
• Ongoing monitoring and support of the program
• Referral and coordination of social services and support
• Respite services

Eligibility criteria include:

• A diagnosis of Alzheimer's or another dementia
• Enrolled in Original Medicare Parts A and B
• Not enrolled in Medicare Advantage
• Not enrolled in Medicare Hospice or PACE
• Not residing in a long-term nursing home