Memory Connect
About Memory Connect
Memory Connect is a CMS GUIDE Model dementia care program whose services are provided by J.M. Geiss, D.O., APC (Senior Doc). The program offers comprehensive assessments, care coordination, caregiver education, a 24/7 caregiver support line, and respite care for eligible participants. Care is delivered in-home, in senior living communities, and via telemedicine. Headquartered in Southern California, the program serves patients across multiple states.
Alice Peck Day Memorial Hospital
About Alice Peck Day Memorial Hospital
Alice Peck Day Memorial Hospital, a Dartmouth Health member in Lebanon, New Hampshire, participates in the CMS GUIDE Model. Care navigators provide one-on-one assistance, support groups, and education for people with dementia and their caregivers. An interdisciplinary team of a social worker, care coordinator, and nurse practitioner helps seniors across New Hampshire and Vermont's Upper Valley region live safely at home.
Alivia Care Solutions, Inc
About Alivia Care Solutions, Inc
Alivia Care Solutions, based in Jacksonville, Florida, provides dementia care through its Alivia Supportive Care program, a CMS GUIDE Model participant. Services include person-centered assessments, care coordination, and 24/7 interdisciplinary team access. Caregivers receive skills training, community service referrals, and respite care. Eligibility requires community residence, a confirmed dementia diagnosis, and traditional Medicare Parts A and B as the primary payer.
All Ways Supportive Care
About All Ways Supportive Care
All Ways Supportive Care (The Holding Group, LLC), a Denver-based CMS GUIDE Model participant, provides dementia care navigation across 19 Colorado counties—including Denver metro, Colorado Springs, Fort Collins, Pueblo, and the Western Slope. Original Medicare beneficiaries qualify at no cost, with no doctor's order required. Services include in-home assessments, care coordination, 24/7 support, and caregiver education. Eligible caregivers receive up to $2,500 annually in respite care.
Andwell Health Partners
About Andwell Health Partners
Andwell Health Partners is a nonprofit, Medicare-certified agency based in Lewiston, Maine, serving communities statewide. Through Medicare's GUIDE Model, Andwell provides no-cost dementia care management including personalized care plans, care coordination, medication management, 24/7 telephonic support, caregiver skills training, and respite care allowances for eligible participants. In January 2026, Andwell merged with Hospice of Southern Maine, expanding its care offerings in the region.
Appalachian Dementia Care
About Appalachian Dementia Care
Appalachian Dementia Care is a Blairsville, Georgia-based provider and the only GUIDE Model participant serving North Georgia. Through Medicare's GUIDE program, participants receive care coordination, in-home assessments, individualized care plans, a dedicated care navigator, 24/7 support, and caregiver training and support groups. Eligible participants may receive up to $2,500 per year in respite care benefits. All GUIDE services are provided at no cost to qualified Medicare beneficiaries.
Arcy Supportive Care
About Arcy Supportive Care
Arcy Supportive Care, part of Arcy Healthcare based in Flower Mound, Texas, provides dementia care through Medicare's GUIDE Model to patients with traditional Medicare in North Texas at no cost. A dedicated GUIDE navigator develops a personalized care plan, conducts monthly home visits, and coordinates local resources. The program also includes 24/7 support line access, caregiver education materials, and up to $2,500 per year in respite care reimbursement.
VNA HEALTH SYSTEM
About VNA HEALTH SYSTEM
The Visiting Nurse Association of Central Pennsylvania (www.vnahs.com) offers comprehensive dementia care services tailored to support individuals and families affected by the condition. Their skilled nurses and therapists provide in-home care, focusing on personalized care plans that address the unique needs of each patient. Services include health monitoring, medication management, and assistance with daily activities. They also offer caregiver support and education to help families navigate the challenges of dementia care, ensuring a compassionate and holistic approach to improving quality of life.
ARH Memory Care
About ARH Memory Care
ARH Memory Care is Appalachian Regional Healthcare's CMS GUIDE Model dementia program, launched July 2025 at Highlands ARH Regional Medical Center. It serves Medicare beneficiaries with Alzheimer's disease or related dementias in eastern Kentucky's Big Sandy region, with plans to expand across Kentucky and West Virginia. A nurse navigator and care team develop personalized care plans, with 24/7 support line access, caregiver education, and respite services.
At Home Harmony
About At Home Harmony
At Home Harmony (Harmony at Home Provider Services LLC), a home-based medical and pharmacy practice in Henrico, Virginia, participates in Medicare's GUIDE Model. GUIDE services include personalized care plans, care navigation, home safety evaluations, a 24/7 support line, caregiver education and support groups, and respite vouchers for qualifying families. The program is covered by Medicare for patients with traditional Medicare Parts A and B.
Atlantic Medical Group (aka Practice Associates Medical Group)
About Atlantic Medical Group (aka Practice Associates Medical Group)
Atlantic Medical Group, part of Atlantic Health System, offers comprehensive care for dementia patients through its network of specialists and primary care physicians. Located in New Jersey, they focus on personalized treatment plans that may include medication management, cognitive therapy, and support for caregivers. Their approach emphasizes improving quality of life and maintaining patient dignity. Services can be accessed at various locations, ensuring convenient care for those affected by dementia.
Atrium Health
About Atrium Health
Atrium Health, part of Advocate Health in Charlotte, North Carolina, participates in Medicare's GUIDE Model. Eligible patients receive a dedicated care team providing ongoing check-ins, caregiver education, community resource referrals, and, in some cases, respite services. Most visits occur by phone or telehealth. Eligibility requires a dementia diagnosis, traditional Medicare, and community living. The program serves individuals with Alzheimer's disease, Lewy body, frontotemporal, vascular dementia, and related conditions.
Atrium Health Medical Group
About Atrium Health Medical Group
Atrium Health Wake Forest Baptist, part of Advocate Health in Winston-Salem, North Carolina, participates in the CMS GUIDE Model, which launched there on July 1, 2024. People living with dementia and their caregivers receive care coordination, dementia medical management, caregiver education, 24/7 on-call support, and community referrals. Qualifying caregivers may receive up to $2,500 per year for respite services. Eligibility requires a dementia diagnosis, traditional Medicare, and community-based living.
ALLEGHENY CLINIC
About ALLEGHENY CLINIC
Allegheny Clinic, the physician practice group of Allegheny Health Network (AHN) in Pittsburgh, participates in the CMS GUIDE Model through the AHN Aging Brain Care Program, an initiative of AHN's geriatrics division. A multidisciplinary team provides medical management, care navigation, and caregiver coaching, education, and behavioral health support for people with dementia across western Pennsylvania, connecting patients and families with community resources.
Austin Geriatric Specialists, PLLC
About Austin Geriatric Specialists, PLLC
Austin Geriatric Specialists, PLLC, serving Austin, Texas for over 25 years, participates in the CMS GUIDE Model. An interdisciplinary team and Care Navigator provide care planning, medication management, a 24/7 helpline, and caregiver training. Qualifying caregivers may receive up to $2,500 annually for respite care. The program serves Medicare beneficiaries with a dementia diagnosis who do not reside in a nursing home and are not enrolled in hospice.
Avail Health, A Professional Nursing Corporation
About Avail Health, A Professional Nursing Corporation
Avail Health, A Professional Nursing Corporation, specializes in providing comprehensive dementia care through their skilled nursing services. Located in California, they offer personalized in-home care that focuses on enhancing the quality of life for individuals with dementia. Their team of dedicated professionals is trained to manage the unique challenges associated with dementia, ensuring safety, comfort, and dignity for their clients. Avail Health emphasizes a compassionate approach, tailoring care plans to meet the specific needs of each patient and their family.
Avocare Health Services
About Avocare Health Services
Avocare Health Services is a nationally accredited home health and care management organization in Dearborn, Michigan. As a CMS GUIDE Model participant, it provides dementia care coordination, in-person and telephonic visits, caregiver training, and community referrals at no out-of-pocket cost. Additional services include skilled home health, chronic care management, remote patient monitoring, behavioral health, and a 24-hour nurse call center. Referrals accepted for patients in Michigan, Ohio, and Illinois.
Avow Care Services, Inc.
About Avow Care Services, Inc.
Avow Care Services is a nonprofit hospice, palliative care, and grief support provider in Collier County and Southwest Florida. A CMS GUIDE Model participant, its dementia program offers 24/7 care team access, in-home assessments, personalized care plans, medication management, care coordination, respite care, and caregiver education at no cost to Traditional Medicare beneficiaries with a dementia diagnosis living at home, in independent living, assisted living, or memory care communities.
Balance Health Plan
About Balance Health Plan
Balance Health Plan is a Care Navigator Organization participating in Medicare's GUIDE Model in Southern California. Services include 24/7 care team access, personalized care plans, medication management, in-home monitoring, and caregiver support for individuals with Original Medicare. Referrals are accepted from primary care providers and neurologists as well as self-referrals. Spanish-speaking representatives are available.
Ballad Health Medical Associates
About Ballad Health Medical Associates
Ballad Health Medical Associates, part of Ballad Health serving the Appalachian Highlands of Northeast Tennessee and Southwest Virginia, provides dementia care through the Medicare GUIDE Model. The Center for Healthy Aging in Kingsport coordinates geriatric services for adults 65 and older, including neurology, palliative care, physical therapy, and in-home care coordination. The team works with patients and families to develop individualized treatment and care plans.
Banner Alzheimer's Institute
About Banner Alzheimer's Institute
Banner Alzheimer's Institute, part of Banner Health in Phoenix, Arizona, provides dementia care through the Dementia Care Partners program, a CMS GUIDE Model participant. The program serves people with memory loss and their caregivers in Maricopa and Pima counties who have Original Medicare, at no cost. English- and Spanish-speaking health coaches provide personalized education, check-ins, and virtual visits. Respite care is available for qualifying families.
Baptist Agewell
About Baptist Agewell
Baptist AgeWell Physicians, part of Baptist Health in Jacksonville, Florida, participates in the Medicare GUIDE Model for dementia care. Patients receive personalized care plans, coordination from a dedicated care team, regular check-ins, and 24/7 helpline access. Caregivers receive training, education, and respite services through in-home providers, adult day centers, and nursing homes. The program serves Jacksonville and northeast Florida, open to Original Medicare Parts A and B enrollees.
Bay Aging
About Bay Aging
Bay Aging, an Area Agency on Aging in Urbanna, Virginia, participates in the CMS GUIDE Model. With the Peninsula Agency on Aging, it serves Medicare beneficiaries with dementia across Virginia's Peninsula, Middle Peninsula, and Northern Neck. A Care Navigator and interdisciplinary team develop a person-centered care plan, with 24/7 help line access. Respite services are available up to an annual cap for eligible beneficiaries with moderate to severe dementia.
Bay Health Solutions
About Bay Health Solutions
Bay Health Solutions, a home health and assistive care provider in Urbanna, Virginia, participates in the CMS GUIDE Model in partnership with Bay Aging and Peninsula Agency on Aging. It serves Medicare beneficiaries with dementia across Virginia's Peninsula, Middle Peninsula, and Northern Neck. A care navigator and interdisciplinary team develop a person-centered plan, with 24/7 help line access and respite services up to an annual cap for eligible caregivers.
Bloom Healthcare
About Bloom Healthcare
Bloom Healthcare (Physician Housecalls LLC) provides in-home primary care for seniors and participates in the CMS GUIDE Model in Colorado, Texas, and Missouri. Through GUIDE, an interdisciplinary team delivers coordinated dementia care, including care navigation and caregiver education. Eligible patients have a dementia diagnosis of any stage, traditional Medicare, and are not on hospice or in a long-term care facility; assisted living and memory care residents may qualify.
Bluegrass Dementia Care
About Bluegrass Dementia Care
Bluegrass Dementia Care is a CMS GUIDE Model program of Bluegrass Care Navigators, serving 28 Kentucky counties from offices in Barbourville, Cynthiana, Frankfort, Hazard, Lexington, and Pikeville. The program pairs people with dementia and their caregivers with a care navigator, providing care coordination, telehealth assessments, medication management, caregiver education, respite services, and 24/7 support. Participants must have a dementia diagnosis and traditional Medicare Parts A and B.
Bluestone Physician Services PA
About Bluestone Physician Services PA
Bluestone Physician Services PA provides on-site primary care and dementia care to residents of assisted living, memory care, and other community settings in Minnesota, Wisconsin, and Florida. As a CMS GUIDE Model participant since July 2025, the program delivers person-centered assessments, care coordination, a dementia care navigator, and 24/7 support. Eligible caregivers receive training and up to $2,500 in respite care coverage, fully covered by Original Medicare.
Broadlawns Medical Center
About Broadlawns Medical Center
Broadlawns Medical Center in Des Moines, Iowa provides memory care through its Memory Center, including dementia evaluations, memory screenings, and ongoing management. As a CMS GUIDE Model participant, Broadlawns offers team-based dementia care, caregiver training, a 24/7 support line, and respite care provided in the home, at adult day programs, or in facility settings. The program screens for health-related social needs and connects patients and families with community resources.
Care Associates
About Care Associates
Care Associates, LLC, based in Metairie, Louisiana, participates in the CMS GUIDE Model, providing care navigation, caregiver education, and respite services for people with dementia on traditional Medicare in Greater New Orleans and South Louisiana. The organization also offers senior care navigation, personal home care, hospice and palliative care, and an adult day health center supporting individuals with early-to-moderate dementia. Eligibility is based on zip code.
Care Connect Medical PC
About Care Connect Medical PC
CareConnectMD participates in the CMS GUIDE Model, providing comprehensive dementia care through affiliated state medical groups in Connecticut, Florida, Georgia, Michigan, New York, North Carolina, South Carolina, Tennessee, and Texas. Each enrolled patient is assigned a care navigator who coordinates medical treatment and community resources. The program includes comprehensive assessments, personalized care plans, 24/7 care team access, caregiver education, and respite services up to an annual limit.
Care Connection and Piedmont Palliative Care Services
About Care Connection and Piedmont Palliative Care Services
Care Connection is the home-based palliative care program of Hospice of the Piedmont, Inc., a nonprofit serving the High Point area of North Carolina. The program provides symptom management, education, and personalized care planning for individuals with serious illness, including a dedicated dementia care component delivered by physicians, nurses, and social workers with 24/7 phone access. Hospice of the Piedmont also offers hospice care and grief counseling.
Care Dimensions
About Care Dimensions
Care Dimensions, Inc., accessible at CareDimensions.org/DementiaGUIDE, offers specialized dementia care services designed to support patients and their families through every stage of the disease. Their Dementia GUIDE program provides personalized care plans, educational resources, and support groups to enhance the quality of life for those affected. With a focus on compassionate care, Care Dimensions ensures that individuals with dementia receive the attention and assistance they need to navigate their journey with dignity and comfort.
Care Medical
About Care Medical
Care Medical Practice PLLC, located in Brooklyn, NY, specializes in comprehensive care for individuals with dementia. Their dedicated team focuses on personalized treatment plans that address the unique needs of each patient, promoting dignity and quality of life. Services include cognitive assessments, medication management, and supportive therapies. The practice emphasizes a holistic approach, involving family members in the care process to create a supportive environment. With a commitment to compassionate care, Care Medical Practice PLLC strives to enhance the well-being of those affected by dementia.
Carolina Caring, Inc
About Carolina Caring, Inc
Carolina Caring, headquartered in Newton, North Carolina, is a hospice and palliative care provider serving 13 counties across western North Carolina and the Charlotte region. As a CMS GUIDE participant, its Dementia Care Program, launched July 1, 2025, provides personalized care plans, home visits, symptom management, medication oversight, 24/7 phone access, caregiver education, and respite care for eligible GUIDE patients.
Clinical Care Consultants LLC
About Clinical Care Consultants LLC
Clinical Care Consultants LLC specializes in providing comprehensive dementia care services tailored to the unique needs of each patient. Our team of experienced professionals offers personalized care plans, including memory care, behavioral support, and family education. We focus on enhancing the quality of life for individuals with dementia through compassionate, evidence-based approaches. Our services are designed to support patients and their families, ensuring a nurturing and understanding environment. Trust us to be your partner in navigating the challenges of dementia care.
CareAlly Health
About CareAlly Health
Care ALLY NC PLLC, accessible at www.careallyhealth.com, specializes in providing comprehensive dementia care services in North Carolina. Their team of dedicated professionals offers personalized care plans tailored to meet the unique needs of individuals with dementia. Services include in-home care, respite care, and support for families. Care ALLY NC PLLC focuses on enhancing the quality of life for their clients by promoting independence and dignity. Their compassionate approach ensures that both patients and their families receive the support they need throughout the dementia journey.
Careline Physician Services
About Careline Physician Services
Careline Physician Services participates in the CMS GUIDE Model, providing dementia care coordination in Indiana, Michigan, and Ohio since July 2024. The program offers person-centered assessments, care plans, care coordination, 24/7 access to an interdisciplinary care team, and respite services. Careline has since united with Optimal Home Care and Hospice under the name Optimal Care, a Midwest provider of physician services, home health, and hospice.
Cedar Valley Hospice
About Cedar Valley Hospice
Cedar Valley Hospice, based in Waterloo, Iowa, participates in the CMS GUIDE Model, enrolling people living with dementia from July 1, 2025. Its GUIDE Dementia Care program covers 15 counties in Northeast Iowa and provides care coordination, caregiver skills training, community referrals, respite services, and 24/7 support access. Services are fully covered by Medicare for eligible beneficiaries.
Cedars-Sinai Medical Center
About Cedars-Sinai Medical Center
Cedars-Sinai's C.A.R.E.S. Program, part of the Jona Goldrich Center for Alzheimer's and Memory Disorders, is a CMS GUIDE Model established-track site serving Los Angeles. Each patient is paired with a dementia nurse practitioner co-managing care alongside neurology, geriatrics, and social work specialists. Eligible Medicare patients receive an annual respite benefit, and caregivers receive education, training, and support.
Center for Elder Care
About Center for Elder Care
The Center for Elder Care, founded by geriatrician Dr. Zaheer Khan in Huntsville, Alabama, focuses exclusively on patients 65 and older and participates in Medicare's GUIDE Model. Services include comprehensive cognitive assessments, care navigation, caregiver education, and personalized care strategies. Following assessment, an in-home Care Navigator visit is provided, with Dr. Khan managing conditions and medications that affect cognition.
Dzung Trinh MD Inc
About Dzung Trinh MD Inc
Dzung Trinh MD Inc specializes in providing comprehensive care for individuals with dementia. Dr. Trinh and his team offer personalized treatment plans that focus on managing symptoms and improving quality of life. Their services include diagnostic evaluations, medication management, and support for both patients and their families. The practice emphasizes a compassionate approach, ensuring that each patient receives the attention and care they need. Located conveniently, Dzung Trinh MD Inc is dedicated to supporting the dementia community with expertise and empathy.
Meridian Health Partners, PLLC
About Meridian Health Partners, PLLC
Meridian Health Partners, PLLC specializes in comprehensive dementia care, offering personalized services to support individuals and their families. Their team of experienced professionals provides medical management, cognitive assessments, and therapeutic interventions tailored to each patient's needs. They focus on enhancing quality of life through holistic approaches, including memory care programs and caregiver support. Meridian Health Partners is committed to fostering a compassionate environment, ensuring dignity and respect for all patients navigating the challenges of dementia.
Center for Memory Loss and Brain Health
About Center for Memory Loss and Brain Health
HMH Hospitals Corporation offers specialized care for memory loss and brain health through its neuroscience services. Their dedicated team focuses on diagnosing and treating various forms of dementia, including Alzheimer's disease. They provide comprehensive evaluations, personalized treatment plans, and support services to enhance the quality of life for patients and their families. With a commitment to advanced research and innovative therapies, HMH Hospitals Corporation strives to improve outcomes and offer hope to those affected by memory disorders.
Ceresti Health, Inc.
About Ceresti Health, Inc.
Ceresti Health, headquartered in Carlsbad, California, is a nationwide CMS GUIDE Model participant serving families across all 50 states. Eligible Traditional Medicare beneficiaries and caregivers receive a dedicated care navigator, personalized dementia education, caregiving tools, and up to $2,500 per year in respite care at no out-of-pocket cost. Services are delivered through an iPad-based platform with pre-loaded content, internet access, and engagement modules including reminiscence and music therapy.
Chinese American Service League
About Chinese American Service League
The Chinese American Service League (CASL), the largest nonprofit serving Asian Americans in the Midwest, participates in the CMS GUIDE Model for dementia care in Chicago. Services include care navigation, a dementia-trained nurse practitioner, personalized care plans, caregiver education, and respite care through adult day and in-home options. Programs are culturally and linguistically tailored for Chicago's Asian American community, and unpaid caregivers are included regardless of insurance or income.
ChristianaCare
About ChristianaCare
ChristianaCare's Swank Center for Memory Care, with locations in Wilmington, Smyrna, and Rehoboth, Delaware, participates in the CMS GUIDE Model. Its GUIDE Memory Program, launched July 2025, provides comprehensive, person-centered assessments and care plans, a care navigator, 24/7 support line, and respite care at no additional cost to eligible Medicare beneficiaries. The multidisciplinary team includes geriatricians, nurses, and social workers.
Community Memorial Health Center
About Community Memorial Health Center
Community Memorial Healthcare, a nonprofit serving Ventura County, California, participates in Medicare's GUIDE Model and offers a Dementia Care Management program led by an Advanced Practice Dementia Care Specialist. Eligible patients with traditional Medicare Parts A and B receive comprehensive assessments, personalized care plans, care coordination, caregiver education, 24/7 support access, home visits, and an annual respite care benefit at no cost-sharing.
ConnectionsPlus Healthcare + Hospice
About ConnectionsPlus Healthcare + Hospice
ConnectionsPlus Healthcare + Hospice, a Virginia nonprofit serving the Shenandoah Valley since 1984, launched its Dementia Care Management Program under the CMS GUIDE Model on July 1, 2025. The program provides collaborative care planning, caregiver education, respite coordination, and 24/7 telephone access to professionals. It serves people with dementia and their caregivers across Rockbridge County, Lexington, Buena Vista, Alleghany County, Clifton Forge, Covington, Bath County, and surrounding communities.
Zahed MD Medical corporation
About Zahed MD Medical corporation
Zahed MD Medical Corporation specializes in comprehensive care for individuals with dementia. Our dedicated team, led by experienced physicians, offers personalized treatment plans that address the unique needs of each patient. We provide thorough assessments, ongoing management, and support for both patients and their families. Our services include memory care, behavioral therapy, and medication management, all designed to enhance the quality of life for those affected by dementia. Trust Zahed MD for compassionate and expert dementia care.
Virtua Medical Group
About Virtua Medical Group
Virtua Medical Group is the physician group of Virtua Health, the largest health system in southern New Jersey. Since July 2025, it has participated in the CMS GUIDE Model, providing dementia-capable, interprofessional care in collaboration with the New Jersey Institute for Successful Aging. Services include cognitive screening and diagnosis through its Memory Assessment Program, personalized treatment plans, and ongoing support for patients and caregivers.
Excel Medical Center, LLC
About Excel Medical Center, LLC
Excel Medical Center, LLC specializes in comprehensive care for individuals with dementia. Our dedicated team of healthcare professionals provides personalized treatment plans, focusing on enhancing the quality of life for our patients. We offer memory care programs, cognitive assessments, and support services for families. Our center is committed to creating a nurturing and safe environment where patients can thrive. Trust Excel Medical Center, LLC to be your partner in navigating the challenges of dementia with compassion and expertise.
Crystal Run Healthcare Physicians Llp
About Crystal Run Healthcare Physicians Llp
Crystal Run Healthcare Physicians LLP offers comprehensive dementia care through a team of dedicated specialists. Their services include early diagnosis, personalized treatment plans, and ongoing support for patients and families. With a focus on improving quality of life, they provide medication management, cognitive therapy, and access to clinical trials. Their compassionate approach ensures that each patient receives individualized care tailored to their unique needs, helping them navigate the challenges of dementia with dignity and respect.
CU Medicine
About CU Medicine
CU Medicine, the clinical practice of University of Colorado Anschutz Medical Campus, offers dementia care through the CMS GUIDE program in the Denver metro area. Services include annual comprehensive dementia assessments, customized care planning, monthly care navigator calls, medication reviews, and 24/7 support line access. Caregivers receive education, skills training, and respite services for those who qualify. Enrollment requires traditional Medicare; referrals begin with an eligibility review.
Curana Health
About Curana Health
Curana Health Medical Group, PLLC provides medical care to senior living community residents and participates in the CMS GUIDE Model for dementia care. Services include comprehensive assessments, care coordination, and 24/7 interdisciplinary team access. A dedicated nurse provides monthly check-ins and a care navigator connects residents to clinical and community services. Eligible participants may qualify for up to $2,500 annually in respite care.
Virtare
About Virtare
Virtare Health Physician Services of Utah, PLLC, operating as Virtare Health, participates in the CMS GUIDE Model in California and Utah, with telehealth available. Headquartered in San Diego, it provides virtual clinical care teams and post-acute services including chronic care management, remote patient monitoring, transitional care management, and behavioral health integration. Through the GUIDE Model, Virtare supports people with dementia and caregivers with care coordination and ongoing care management.
Day Primary Care
About Day Primary Care
Day Primary Care, operated by the Council on Aging of Martin County at the Kane Center in Stuart, Florida, participates in the CMS GUIDE program. Medicare beneficiaries with dementia and their caregivers receive coordinated dementia care at no cost, including a care navigator, dementia education, 24/7 support line access, and caregiver resources. Eligible families may receive respite care funding. The program complements rather than replaces existing primary care.
Delaware Hospice
About Delaware Hospice
Delaware Hospice Inc is a licensed nonprofit serving all of Delaware and southern Chester and Delaware counties in Pennsylvania. It operates a Dementia Care Program as a CMS GUIDE Model participant, providing specialized dementia support, caregiver education, and dementia support groups. The program uses a tiered approach based on disease stage and caregiver strain, available to Original Medicare Parts A and B enrollees.
Dementia Care Aware San Francisco Health Network
About Dementia Care Aware San Francisco Health Network
The City and County of San Francisco's website offers comprehensive resources for dementia care. It includes information on local support services, caregiver programs, and educational materials to help navigate dementia care. The site also provides details on accessible community programs and financial assistance options. This resource is invaluable for residents seeking support and guidance in managing dementia care within the San Francisco area.
Dementia Care FL
About Dementia Care FL
Dementia Care FL PLLC, located in Florida, specializes in providing comprehensive care for individuals with dementia. Their services include in-home assessments, personalized care plans, and ongoing support to enhance the quality of life for patients and their families. The team at Dementia Care FL PLLC is dedicated to offering compassionate, professional care tailored to the unique needs of each client. They focus on maintaining the dignity and independence of those affected by dementia, ensuring a supportive and understanding environment.
Dementia Care Texas
About Dementia Care Texas
Dementia Care Texas PLLC, located in Dallas, specializes in comprehensive care for individuals with dementia. Their services include in-home assessments, personalized care plans, and ongoing support for both patients and families. The team, led by experienced dementia care professionals, focuses on enhancing the quality of life for those affected by dementia through tailored interventions and education. They also offer resources and workshops to help families better understand and manage the challenges of dementia.
Dementian Health, The Reed Group, LLC
About Dementian Health, The Reed Group, LLC
Dementian Health, operated by The Reed Group, LLC, is a Nashville, Tennessee-based organization providing dementia care management under Medicare's GUIDE Model. Its team of dementia specialists, nurses, and care navigators delivers regular assessments, clinical interventions, and coordinated services for people living with dementia. Caregivers receive education, a 24/7 support line, and respite care funding. All services are Medicare-covered with no co-pays or out-of-pocket costs.
DENT Neurologic Institute
About DENT Neurologic Institute
DENT Neurologic Institute is a large outpatient neurology practice in Amherst, New York, serving Western New York. Its Integrative Center for Memory provides diagnostic evaluation and treatment for dementia, including neurological exams, CT or MRI imaging, and neuropsychological evaluation. DENT offers FDA-approved disease-modifying therapies for Alzheimer's disease, participates in Alzheimer's clinical research, and hosts support groups for patients and families.
Amazing Medical Associates Inc
About Amazing Medical Associates Inc
AMG Senior Medical Group (Amazing Medical Associates Inc) is a mobile medical group in Murray, Utah, bringing physicians and nurse practitioners to seniors age 65 and older in private residences and senior living communities throughout Utah. Services include geriatric and dementia evaluations, palliative care, medication management, and in-home therapy. For patients with dementia, the group offers diagnostic evaluation, caregiver support, and community resource connections, with a 24/7 help line.
Determined Medical Inc.
About Determined Medical Inc.
Determined Medical Inc. specializes in comprehensive dementia care, offering personalized services to support individuals and their families. Their experienced team provides in-home care, respite care, and memory care programs designed to enhance the quality of life for those with dementia. They focus on creating safe, nurturing environments and offer educational resources for caregivers. Their compassionate approach ensures that each client receives the attention and support they need to manage the challenges of dementia effectively.
Dignity Health Yavapai Regional Medical Group
About Dignity Health Yavapai Regional Medical Group
Dignity Health Yavapai Regional Medical Group participates in the CMS GUIDE Model at the Cunningham Center for Compassionate Aging in Prescott, Arizona. The program serves patients with moderate to severe dementia, offering care coordination, caregiver education, and respite services. A Dementia Care Navigator supports patients and care partners, while a multidisciplinary team including a neuropsychologist, palliative physician, pharmacist, social worker, and nurse navigator provides brain health assessments.
Emerest Medical
About Emerest Medical
Emerest Medical, based in Brooklyn, New York, provides dementia care through the Medicare GUIDE Model. Each family is paired with a dedicated care navigator who develops a customized care plan. The program includes a 24/7 support helpline, caregiver education, and connections to community resources. Eligible caregivers can receive Medicare-covered respite care, including in-home shifts, adult day care, and short-term facility stays, at no out-of-pocket cost.
Empath GUIDE
About Empath GUIDE
Empath GUIDE, a program of Empath Health, provides dementia care coordination for Medicare beneficiaries across Florida under the CMS GUIDE Model. Participants receive personalized care planning, in-home safety assessments, medication oversight, care coordination, and 24/7 care team access. Caregivers receive education, emotional support, and up to 80 hours per year of Medicare-covered respite care. In 2026, Empath expanded access through a new Dementia Education and Care Center in Ocala.
EmpowerMe Wellness
About EmpowerMe Wellness
EmpowerMe Medical Group, P.C., the medical practice of EmpowerMe Wellness, participates in the Medicare GUIDE Model, serving beneficiaries in all 50 states. Each participant receives a personalized care plan and a dedicated care navigator coordinating appointments, medications, and community referrals. The program provides 24/7 access to geriatric-trained clinicians, caregiver education and support groups, and Medicare-covered in-home respite care for qualifying caregivers. Services are fully covered for eligible Medicare beneficiaries.
Erlanger Health
About Erlanger Health
Erlanger Health in Chattanooga, Tennessee, provides dementia care through its Memory and Aging Clinic, an outpatient program for adults 60 and older with mild cognitive impairment or dementia. Through its GUIDE@Erlanger program, Erlanger participates in the CMS GUIDE Model, providing diagnostic evaluations, personalized care plans, coordinated dementia care, and caregiver support. Services are available at locations in downtown Chattanooga, Erlanger North, and Erlanger East.
Eskenazi Health
About Eskenazi Health
The Health and Hospital Corporation of Marion County, known as Eskenazi Health, offers specialized dementia care through its innovative GUIDE Model. This model focuses on enhancing the quality of life for dementia patients by providing comprehensive, person-centered care. Services include early diagnosis, ongoing support, and caregiver education. Eskenazi Health's approach integrates medical treatment with social support, aiming to improve patient outcomes and ease the burden on families. Their dedicated team works to ensure that individuals with dementia receive the care and respect they deserve.
Five Star Home Health Care
About Five Star Home Health Care
Five Star Home Health Care LLC, accessible at www.fshhc.com, offers specialized dementia care services tailored to enhance the quality of life for individuals living with dementia. Their experienced caregivers provide personalized in-home assistance, focusing on safety, comfort, and engagement. Services include daily living support, medication management, and cognitive stimulation activities designed to promote mental health and well-being. Five Star Home Health Care is committed to delivering compassionate, professional care that respects the dignity and unique needs of each client.
Gameplan Medical
About Gameplan Medical
GamePlan Medical participates in the Medicare GUIDE Model, providing physician-guided dementia care between office visits. Following an initial assessment, a physician-led team assigns a care navigator for regular check-ins covering medications, home safety, daily routines, and caregiver stress. The program includes 24/7 support line access, caregiver education and training, and up to $2,500 per year in respite care. Services are covered at no out-of-pocket cost for eligible Medicare beneficiaries.
Gerinet Medical Associates
About Gerinet Medical Associates
GN Medical Associates, Inc., through its CareConnectMD platform, offers the GUIDE Program, a specialized service designed to support individuals with dementia and their families. The program focuses on providing comprehensive care management, including regular assessments, personalized care plans, and continuous support to enhance the quality of life for dementia patients. Their team of dedicated professionals works closely with patients to address their unique needs, ensuring they receive the necessary medical and emotional support throughout their journey with dementia.
Gilchrist
About Gilchrist
Gilchrist, based in Hunt Valley, Maryland, participates in the CMS GUIDE Model, providing dementia care support for Medicare beneficiaries enrolled in Parts A and B who live at home or in community settings. The program offers personalized care plans, dedicated care navigators, caregiver education and training, in-home respite services, advance care planning assistance, and 24/7 access to support.
Good Shepherd Community Care
About Good Shepherd Community Care
Good Shepherd Community Care, based in Newton, Massachusetts, participates in the CMS GUIDE Model, with enrollment beginning July 1, 2025. The program provides comprehensive assessments, individualized care plans, care coordination, and caregiver education. Eligible participants have access to a 24/7 support line and, for select participants, respite services. It serves Medicare beneficiaries with mild, moderate, or severe dementia in Good Shepherd's Massachusetts service area at no out-of-pocket cost.
Grab Healthcare, LLC
About Grab Healthcare, LLC
Grab Healthcare, LLC is a Utah-based physician group serving skilled nursing and assisted living facilities from St. George to Ogden. Physicians provide on-site facility rounds, post-acute and rehabilitation care, medication therapy management, and dementia care management, with 24/7 telehealth support between visits. Through affiliated GrabMD, the organization also delivers in-home primary care and telehealth to patients in private residences and long-term care settings.
Graceland Hospice Care
About Graceland Hospice Care
Graceland Hospice Care is a hospice agency in Orange, California, serving patients throughout Orange County. The team provides medical care, pain management, and emotional and spiritual support, including end-of-life care for individuals with dementia, primarily in the patient's home. A nurse is available by phone 24 hours a day. Caregivers receive education and resources, and families receive grief support. The agency is accredited by the Community Health Accreditation Program.
Grey Matters
About Grey Matters
Grey Matters Precision Health (Cognitive Health Centers, LLC) is a cognitive health primary care clinic with Florida locations in Sarasota, Jacksonville, and Ponte Vedra Beach. The practice combines primary care and functional medicine to treat and prevent Alzheimer's disease and dementia. As a CMS GUIDE Model participant, it provides care coordination, caregiver education, a 24/7 support line, and respite care at no additional cost to eligible Medicare beneficiaries.
Harmonic Health
About Harmonic Health
Harmonic Health is a dementia care medical group participating in the Medicare GUIDE Model, serving patients and caregivers in more than 30 states. Care navigators work alongside clinicians to provide personalized care planning and 24/7 support. GUIDE enrollment includes an annual respite benefit of up to $2,500 fully covered by Medicare. Harmonic Health also connects families with homecare and adult day program partners.
Healthspan Partners of SWFL
About Healthspan Partners of SWFL
Healthspan Partners, led by geriatrician Adam C. Perry, MD and based in Naples, Florida, participates in the CMS GUIDE Model. Each beneficiary and caregiver is paired with a care navigator providing assessment, care planning, coordination, and caregiver education. Dementia care management and respite services are provided at no cost to eligible Medicare beneficiaries. Serves Arkansas, Connecticut, Florida, Indiana, Maryland, and Massachusetts.
Heart To Heart Social Adult Services
About Heart To Heart Social Adult Services
Heart to Heart Social Adult Services, a division of Close at Heart LLC, operates adult day centers in Brooklyn and the Bronx, New York, serving adults with dementia and other cognitive or physical impairments. Services include social engagement, cognitive stimulation, exercise, supervised care, and door-to-door transportation with meals provided. Staff are fluent in English, Spanish, and Creole. Accepts Medicaid long-term care plans and private pay.
Hearts for Dementia Home Care, dba HFD Geriatric Psychiatry
About Hearts for Dementia Home Care, dba HFD Geriatric Psychiatry
Hearts for Dementia, based in Scottsdale, Arizona, participates in the Medicare GUIDE Model and began GUIDE services July 1, 2025. The organization provides in-home and 24-hour dementia care, geriatric psychiatric medication management, cognitive testing, caregiver education, support groups, and respite care. GUIDE participants receive a dedicated care navigator, personalized care plan, 24/7 support, and paid respite at no cost. Serves Scottsdale, Phoenix, Mesa, and surrounding Arizona communities.
Homedica House Calls
About Homedica House Calls
Homedica House Calls, part of The Carpenter Health Network, is a Baton Rouge, Louisiana-based house call practice participating in the CMS GUIDE Model. Through GUIDE, a dedicated Care Navigator provides comprehensive assessments, care planning, medication management, and team coordination. Patients and caregivers access a 24/7 helpline and caregiver education. Eligible Medicare beneficiaries may receive up to $2,500 annually in respite services.
Honest Home Health Care Services, Inc
About Honest Home Health Care Services, Inc
Honest Home Health Care Services Inc, part of LA Community Care, offers personalized in-home care for individuals with dementia. Their compassionate caregivers are trained to provide assistance with daily activities, medication management, and emotional support, ensuring the comfort and safety of clients. They focus on creating tailored care plans that respect the unique needs and preferences of each individual, promoting independence and enhancing quality of life. Their services are available across Los Angeles, providing peace of mind for families.
HospiceCare, Palliative Care Center, Home Health of West Virginia
About HospiceCare, Palliative Care Center, Home Health of West Virginia
Kanawha Hospice Care, Inc., accessible at www.hospicecarewv.org, offers compassionate end-of-life care tailored for dementia patients in West Virginia. Their services include pain management, emotional and spiritual support, and assistance with daily activities, all delivered by a dedicated team of healthcare professionals. They focus on enhancing the quality of life for patients and providing respite for families. Their holistic approach ensures comfort and dignity, making them a reliable choice for dementia care in the region.
House Call Dr. Regalado PLLC
About House Call Dr. Regalado PLLC
HOUSE CALL DR. REGALADO PLLC specializes in providing personalized medical care for dementia patients in the comfort of their own homes. Dr. Regalado and his team focus on managing symptoms, improving quality of life, and supporting both patients and their families. Their services include routine check-ups, medication management, and coordination with other healthcare providers. With a compassionate approach, they aim to create a safe and nurturing environment for those living with dementia.
House Calls of New Mexico
About House Calls of New Mexico
House Calls of New Mexico, LLC, located in Albuquerque, offers specialized dementia care through their home visit services. Their experienced team, including nurse practitioners and physician assistants, provides personalized medical care tailored to the unique needs of dementia patients. They focus on improving quality of life by managing symptoms, offering medication management, and providing support to both patients and their families. Their compassionate approach ensures comfort and dignity in the familiar setting of home.
HSC Health
About HSC Health
UNT Health (formerly HSC Health), the clinical practice of UNT Health Science Center at Fort Worth, offers dementia care through its Center for Older Adults. As a CMS GUIDE Model participant, services include care coordination, caregiver training, a 24/7 support line, home visit assessments, and respite care. The interdisciplinary team includes geriatricians, neuropsychologists, and social workers. Available at no cost to traditional Medicare patients with a formal dementia diagnosis.
HumanGood
About HumanGood
HumanGood, a nonprofit senior living organization, participates in the CMS GUIDE Model through its Southern California and Pennsylvania affiliates. Services for Medicare beneficiaries living with dementia include person-centered assessments, care navigation, 24/7 care team access, caregiver education and training, and respite services. The program supports people living with dementia in remaining at home while promoting caregiver health.
HōttoCare
About HōttoCare
HōttoCare is a Medicare GUIDE Model dementia care provider serving Northern California. Each family is paired with a dementia care navigator and receives clinical assessment, care planning, and 24/7 caregiver support. Qualifying caregivers receive a $2,500 annual respite benefit for in-home care, adult day programs, or short-term facility stays. Services are fully covered by traditional Medicare; a formal diagnosis is not required to begin eligibility.
Grady Health System
About Grady Health System
Grady Health System in Atlanta, Georgia, participates in the CMS GUIDE Model through its GUIDE at Grady program. Led by the Emory at Grady geriatrics team, the program follows the Indiana University Aging Brain Care model, pairing community health workers and social workers with each patient's primary care physician. Grady's Memory Assessment Center offers diagnostic evaluations for dementia. Eligible patients must have a dementia diagnosis and traditional Medicare.
Healing Hands Healthcare
About Healing Hands Healthcare
Healing Hands Healthcare, LLC is a Medicare-certified home health agency in Wichita Falls, Texas, serving the surrounding counties. The agency participates in the Medicare GUIDE Model, offering personalized dementia care plans, a specialized care team, skilled nursing, home health aide support, and hospice care. A nurse is on call 24/7.
Essen Health Care House Call Medical Services of New York
About Essen Health Care House Call Medical Services of New York
House Call Medical Services of New York, part of Essen Health Care, provides in-home dementia care as a CMS GUIDE Model participant. Its House Calls program delivers home visits with safety assessments, personalized care plans, medication management, care coordination, caregiver education, and respite services. A 24/7 support line is available. Care navigators connect patients and families to community resources such as meal delivery and transportation.
Cognitive Care Services
About Cognitive Care Services
Cognitive Care Services (YA Partners USA LLC), based in Las Vegas, is one of four Nevada participants in the CMS GUIDE Model. The organization supports people living with dementia or mild cognitive impairment and their caregivers with care navigation, personalized care planning, 24/7 support, caregiver training, respite services, and cognitive stimulation coaching available in person and virtually.
Columbia Neurology
About Columbia Neurology
Columbia University's Department of Neurology at Columbia University Irving Medical Center participates in the CMS GUIDE Model, offering personalized care plans, care coordination, 24/7 access to a care team, caregiver education and support, and respite services for eligible Medicare beneficiaries. A dedicated GUIDE navigator helps families connect with resources. The multidisciplinary Aging and Dementia team includes neurologists, neuropsychologists, psychiatrists, genetic counselors, social workers, and nurse practitioners.
CareConnectMD Texas PA
About CareConnectMD Texas PA
CareConnectMD Texas PA specializes in providing comprehensive care for individuals with dementia. Their services include memory assessments, personalized care plans, and support for both patients and their families. The team at CareConnectMD focuses on enhancing the quality of life through medical management, cognitive therapies, and community resources. They are committed to compassionate care, ensuring that each patient receives tailored attention to meet their unique needs. Visit their website to learn more about their dementia care programs and support services.
Authoracare Collective
About Authoracare Collective
AuthoraCare Collective is a nonprofit hospice and palliative care organization based in Greensboro, North Carolina, serving a 12-county region. A CMS-approved GUIDE Model participant since July 2024, a dedicated Care Navigator coordinates care, connects families with community resources, and provides caregiver education and respite support. The program is open to Medicare beneficiaries with dementia at any stage living at home or in an independent or assisted living facility.
Arkansas Palliative Care Guide Model
About Arkansas Palliative Care Guide Model
Arkansas Palliative Care, part of Arkansas Hospice, is the only Arkansas-based GUIDE Model participant. Physicians, nurse practitioners, and care navigators provide care coordination, dementia care planning, and caregiver education for Medicare beneficiaries with a confirmed dementia diagnosis in the service area. The program includes up to $2,500 per year in respite care and telehealth support at no additional cost. Families and physicians may refer directly.
Aging & In-Home Services of Northeast Indiana, Inc.
About Aging & In-Home Services of Northeast Indiana, Inc.
Aging & In-Home Services of Northeast Indiana participates in the Medicare GUIDE Model, providing dementia care fully covered by traditional Medicare Parts A and B. A nurse practitioner and care navigator perform clinical assessments. Services include in-home care, adult day services, and caregiver support programs. No physician order is required, and individuals may self-refer. The GUIDE team collaborates with each participant's existing physician.
AccentCare, Inc.
About AccentCare, Inc.
AccentCare participates in the CMS GUIDE Model through Seasons Medical Group of Texas, serving individuals with Alzheimer's disease and other dementias and their unpaid caregivers in the Houston area. Services include comprehensive assessments, personalized care plans, caregiver education and support from care navigators, and coordination with community services such as meals and transportation. Caregivers also have access to respite care and a 24/7 helpline.
Advanced Memory Group
About Advanced Memory Group
Advanced Memory Group, operated by RBA Behavioral Wellness LLC, is a Staten Island, New York CMS GUIDE Model participant providing dementia care for people with Alzheimer's disease and other dementias and their caregivers. Services include comprehensive assessments, care navigation, appointment coordination, 24/7 crisis support, and up to $2,500 annually in respite care. Adult day services are also available to GUIDE participants through ACT Care Group.
AdventHealth Medical Group
About AdventHealth Medical Group
AdventHealth Medical Group, through the AdventHealth Neuroscience Institute, participates in the Medicare GUIDE Model, providing coordinated dementia care in Florida. Services include a dedicated care team, caregiver education and training, support groups, and respite care. Eligibility requires traditional Medicare, a dementia diagnosis, and community residence. The program complements patients' existing primary care providers and specialists.
Advocate Medical Group
About Advocate Medical Group
Advocate Medical Group, part of Advocate Health, participates in the Medicare GUIDE Model through the Advocate Memory Center. An interdisciplinary team delivers comprehensive evaluations, personalized care plans, and caregiver education and community referrals. Most outreach occurs by telephone or telehealth, with respite services available for qualifying families. Eligibility requires a dementia diagnosis, traditional Medicare, community residence, and no enrollment in hospice, PACE, or Medicare Advantage.
Icahn School of Medicine at Mount Sinai
About Icahn School of Medicine at Mount Sinai
The Icahn School of Medicine at Mount Sinai, accessible via www.mountsinai.org, offers comprehensive dementia care through its specialized programs. Their approach includes early diagnosis, advanced treatment options, and support services tailored for individuals with dementia and their families. The Mount Sinai team consists of experienced neurologists, geriatricians, and therapists who work collaboratively to enhance patient quality of life. They also engage in cutting-edge research to further understand and combat dementia.
IHC Health Services, Inc
About IHC Health Services, Inc
IHC Health Services, Inc. specializes in comprehensive dementia care, offering personalized services to enhance the quality of life for individuals with dementia. Their approach includes memory care programs, cognitive therapies, and supportive services tailored to each patient's needs. The dedicated team at IHC focuses on creating a safe, nurturing environment that promotes dignity and independence. They also provide family support and education to help loved ones understand and cope with the challenges of dementia.
Impactful Care®
About Impactful Care®
Impactful Care is a telehealth and mobile concierge medical practice in Cherry Hill, New Jersey, serving patients throughout New Jersey and Pennsylvania. Selected to participate in the CMS GUIDE Model, the practice provides care coordination, care management, caregiver education, support, and respite services for people living with dementia and their unpaid caregivers. The practice also offers telehealth visits, medication management, and in-home concierge care.
Indiana University Health Care Associates, Inc.
About Indiana University Health Care Associates, Inc.
Indiana University Health participates in the Medicare GUIDE Model through its IU Health GUIDE Program, offered at no cost to eligible patients with confirmed Alzheimer's disease or another dementia. The program provides a personalized care plan, a dedicated care coach, caregiver support, and respite services in select Indiana counties. Eligible patients must be enrolled in traditional Medicare Parts A and B, not in Medicare Advantage, hospice, or PACE.
Integrated Memory Care
About Integrated Memory Care
Emory's Integrated Memory Care (IMC) is a nurse-led primary care practice and CMS GUIDE Model participant, designed for people living with dementia and their care partners. IMC integrates primary care, dementia-focused care, care navigation, 24/7 support, caregiver education, and care coordination in a single medical home. The clinic is at 57 Executive Park Drive in Atlanta, with an IMC in Community program in select Atlanta-area senior living communities.
Internal Medicine & Primary Care
About Internal Medicine & Primary Care
Internal Medicine & Primary Care is the practice of Marc D. Grobman, DO, a board-certified internist located in Wilmington, Delaware. The practice provides comprehensive primary care for adults, including dementia care, preventive medicine, and chronic disease management. Dr. Grobman has over 30 years of experience, is affiliated with Christiana Hospital, and accepts most major insurance plans including Medicare and Medicaid. Telehealth visits are available.
Iona Senior Services
About Iona Senior Services
Iona Senior Services is a Washington, DC nonprofit serving older adults and caregivers since 1975 and a CMS GUIDE Model participant. Its Dementia Navigators program pairs families with licensed clinical social workers for care management. The Wellness and Arts Center, a Dementia Care Center of Excellence since 2008, offers a day program for cognitive or memory loss. Caregiver support groups, education, and a helpline serve the DC region.
Isaac Health
About Isaac Health
Isaac Health is a national telehealth dementia care provider and CMS GUIDE Model participant serving all 50 states. Services include early diagnosis, treatment planning, medication management, and care navigation. Eligible Medicare beneficiaries receive 24/7 specialist support, a dedicated care navigator, home safety assessments, caregiver training, and in-home respite care at no cost. The clinical team of neurologists, geriatricians, and therapists supports both patients and caregivers.
Jewish Family Service Organization
About Jewish Family Service Organization
Jewish Family Service Association of Cleveland, located in Ohio, offers comprehensive support for individuals with dementia and their families through JFSA-cleveland.org. Their services include memory assessments, personalized care planning, and support groups. JFSA emphasizes culturally sensitive care, respecting the traditions and values of the Jewish community while welcoming all. They also provide education and resources to enhance understanding and management of dementia, ensuring a supportive network for those affected.
John Muir Health
About John Muir Health
John Muir Physician Network, part of John Muir Health, offers comprehensive dementia care through a network of skilled physicians and specialists. Located in the San Francisco Bay Area, they provide personalized treatment plans, diagnostic services, and support for patients with dementia and their families. Their approach emphasizes compassionate care, patient education, and collaboration with other healthcare providers to ensure the best possible outcomes for those affected by dementia.
Johns Hopkins Medicine
About Johns Hopkins Medicine
Johns Hopkins Medicine participates in the CMS GUIDE Model through Johns Hopkins GUIDE, a home-based dementia care program serving Baltimore City, Baltimore County, and parts of Howard and Anne Arundel counties in Maryland. Eligible Medicare beneficiaries receive care coordination, caregiver education, and 24/7 care team access at no out-of-pocket cost. Eligible participants may receive approximately 80 hours of Medicare-paid respite care annually.
JourneyCare Palliative Care, Serenity Supportive Care, Alamo Supportive Care
About JourneyCare Palliative Care, Serenity Supportive Care, Alamo Supportive Care
HPA Medical Management LLC participates in the CMS GUIDE Model through the Addus HomeCare family, including JourneyCare Palliative Care, Serenity Supportive Care, and Alamo Supportive Care. A community health worker assesses the person with dementia and their caregiver, then coordinates care and community services. The program includes dementia education, care coordination, and 24/7 support. Services are provided at no cost under Medicare Part A and B.
JVS Health
About JVS Health
JVS Health participates in the CMS GUIDE Model, providing virtual dementia care navigation in New York, New Jersey, and Connecticut. Beneficiaries are paired with a care navigator who coordinates care and connects families to housing, financial aid, and support groups. The program includes caregiver education, a 24/7 dementia specialist support line, and respite through in-home assistance or partnered facilities. Services are covered by Medicare at no out-of-pocket cost.
LifeCare Memory Partners
About LifeCare Memory Partners
LifeCare Memory Partners, a program of Lower Cape Fear LifeCare in Wilmington, North Carolina, participates in Medicare's GUIDE Model to support people living with dementia and their caregivers. Eligible Medicare beneficiaries receive 24/7 support, personalized care plans, care consultations, caregiver education including SAVVY Caregiver training, peer support groups, respite care from trained volunteers, and Music & Memory programming. Families may also access home care, palliative medicine, and hospice transitions.
Lifecare Solutions
About Lifecare Solutions
LifeCare Solutions, based in the Birmingham, Alabama area, participates in Medicare's GUIDE Model, offering eligible Traditional Medicare beneficiaries with dementia a comprehensive assessment, a dedicated care navigator, person-centered care planning, a 24/7 help line, caregiver education, and up to $2,500 per year in respite services at no out-of-pocket cost. Services are available in central and east Alabama. Self-referrals are accepted; no physician referral is required.
Lifespark
About Lifespark
Lifespark Medical Group, PA, is dedicated to enhancing the lives of seniors through comprehensive healthcare services. They focus on personalized care that addresses the unique needs of each patient, particularly those with dementia. Their approach includes home-based medical care, ensuring comfort and convenience. Lifespark's team of experienced professionals collaborates to provide medical, behavioral, and social support, aiming to improve quality of life and maintain independence for as long as possible.
Lifetime Redesign OT, PLLC
About Lifetime Redesign OT, PLLC
Lifetime Redesign OT, PLLC specializes in providing occupational therapy services tailored for individuals with dementia. Their approach focuses on enhancing the quality of life through personalized care plans that address cognitive, physical, and emotional needs. Services include home safety assessments, cognitive rehabilitation, and caregiver training. Their team of experienced occupational therapists works closely with patients and families to promote independence and safety in daily living activities. Visit their website to learn more about how they can support your loved one’s journey with dementia.
Loma Linda University Faculty Medical Group
About Loma Linda University Faculty Medical Group
Loma Linda University Faculty Medical Group participates in the CMS GUIDE Model, delivering dementia care through its neurology and geriatrics programs, including the Memory Center, beginning July 1, 2024. The program offers comprehensive person-centered assessments, individualized care plans, round-the-clock interdisciplinary care team access, and caregiver respite services. Dedicated care navigators connect patients and families with clinical and community-based supports such as meals and transportation.
Lone Star Neurology
About Lone Star Neurology
Lone Star Neurology has more than 17 locations across Texas, including Frisco, Dallas, Fort Worth, Plano, and San Antonio. The practice participates in the CMS GUIDE Model in partnership with Craniometrix, offering eligible patients comprehensive assessment, personalized care planning, medication management, care coordination, a 24/7 helpline, caregiver education, and up to 80 hours of annual respite care. Enrollment requires a referral from a Lone Star provider.
Long term care and Rehab Consultants
About Long term care and Rehab Consultants
Long Term Care & Rehab Consultants, accessible via Primary Care Online, offers specialized dementia care services. They provide comprehensive support, including personalized care plans, rehabilitation, and ongoing management for individuals with dementia. Their team of experienced professionals focuses on enhancing the quality of life for patients while offering respite and guidance for families. With a commitment to compassionate and effective care, they ensure that each patient receives the attention and support needed to navigate the challenges of dementia.
Louisiana State University Health Sciences Center
About Louisiana State University Health Sciences Center
LSU Health Shreveport Center for Brain Health participates in the CMS GUIDE Model, providing coordinated dementia care to help people living with dementia remain at home. Services include comprehensive medical assessments, medication management, dementia education, falls prevention, respite care, community resource navigation, and 24/7 care team access. Caregiver support groups are also available.
Lutheran Senior Services
About Lutheran Senior Services
Lutheran Senior Services, now EverTrue, is a faith-based nonprofit with 22 locations in Missouri, Illinois, and Pennsylvania offering senior living and home-based services. Through the Medicare GUIDE Model, the organization provides a dedicated dementia care navigator, personalized care coordination, 24/7 support, caregiver education, respite services, and free access to Trualta online caregiver training. Open to Medicare Parts A and B beneficiaries with a clinician-confirmed dementia diagnosis.
Macon & Joan Brock Virginia Health Sciences EVMS Medical Group at Old Dominion University
About Macon & Joan Brock Virginia Health Sciences EVMS Medical Group at Old Dominion University
EVMS Medical Group at Old Dominion University provides comprehensive dementia care in Norfolk, Virginia. Through the Glennan Center for Geriatrics and Gerontology, the Memory Consultation Clinic and Comprehensive Memory Center offer multi-specialty assessment, diagnosis, and treatment for cognitive disorders. The care team includes geriatricians, neuropsychologists, and social workers who build treatment plans and connect families with community resources across the Hampton Roads region.
Magnolia
About Magnolia
Nolia Health, formerly Magnolia, provides virtual dementia care navigation and therapy for people with dementia and family caregivers. As a CMS GUIDE Model participant, Nolia offers personalized care planning, resource navigation, memory testing, behavior support, and 24/7 caregiver support, with most services covered by Medicare at no out-of-pocket cost. Monthly online caregiver support groups and respite care referrals are also available. Nolia currently serves patients in Washington and California.
MaineHealth
About MaineHealth
MaineHealth participates in the CMS GUIDE Model through Maine Medical Center, serving eligible patients in Cumberland and York counties in Maine. Services include personalized care plans, regular telehealth check-ins, care coordination, caregiver education, and respite care allowances for caregivers of moderate and high complexity patients. Covered under traditional Medicare at no additional cost. Referrals are accepted from patients, providers, family members, and community organizations.
Marcus Memory- Baptist Health South Florida
About Marcus Memory- Baptist Health South Florida
Marcus Neuroscience Institute, part of Baptist Health South Florida at Boca Raton Regional Hospital, participates in the CMS GUIDE Model. Its Cooperman Center for Memory Disorders & Alzheimer's Disease focuses on assessment, education, and management of neurocognitive disorders, with specialists in neurology, neuropsychology, and rehabilitation. Services include advanced diagnostic imaging, clinical trials, care coordination, and caregiver support, helping individuals with dementia remain at home.
Martha W. Goodson Center
About Martha W. Goodson Center
Martha W. Goodson Center, part of Riverside Health in Williamsburg, Virginia, participates in the CMS GUIDE Model to provide memory care services across southeastern Virginia. Services include personalized care plans, medication management support, caregiver education, respite care, and 24/7 access to a dedicated support line. Enrollment is available through a primary care provider referral or by contacting the center directly to schedule an appointment with an enrollment specialist.
McLean Hospital
About McLean Hospital
McLean Hospital's Older Adult Programs offer specialized care for seniors with dementia and other age-related mental health issues. Their comprehensive services include inpatient and outpatient treatment, focusing on personalized care plans that address the unique needs of each patient. The program integrates psychiatric treatment with medical management, therapy, and family support to enhance the quality of life for older adults. Located in Belmont, Massachusetts, McLean Hospital is dedicated to providing compassionate and effective care for seniors facing complex mental health challenges.
Medical Associates of Erie
About Medical Associates of Erie
Medical Associates of Erie, Inc., through the LECOM Center for Memory Impairment and Neurocognitive Disorders (MIND), offers specialized care for dementia patients. Located in Erie, Pennsylvania, the center focuses on early diagnosis, treatment, and management of memory disorders. Their team of experts provides comprehensive evaluations, personalized care plans, and support for patients and families. The center also engages in research to advance understanding and treatment of neurocognitive disorders, ensuring patients receive cutting-edge care.
Medicine in Motion
About Medicine in Motion
Medicine in Motion, based in Omaha, Nebraska, provides geriatric primary care in patients' homes and senior living communities. Through its GUIDE Navigator Program, the practice offers comprehensive, coordinated dementia care and care management for individuals with dementia and their unpaid caregivers. Additional programs include a Care Navigator Program working alongside primary care doctors and a We Care Program delivering geriatric providers directly to patients at home.
MedStar Total Elder Care
About MedStar Total Elder Care
MedStar Total Elder Care operates MedStar Health's CMS GUIDE Model dementia care program, serving patients in Central Maryland, Washington, D.C., and Northern Virginia. Services include care navigation, a 24/7 support line, caregiver training, respite services, and connections to community resources. Each patient is assigned a care navigator for clinical and non-clinical support. Enrollment begins with a provider referral followed by an eligibility review and Medicare approval.
Memory Care Home Solutions
About Memory Care Home Solutions
Memory Care Home Solutions is a St. Louis-based nonprofit and CMS GUIDE Model participant helping families care for loved ones with dementia at home. The team provides in-home care partner education, family consultations, occupational therapy, home safety assessments, and ongoing care navigation. Enhanced Medicare-covered dementia care and caregiver support are available to eligible families in Missouri and Illinois.
Memory Guide Solutions
About Memory Guide Solutions
Lynda Lopez-Freyre, FNP-C, at Memory Guide Solutions, specializes in dementia care, offering personalized services to enhance the quality of life for patients and their families. With a focus on early diagnosis and comprehensive management, Lynda provides in-home assessments, caregiver support, and educational resources. Her approach combines medical expertise with compassionate care, ensuring that individuals with dementia receive the attention and support they need to navigate their journey with dignity and comfort.
Brown Medicine - Geriatrics
About Brown Medicine - Geriatrics
Brown Medicine - Geriatrics specializes in comprehensive care for seniors, including those with dementia. Their team of experienced geriatricians and healthcare professionals focuses on managing and treating the unique health challenges faced by older adults. They offer personalized care plans, regular health assessments, and support for patients and their families. Their approach emphasizes maintaining quality of life and independence. Services are available at multiple locations, ensuring accessibility for patients in the Rhode Island area.
MemoryCare
About MemoryCare
MemoryCare, Inc. is a nonprofit outpatient specialty practice — not a residential facility — serving Western North Carolina from Asheville and Waynesville offices. Geriatricians and care managers provide dementia evaluations, clinical follow-up, caregiver education through the Caregiver College, and support groups. As a CMS GUIDE Model participant, MemoryCare offers care coordination and respite services to eligible Medicare beneficiaries. New patients require a referral from a physician or neurologist.
Meritan, Inc
About Meritan, Inc
Meritan, Inc. is a Memphis-based CMS GUIDE Model participant providing dementia care coordination, caregiver education, and respite access at no cost to eligible Medicare beneficiaries. The program serves west Tennessee and north Mississippi, including Shelby County communities. Eligible beneficiaries must have a clinician-confirmed dementia diagnosis and be enrolled in traditional Medicare Parts A and B. Referrals are accepted by phone, fax, or email.
Miami Jewish Health
About Miami Jewish Health
Miami Jewish Health Systems, Inc, accessible at www.miamijewishhealth.org, offers comprehensive dementia care tailored to individual needs. Their services include memory care units, specialized programs for Alzheimer’s and other dementias, and support for families. The facility emphasizes a holistic approach, integrating medical, emotional, and social support to enhance the quality of life for residents. With a focus on dignity and respect, Miami Jewish Health Systems provides a nurturing environment for those affected by dementia.
Minneapolis Clinic of Neurology, Ltd.
About Minneapolis Clinic of Neurology, Ltd.
The Minneapolis Clinic of Neurology Ltd., located at minneapolisclinic.com, offers specialized care for dementia patients. Their experienced team of neurologists provides comprehensive evaluations, diagnosis, and personalized treatment plans. The clinic emphasizes patient-centered care, ensuring that individuals with dementia receive the support and resources they need. They also offer educational programs and support groups for patients and their families, fostering a community of understanding and assistance in managing the challenges of dementia.
Mobile Medical
About Mobile Medical
Mobile Medical Operating Company, found at www.mobilemedicalnow.com, offers comprehensive in-home medical care tailored for individuals with dementia. Their services include primary care, medication management, and specialized dementia care, all delivered by a team of experienced healthcare professionals directly to your home. This approach ensures comfort and continuity of care for patients, reducing the stress and confusion that can come with traditional medical visits. Their commitment to personalized and compassionate care makes them a valuable resource for dementia patients and their families.
Mobile Physician Services
About Mobile Physician Services
Mobile Physician Services provides in-home primary and specialty dementia care in Florida and Ohio through the Medicare GUIDE Model. Physicians and nurse practitioners deliver comprehensive assessments, chronic condition management, personalized care plans, caregiver education with 24/7 phone support, and up to $2,500 per year in respite services. The program focuses on reducing hospital visits and supporting patients and families through every stage of the disease.
Montefiore Medical Center
About Montefiore Medical Center
Montefiore Medical Center in the Bronx, New York participates in the CMS GUIDE Model, providing coordinated dementia care for eligible Medicare beneficiaries. GUIDE patients receive 24/7 access to a care team including a dementia-proficient clinician and care navigator. The Memory Disorders Program and Center for the Aging Brain offer assessments, personalized treatment plans, and caregiver education, with neurologists, geriatricians, and social workers collaborating on care.
Mount Washington Valley Adult Day Center
About Mount Washington Valley Adult Day Center
The Mount Washington Valley Adult Day Center, operated by the Betty C. Ketchum Foundation in Center Conway, New Hampshire, participates in the CMS GUIDE Model. It provides adult day services for older adults and individuals with dementia, including cognitive and social programming, care coordination, caregiver education and support, and access to respite care at no cost to eligible Medicare beneficiaries. It serves families in the Mount Washington Valley region.
MUSC Physicians
About MUSC Physicians
MUSC Physicians at the Medical University of South Carolina is the only health system in South Carolina participating in Medicare's GUIDE Model. Through the South Carolina Alzheimer's Network (SCAN), a multidisciplinary program, MUSC provides diagnosis, care navigation, and treatment for Alzheimer's disease and related cognitive disorders. Specialists in cognitive neurology, neuropsychology, psychiatry, neuroradiology, and infusion therapy collaborate on care, with an eConsult system expanding access statewide.
My Memory Clinic
About My Memory Clinic
My Memory Clinic, based in Viera, Florida, is a virtual memory care practice and CMS GUIDE Model participant specializing in Alzheimer's disease and related dementias. Services include care coordination, 24/7 care navigation, integrated behavioral health, brain health risk assessments, memory evaluations, and access to respite care at no cost to eligible Medicare beneficiaries. The clinic accepts patients throughout Florida.
Neurology Consultants of Dallas, PA
About Neurology Consultants of Dallas, PA
Neurology Consultants of Dallas is a physician-owned neurology practice in Dallas, Texas, participating in the CMS GUIDE Model. It provides coordinated dementia care management for Medicare patients diagnosed with Alzheimer's disease, vascular dementia, Lewy body dementia, and frontotemporal dementia. Services include individualized care plans, caregiver support, onsite diagnostic imaging, neuropsychological testing, and access to clinical research trials. The multidisciplinary team includes fellowship-trained neurologists, nurse practitioners, and therapists.
NeuroPsych Center of Greater Cincinnati
About NeuroPsych Center of Greater Cincinnati
The NeuroPsych Center of Greater Cincinnati participates in the CMS GUIDE Model through its Dementia Support Complete program, offering comprehensive neuropsychological assessment, diagnosis, and individualized care plans for older adults with dementia. Services include a dedicated care coordinator, 24/7 care team access, and caregiver education and support. The clinical team includes psychologists, psychiatrists, nurse practitioners, social workers, and nurses. Located in Cincinnati, Ohio.
NEUROSCIENCE CONSULTANTS, LLP
About NEUROSCIENCE CONSULTANTS, LLP
Neuroscience Consultants, LLP, operating as First Choice Neurology, is the largest private physician-owned neurology group in the United States, with more than 60 care centers across Florida. It participates in the CMS GUIDE Model, providing eligible Medicare Part B patients diagnosed with dementia or Alzheimer's disease with personalized care planning, caregiver support and education, respite services, and around-the-clock care coordination to help patients remain safely at home.
NeuroX Partners
About NeuroX Partners
NeuroX, the brain health division of American TelePhysicians (legally ATP Partners, PLLC), participates in the CMS GUIDE Model in Florida, providing virtual dementia care coordination, caregiver support and education, and Medicare-covered respite services. The program includes online cognitive screening, consultations with board-certified neurologists, and structured telehealth follow-up. Headquartered in Jacksonville, Florida, NeuroX accepts referrals from providers and families through an online referral form.
Nevada Palliative Care
About Nevada Palliative Care
Nevada Palliative Care, found at nevpc.org, offers specialized support for individuals with dementia and their families. Their services focus on enhancing quality of life through pain and symptom management, emotional and spiritual support, and assistance with navigating healthcare decisions. The team, consisting of doctors, nurses, and social workers, works collaboratively to provide personalized care plans. They also offer educational resources and support groups to help families understand and cope with dementia, ensuring a compassionate and comprehensive approach to care.
Northwell Health
About Northwell Health
Northwell Health's Division of Geriatrics and Palliative Medicine participates in the CMS GUIDE Model, serving Medicare beneficiaries with a dementia diagnosis in Northwell's New York service area. Services include 24/7 care team access, home safety assessments, medication management, caregiver education, and care coordination. Eligible caregivers may receive respite services. Visits are in person or via telehealth, covered under Medicare Parts A and B with no extra program fee.
Nursing South Corporation
About Nursing South Corporation
Nursing South Corporation is a Miami-Dade County home health agency with more than 30 years of service. A CMS GUIDE Model participant, it supports people with dementia and their caregivers through in-home skilled and non-skilled care, including nursing, therapy, medication management, home health aides, and respite care. Staff are available 24/7; referrals can be submitted by phone or email.
NYC-Metro Physician Services PC
About NYC-Metro Physician Services PC
NYC-Metro Physician Services PC delivers dementia care through Parker At Your Door, a community health program of Parker Jewish Institute in New Hyde Park, New York. A CMS GUIDE Model participant, it provides dedicated care navigators, personalized care plans, caregiver education, respite services, and a 24/7 dementia support line. Services are available to eligible Medicare beneficiaries in the New York metropolitan area.
Oakwood Creative Care
About Oakwood Creative Care
Oakwood Creative Care is a Mesa, Arizona nonprofit and CMS GUIDE Model participant offering dementia care for eligible Medicare beneficiaries. Services include care navigation, clinical assessments, caregiver training, a 24/7 dementia support line, and adult day clubs in Mesa, Chandler, and Flagstaff emphasizing art, music, and social engagement. Support groups, educational programs, and respite options are also available.
Ochsner Clinic Foundation OBA Ochsner Medical Center
About Ochsner Clinic Foundation OBA Ochsner Medical Center
Ochsner Clinic Foundation, operating as Ochsner Medical Center, offers comprehensive dementia care services in a supportive environment. Their specialized team, including neurologists and geriatric specialists, focuses on accurate diagnosis, personalized treatment plans, and ongoing management of dementia. Services include memory assessments, cognitive therapy, and support for caregivers. Ochsner Medical Center is committed to enhancing the quality of life for individuals with dementia through innovative care and community resources.
OU Health Memory Care Clinic
About OU Health Memory Care Clinic
OU Health Physicians Memory Care Clinic in Oklahoma City offers comprehensive assessment and management of dementia and memory disorders, with an interdisciplinary team of geriatricians, social workers, pharmacists, and neuropsychologists. As Oklahoma's only CMS GUIDE Model participant, it provides eligible Medicare beneficiaries access to a 24/7 support line, caregiver training, respite services, and clinical trials through the Oklahoma Center for Geroscience and Healthy Brain Aging.
Palm Beach Elder Care
About Palm Beach Elder Care
Palm Beach Elder Care, a board-certified geriatrician-led practice, participates in the CMS GUIDE Model. The practice provides primary care and geriatric house calls for seniors 65 and older across Florida, with in-person care in Palm Beach County and statewide telehealth. Traditional Medicare beneficiaries with dementia receive a dedicated care navigator, 24/7 clinical support line, personalized care planning, and caregiver respite benefits at no extra cost.
Parkinsons and Memory Disorders Center of Boca Raton
About Parkinsons and Memory Disorders Center of Boca Raton
Dr. Stuart H. Isaacson, MD, at ParkinsonsCenter.org, specializes in the treatment and management of Parkinson's disease and related disorders, including dementia. His practice offers comprehensive care, focusing on innovative treatments and personalized patient plans. Dr. Isaacson and his team are dedicated to improving the quality of life for patients through cutting-edge research and compassionate care. The center provides resources, support, and education for both patients and their families, ensuring a supportive environment for those affected by Parkinson's and dementia.
Penn Medicine
About Penn Medicine
Penn Medicine participates in the CMS GUIDE Model through the Penn Memory Center, providing home-based dementia care and caregiver support to Medicare beneficiaries in Philadelphia, Bucks, Chester, Delaware, and Montgomery counties, Pennsylvania. Enrollment opened July 1, 2025; no referral is required. The multidisciplinary team of neurologists, psychiatrists, and social workers provides comprehensive exams, personalized care plans, and caregiver education.
Peterson Regional Medical Center
About Peterson Regional Medical Center
Peterson Health, a nonprofit health network in Kerrville, Texas, delivers dementia care through its Providers at Home program, a CMS GUIDE Model participant. The program serves the Texas Hill Country with in-home assessments, personalized care plans, medication management, care coordination, caregiver education, skills training, and respite care. Services are available at no out-of-pocket cost to Traditional Medicare Parts A and B beneficiaries with a dementia or suspected dementia diagnosis.
.png){kind=logo}
PocketRN
About PocketRN
PocketRN is a CMS GUIDE Model participant providing virtual, nurse-led dementia care at no cost to Traditional Medicare Parts A and B enrollees. Each family is paired with a dementia-trained nurse for regular check-ins, with 24/7 virtual care team access. Services include care coordination, medication review, caregiver education, and up to 72 hours of paid in-home respite care annually. PocketRN partners with home care agencies nationwide.
Preferred Choice Home Healthcare
About Preferred Choice Home Healthcare
Preferred Choice Home Healthcare, accessible at www.preferred-choice.com, offers specialized dementia care services designed to support individuals in the comfort of their own homes. Their experienced caregivers are trained to manage the unique challenges associated with dementia, providing personalized care plans that include medication management, daily living assistance, and cognitive engagement activities. The agency emphasizes maintaining the dignity and independence of clients while offering respite for family caregivers. With a commitment to compassionate care, Preferred Choice Home Healthcare strives to enhance the quality of life for those affected by dementia.
Premier Medical Associates PC
About Premier Medical Associates PC
Premier Medical Associates PC offers comprehensive care for dementia patients, focusing on personalized treatment plans. Their team of experienced physicians and specialists provides thorough assessments, ongoing management, and support for both patients and families. Services include memory care, cognitive assessments, and coordination with other healthcare providers to ensure holistic care. They emphasize patient education and family involvement, striving to enhance the quality of life for those affected by dementia.
Primary Care of Central Florida, Inc
About Primary Care of Central Florida, Inc
Primary Care of Central Florida, operating as Home Physicians Group, provides primary and dementia care in the Orlando area as a CMS GUIDE Model participant. Services include care navigation, interdisciplinary care management, medication oversight, and a 24/7 support helpline. Qualifying caregivers receive education, training, support groups, and an annual respite benefit.
Providence Adult Day Health Napa Valley
About Providence Adult Day Health Napa Valley
Providence Community Health Napa Valley, formerly Collabria Care, participates in the CMS GUIDE Model and serves as Napa County's designated Alzheimer's Resource Center. Services include family consultations, caregiver support groups, early memory loss programs, and the county's only Medi-Cal certified Adult Day Health program, offering therapeutic activities for individuals with dementia. The organization serves Napa County, California.
%202_edited.jpg)
R & A Hospice, Inc.
About R & A Hospice, Inc.
R and A Hospice, Inc., located in San Mateo, California, provides end-of-life care for patients including those with dementia. Services include pain and symptom management, emotional and spiritual support, and assistance with daily activities. The agency provides all four Medicare-certified levels of hospice care, with 24/7 on-call nursing support and respite for families.
Region IV Area Agency On Aging
About Region IV Area Agency On Aging
Region IV Area Agency on Aging is a nonprofit CMS GUIDE Model participant serving older adults and caregivers in Berrien, Cass, and Van Buren counties in Southwest Michigan. Services include person-centered assessments, care plans, care coordination, caregiver training, and respite. Care Navigators connect participants to clinical and non-clinical services. The agency also offers Memory Cafes and dementia-friendly community programs.
Rippl Care
About Rippl Care
Rippl Care is a virtual dementia care provider headquartered in Seattle, Washington, and a CMS GUIDE Model participant. Care teams pair nurse practitioners and social workers with care navigators to support people living with dementia and their families. Services include medication review, personalized care plans, behavioral guidance, caregiver support, and community resource connections. Rippl also partners with the Alzheimer's Association on GUIDE care navigation.
RUSH Medical Group
About RUSH Medical Group
Rush University Medical Center's Rush University Internists offer a comprehensive home visit program designed to provide high-quality medical care to patients with dementia in the comfort of their own homes. Their experienced team of healthcare professionals delivers personalized care, including routine check-ups, medication management, and coordination with other specialists. By focusing on the unique needs of each patient, Rush University Internists aim to improve the quality of life for individuals living with dementia and their families.
Sabio Health At Home
About Sabio Health At Home
Sabio Health provides home-based primary, palliative, and dementia care for older adults in medically underserved rural communities in Georgia and California. As a CMS GUIDE Model participant, it offers a dedicated care navigator, 24/7 support line, home-based clinical assessments, caregiver education, and respite care for eligible patients. Services are available at no out-of-pocket cost to Traditional Medicare Part B beneficiaries with a documented dementia diagnosis.
Samaritan Palliative Medical Partners
About Samaritan Palliative Medical Partners
Samaritan, based in Mount Laurel, New Jersey, provides dementia care across South Jersey through primary care at home, palliative medicine, and hospice services. As a CMS GUIDE Model participant, it offers care coordination, caregiver education, a 24/7 dementia care line, and respite services for eligible participants. Clinicians make house calls throughout South Jersey to help patients manage symptoms and remain safely at home.
Sangre de Cristo Community Care
About Sangre de Cristo Community Care
Sangre de Cristo Community Care, based in Pueblo, Colorado, provides hospice, palliative care, home health, and a dementia care program across southern Colorado. Through the CMS GUIDE Model, eligible Medicare beneficiaries receive a dedicated care navigator, 24/7 nurse line access, caregiver training, community resource connections, and respite care. Individuals may self-refer or be referred by a provider. Locations include Pueblo, Canon City, La Junta, Trinidad, and Walsenburg.
Savannah Neurology Specialists
About Savannah Neurology Specialists
Savannah Neurology Specialists, in Savannah, Georgia, participates in the CMS GUIDE Model through its Memory Disorders Clinic. Eligible Traditional Medicare Part B patients receive a dedicated dementia care navigator, caregiver support, and up to 80 hours per year of in-home respite care at no cost. The practice also serves as a Georgia Memory Net site and offers diagnostic evaluations, medication management, and access to FDA-approved Alzheimer's therapies.
Senior Resources of West Michigan
About Senior Resources of West Michigan
Senior Resources of West Michigan, an Area Agency on Aging serving Muskegon, Oceana, and Ottawa counties, participates in the CMS GUIDE Model. Eligible families are paired with a Care Navigator who coordinates a personalized care plan and can access up to $2,500 per year in respite care, dementia management training, and support groups. The organization also provides broader caregiver support and community resource connections across West Michigan.
Sentara Medical Group
About Sentara Medical Group
Sentara Medical Group participates in the CMS GUIDE Model, with its program based in Norfolk, Virginia. Operating more than 100 sites of care across Virginia and North Carolina, Sentara provides dementia diagnosis and management through neurology teams including neuropsychologists, neurologists, and radiologists. Services include cognitive assessments, medical management, and coordinated support for patients and families affected by Alzheimer's disease and related dementias.
Shell Point Retirement Community
About Shell Point Retirement Community
The Christian and Missionary Alliance Foundation, Inc., accessible at www.shellpoint.org, offers specialized dementia care services within a faith-based community. Located in Shell Point Retirement Community, Fort Myers, Florida, their programs focus on providing compassionate, person-centered care for individuals with dementia. The foundation emphasizes spiritual support, engaging activities, and a safe environment to enhance the quality of life for residents. Their dedicated staff works closely with families to tailor care plans that meet the unique needs of each individual, ensuring dignity and respect throughout their journey.
Southcoast Physician's Group, Inc.
About Southcoast Physician's Group, Inc.
Southcoast Health System, Inc., accessible at www.southcoast.org, is a comprehensive healthcare provider serving the South Coast region. They offer specialized care for dementia patients, including memory care programs and support services designed to enhance the quality of life for individuals with dementia. Their team of experienced healthcare professionals provides personalized care plans, ensuring that each patient receives the attention and support they need. Southcoast Health System is committed to improving the well-being of dementia patients and their families through compassionate and innovative care.
St Vincent Medical Education and Research Institute Inc
About St Vincent Medical Education and Research Institute Inc
St. Vincent Medical Education and Research Institute Inc. is the Allegheny Health Network affiliate participating in the CMS GUIDE Model, selected in 2024. GUIDE services build on AHN's Aging Brain Care Program, providing whole-person care for people with early-stage dementia and connecting caregivers with wraparound support. AHN geriatricians collaborate with patients' existing primary care physicians to manage dementia and age-related conditions at geriatrics locations across western Pennsylvania.
St. Luke's Senior Care Associates
About St. Luke's Senior Care Associates
St. Luke's Physician Group, Inc. offers specialized dementia care through a team of dedicated professionals. Our services include comprehensive assessments, personalized care plans, and ongoing support for patients and their families. We focus on enhancing the quality of life for individuals with dementia by providing medical management, cognitive therapies, and caregiver education. Our compassionate approach ensures that each patient receives the attention and respect they deserve, helping them maintain their dignity and independence.
Stand By Me
About Stand By Me
The Connecticut Hospice, through its Stand By Me GUIDE Program, serves community-dwelling Medicare patients in New Haven, Fairfield, and Middlesex counties — one of only two approved GUIDE providers in Connecticut. Services include personalized care planning, symptom management for agitation, anxiety, and sleep disturbances, caregiver education and training, advance care planning, and respite support. The program helps families manage dementia's complexities while preserving patient comfort and dignity.
Steward Center for Palliative Care
About Steward Center for Palliative Care
The Steward Center for Palliative Care, part of Hospice Savannah, launched the CMS GUIDE program on July 1, 2025, in partnership with the Edel Caregiver Institute. GUIDE participants must have a confirmed dementia diagnosis. The interdisciplinary team — physicians, nurse practitioners, nurses, social workers, and chaplains — provides dementia care, caregiver education, and respite resources to patients in Bryan, Chatham, Effingham, Liberty, and Long counties in Georgia.
Stonehill Communities
About Stonehill Communities
Stonehill Communities in Dubuque, Iowa participates in the CMS GUIDE Model, serving Medicare beneficiaries with a confirmed dementia diagnosis living at home or in independent or assisted living. One of only three Iowa GUIDE providers, Stonehill assigns a Care Navigator to assess patients and create personalized care plans, with services covered under Medicare Parts A and B. Its campus hosts a Caregiver Resource Center offering family support and education.
Straub Benioff Medical Center
About Straub Benioff Medical Center
Straub Benioff Medical Center, part of Hawaii Pacific Health, participates in the CMS GUIDE Model through its Geriatrics Clinic in Honolulu. Services include a geriatrician assessment with cognitive testing, quality-of-life evaluation, and caregiver burden measures. A social worker provides care navigation, caregiver education, service referrals, and follow-up. Patients have access to a 24/7 telephone advice line and respite referrals with limited funds. Enrollment requires a primary care provider referral.
HopeWest Dementia Support
About HopeWest Dementia Support
HopeWest Dementia Support serves western Colorado through the CMS GUIDE Model, covering Mesa, Delta, Montrose, Ouray, and parts of Garfield and Rio Blanco counties. Services include monthly in-home visits from dementia-trained care navigators, a 24/7 helpline, caregiver education, respite care, and coordination of community resources. Free dementia support groups are offered in Mesa, Montrose, and Delta counties. Available at no extra cost to Medicare beneficiaries with a dementia diagnosis.
Remo Health
About Remo Health
Remo Health is a virtual dementia care provider led by neurologists and geriatricians, participating in the CMS GUIDE Model. Services include clinical care, personalized care plans, caregiver education, and 24/7 support. Remo collaborates with the Cleveland Clinic Medicare ACO to support patients in Ohio and provides GUIDE services in Kentucky, Ohio, and Washington.
RiiiD Medical
About RiiiD Medical
RiiiD Medical Group Irvine, now operating as KSK Neuroscience Center within KSK Medical Group in Irvine, California, participates in the CMS GUIDE Model. The practice offers cognitive and memory testing, dementia diagnosis and staging, imaging, and personalized care planning, and conducts clinical research as a DAVOS Alzheimer's Collaborative site. It serves patients in California, Florida, Massachusetts, and Rhode Island.
Suburban Geriatrics
About Suburban Geriatrics
Suburban Geriatrics is a geriatric medical practice in Plymouth Meeting, Pennsylvania, offering office-based and in-home primary care, geriatric consultation, and case management for older adults. In partnership with Abramson Senior Care of JFCS, the practice participates in the CMS GUIDE Model, providing care management for Medicare beneficiaries with dementia in the Philadelphia region. Referrals and GUIDE evaluations are arranged through the Abramson Senior Care team.
Supportive Care for Dementia
About Supportive Care for Dementia
Supportive Care for Dementia is an in-home program of Hospice of the Valley in Phoenix, Arizona, providing clinical and emotional support to families caring for someone with dementia at no cost. As a CMS GUIDE Model participant, enrolled families receive home visits from dementia educators, 24/7 nurse phone access, and physician consultations. Eligibility requires traditional Medicare Parts A and B, not Medicare Advantage.
Synapticure
About Synapticure
Synapticure is a virtual specialty care provider for people with Alzheimer's and other dementias, Parkinson's, ALS, and related neurodegenerative conditions. An Established CMS GUIDE Model participant since July 2024, it serves Medicare beneficiaries with dementia in all 50 states. Services include video visits with neurologists, dedicated care teams, 24/7 phone support, care navigation, caregiver support, and respite care. Care is covered by Medicare, Medicaid, and most major insurers.
Tembo Health
About Tembo Health
SAH Telemedicine PC, accessible through Tembo Health at tembo.health, offers specialized telemedicine services tailored for dementia care. This platform connects patients with healthcare professionals who provide remote consultations, monitoring, and management of dementia symptoms. The service aims to enhance the quality of life for dementia patients by offering convenient access to expert care from the comfort of home. It's an ideal solution for those seeking regular medical attention without the need for physical travel.
The Neurology Center of Southern California
About The Neurology Center of Southern California
The Neurology Center of Southern California (North County Neurology Associates) is a private neurology practice established in 1978, with offices in Carlsbad, Escondido, La Jolla, Poway, San Diego, and Temecula. The practice participates in the CMS GUIDE Model, providing Medicare-covered dementia care including memory evaluations, neuropsychological testing, personalized treatment plans, and ongoing patient and family support. New patients can schedule online or by phone.
Theoria Medical
About Theoria Medical
Theoria Medical PLLC is a national primary care medical group headquartered in Novi, Michigan, providing tech-enabled, value-based primary care to residents of senior living and post-acute communities across the United States. Its integrated model combines on-site medical staff, telemedicine, remote patient monitoring, and clinical analytics to support older adults with dementia. Services include medication management, chronic condition management, and coordination with facility care teams and families.
Transitions LifeCare
About Transitions LifeCare
Transitions LifeCare, a nonprofit based in Raleigh, North Carolina, offers hospice, palliative care, home health, and grief support for individuals with life-limiting illnesses including dementia. Serving Chatham, Durham, Franklin, Granville, Harnett, Johnston, Orange, and Wake counties, its interdisciplinary team of physicians, nurses, social workers, and chaplains develops personalized care plans. Through its GuidingLights program, the organization provides dementia resources, caregiver coordination, support groups, and community education.
Translate Neuro
About Translate Neuro
Collin Liu MD Inc., found at translateneuro.com, specializes in neurology with a focus on dementia care. Dr. Liu offers comprehensive diagnostic services, personalized treatment plans, and ongoing support for patients with dementia. The practice emphasizes a patient-centered approach, integrating the latest research and technology to enhance patient outcomes. Services include memory assessments, cognitive testing, and management of various neurological conditions. Dr. Liu's expertise ensures that patients receive compassionate and effective care tailored to their unique needs.
Trellis Supportive Care
About Trellis Supportive Care
Trellis Supportive Care, serving Winston-Salem and North Carolina's Piedmont region, participates in the CMS GUIDE Model. The program provides care planning, covered nursing visits, medication management, and ongoing monitoring for Medicare beneficiaries with dementia who live at home, in assisted living, or in memory care. It serves 13 counties including Forsyth, Guilford, Davidson, Iredell, and Rowan, with goals of improving quality of life and supporting unpaid family caregivers.
Troupe Health Medical Group
About Troupe Health Medical Group
Troupe Health Medical Group, accessible at www.troupehealth.com, offers specialized dementia care services in a compassionate and supportive environment. Their team of dedicated healthcare professionals provides personalized care plans, focusing on enhancing the quality of life for individuals with dementia. Services include memory care, cognitive assessments, and family support programs. Troupe Health emphasizes a holistic approach, integrating medical treatment with emotional and social support to meet the unique needs of each patient and their family.
UC Irvine Department of Family Medicine, UCI Health SeniorHealth Center
About UC Irvine Department of Family Medicine, UCI Health SeniorHealth Center
The UCI Health SeniorHealth Center in Orange, California, participates in the CMS GUIDE Model through UCI Health in partnership with the UC Irvine Department of Neurology. Through GUIDE, patients and unpaid caregivers receive structured assessments, coordinated care management, and a care navigator connecting families to clinical and community-based services such as meals and transportation. The multidisciplinary team specializes in senior care for older adults in Orange County.
UChicago Medicine
About UChicago Medicine
The University of Chicago Medical Center, accessible at www.uchicagomedicine.org, offers comprehensive dementia care through its specialized Memory Center. This center provides expert diagnosis, treatment, and management of various forms of dementia, including Alzheimer's disease. Patients benefit from a multidisciplinary team approach, involving neurologists, geriatricians, and social workers, ensuring personalized care plans. The center also engages in cutting-edge research, offering patients access to clinical trials and the latest treatment options, making it a leading resource for dementia care in the region.
UCLA Alzheimer’s and Dementia Care Program
About UCLA Alzheimer’s and Dementia Care Program
The UCLA Alzheimer's and Dementia Care Program, a CMS GUIDE Model participant since July 2024, provides coordinated care for Medicare beneficiaries with Alzheimer's disease and other dementias. Services include care coordination, caregiver education and support, and respite care for eligible families. Nurse practitioner Dementia Care Specialists co-manage care with referring providers and community-based organizations. Clinic locations span the greater Los Angeles area including Westwood, Santa Monica, and Burbank.
United Church Homes, Inc.
About United Church Homes, Inc.
United Church Homes, Inc. is a nonprofit senior living provider headquartered in Marion, Ohio, with more than 90 communities across 15 states. A CMS GUIDE Model participant, its NaviGuide care team delivers in-home education, service coordination, and support to traditional Medicare beneficiaries with a confirmed dementia diagnosis at no cost. The program includes caregiver support and respite care to help individuals with dementia remain in their homes.
University of Connecticut Health Center
About University of Connecticut Health Center
The University of Connecticut Health Center's James E. C. Walker Memory Assessment Program diagnoses Alzheimer's and other dementias in Farmington, Connecticut. Through the CMS GUIDE Model, UConn Health provides care coordination, caregiver education and support, and respite services at no cost to patients with traditional Medicare Parts A and B. A Dementia Care Navigator serves as ongoing contact. The program enrolls Connecticut residents in all counties except Fairfield.
University of Louisville Physicians
About University of Louisville Physicians
University of Louisville Physicians, through the Trager Institute, participates in the CMS GUIDE Model. Based in Louisville, Kentucky, the program provides comprehensive health evaluations including cognitive testing and home safety assessments. A dedicated care navigator supports each patient and family, with services emphasizing caregiver education, emotional support, skill-building, and respite care to improve quality of life for people living with dementia.
University of Pittsburgh Physicians
About University of Pittsburgh Physicians
University of Pittsburgh Physicians, through UPMC's Division of Geriatric Medicine, participates in the CMS GUIDE Model. Based in Pittsburgh, Pennsylvania, the program provides comprehensive interdisciplinary assessment, individualized care plans, caregiver education and support, respite care, and 24/7 access to a care team member or support line. Geriatricians, neurologists, and other specialists diagnose and manage Alzheimer's disease and other dementias.
University of Rochester
About University of Rochester
The University of Rochester offers comprehensive dementia care through its Memory Care Program. Services include early diagnosis, personalized treatment plans, and support for both patients and families. Their multidisciplinary team, consisting of neurologists, geriatricians, and social workers, focuses on improving quality of life. The program also engages in cutting-edge research to advance dementia care. Located in Rochester, NY, they provide both in-person and telehealth consultations to meet diverse needs.
University of Texas Southwestern Medical Center
About University of Texas Southwestern Medical Center
The University of Texas Southwestern Medical Center offers comprehensive dementia care through its specialized Memory and Cognitive Disorders Program. This program provides thorough assessments, diagnosis, and personalized treatment plans for individuals experiencing memory loss and cognitive decline. Their multidisciplinary team includes neurologists, geriatricians, neuropsychologists, and social workers who collaborate to support patients and their families. The center also engages in cutting-edge research to advance dementia care and treatment options.
University of Toledo Physicians
About University of Toledo Physicians
University of Toledo Physicians, LLC, affiliated with the University of Toledo's health services, offers comprehensive care for individuals with dementia. Their team of experienced physicians and specialists provides personalized treatment plans, focusing on managing symptoms and improving quality of life. Services include cognitive assessments, medication management, and support for caregivers. The clinic emphasizes a multidisciplinary approach, ensuring patients receive holistic care that addresses both medical and emotional needs. Their commitment to research also helps advance dementia care practices.
University of Utah Aging Brain Care Program
About University of Utah Aging Brain Care Program
The University of Utah Adult Services, part of the Geriatrics and Aging Program, offers comprehensive care for individuals with dementia. Their services include memory assessments, personalized care plans, and support for both patients and families. The program focuses on enhancing quality of life through medical management, cognitive therapies, and community resources. With a team of dedicated specialists, they provide compassionate, evidence-based care tailored to the unique needs of each patient.
UT Health San Antonio
About UT Health San Antonio
The University of Texas Health Science Center at San Antonio's Geriatrics division, found at lsom.uthscsa.edu/geriatrics/, offers comprehensive care and resources for dementia patients. Their services include memory assessments, personalized care plans, and support for caregivers. The center focuses on enhancing the quality of life for individuals with dementia through research, education, and clinical services. They also provide training for healthcare professionals to improve dementia care standards in the community.
Vahe Akopian MD Inc
About Vahe Akopian MD Inc
Vahe Akopian MD Inc provides specialized dementia care in Glendale, California, led by neurologist Dr. Vahe Akopian. As a CMS GUIDE Model participant, the practice partners with AVVACare to deliver Medicare-covered dementia care coordination and caregiver support. Services include personalized care plans, medication management, help arranging meals and transportation, 24/7 support access, and respite care. The program is designed to help individuals with dementia remain safely in their homes.
VCU Health MCV Physicians
About VCU Health MCV Physicians
VCU Health operates the VCU GUIDE Center for Dementia Care in Richmond, Virginia, as a CMS GUIDE Model participant. Certified dementia practitioners provide assessments, personalized care plans, medication reviews, and regular visits with 24/7 urgent access. Caregiver education, home safety evaluations, and up to $2,500 annually in respite care are included. Eligible patients need traditional Medicare Parts A and B, a dementia diagnosis, and care from VCU Health providers.
Vesper Medical Care, PLLC
About Vesper Medical Care, PLLC
Vesper Medical Care, PLLC is a Central Texas practice in Woodway, near Waco, providing dementia care through the CMS GUIDE Model. Each patient is assigned a Care Navigator who coordinates care to help seniors remain safely at home. Caregivers receive education, training, 24/7 support line access, and respite services. The practice also offers medical management, chronic care management, remote monitoring, telehealth, and home visits.
Shanti Hospice LLC
About Shanti Hospice LLC
Shanti Hospice LLC, a locally owned Arizona provider established in 2015, operates Guiding Dementia—a non-hospice program offered under the Medicare GUIDE Model. Delivered independently of hospice services, the program provides dementia care coordination to improve quality of life for people living with dementia and reduce caregiver strain. It serves residents of Maricopa and Pinal Counties, Arizona, and offers a 24/7 support line for patients and caregivers.
Vesta Healthcare
About Vesta Healthcare
CaringAtHome, LLC specializes in providing personalized in-home care for individuals with dementia. Our dedicated caregivers are trained to support the unique needs of each client, offering assistance with daily activities, medication management, and engaging in memory-enhancing activities. We focus on creating a safe, comfortable, and nurturing environment that promotes dignity and independence. Our services are tailored to help families by offering respite care and ensuring that loved ones receive compassionate, professional care in the comfort of their own homes.
VHS Hospice
About VHS Hospice
Virginia Health Services launched its GUIDE dementia care program on July 1, 2025, as a CMS GUIDE Model participant in Virginia. A care navigator provides resources, respite options, and ongoing support to reduce caregiver stress. Participants must have a dementia diagnosis, traditional Medicare Parts A and B, and reside in a community setting. The organization also offers home health, hospice, and respite services across Virginia, headquartered in Newport News.
Visiting Practitioners & Palliative care
About Visiting Practitioners & Palliative care
Visiting Practitioners & Palliative Care LLC, based in San Antonio, Texas, provides in-home primary care and dementia support through the CMS GUIDE Model. Medicare patients with Alzheimer's or related dementias receive a personal care navigator, a 24/7 support line, and caregiver education. Eligible families may also receive Medicare-covered respite care at home or in a facility. The practice serves the San Antonio region.
Walker Community Services
About Walker Community Services
Walker Community Services is part of Vivie, the senior care organization formed by the 2024 merger of Knute Nelson and Walker Methodist. Through the CMS GUIDE Model, Vivie provides care navigation, caregiver education, and a 24/7 helpline at no cost to qualifying Medicare beneficiaries with dementia. Vivie's broader continuum includes home health, memory care, assisted living, hospice, and skilled nursing across Minnesota, North Dakota, and Wisconsin.
Willamette Vital Health
About Willamette Vital Health
Willamette Vital Health, formerly Willamette Valley Hospice, is a Salem, Oregon nonprofit offering dementia support through Medicare's GUIDE Model. A care team visits the home monthly, connects families to community resources, and provides a 24/7 phone line; qualifying families receive respite care at no cost. Eligibility requires a dementia diagnosis and traditional Medicare Parts A and B; no doctor's referral is needed. Serves Salem and surrounding Oregon communities.
Wolk Center for Memory Health
About Wolk Center for Memory Health
The Hebrew Rehabilitation Center's Wolk Center for Memory Health, part of Hebrew SeniorLife, offers specialized care for individuals with memory issues, including dementia. Located in Boston, the center provides comprehensive assessments, personalized care plans, and support services to enhance the quality of life for patients and their families. Their multidisciplinary team focuses on innovative treatments and research to address memory health, ensuring a supportive environment for those affected by memory disorders.
Montana Stillwater Health, PLLC
About Montana Stillwater Health, PLLC
Montana Stillwater Health, PLLC is a Missoula-based geriatrician-led practice that exclusively serves patients enrolled in the CMS GUIDE Model. Led by Dr. Whitney Haseman, MD, the practice provides care navigation, 24/7 support line access, caregiver training, and up to $2,500 annually in respite services. Eligibility requires a dementia diagnosis and enrollment in traditional Medicare Parts A and B.
Your Medical Home
About Your Medical Home
Total Care Medical PLLC, found at ymhcare.com, offers comprehensive dementia care services tailored to meet the unique needs of each patient. Our experienced team provides medical management, cognitive assessments, and personalized care plans to support individuals with dementia. We focus on enhancing quality of life through compassionate care, regular monitoring, and family support. Our goal is to help patients maintain their independence and dignity while managing the challenges of dementia.
The Episcopal Church Home
About The Episcopal Church Home
The Episcopal Church Home, part of Episcopal SeniorLife Communities in Rochester, New York, participates in the CMS GUIDE Model through its Community Dementia Program. Services include person-centered care navigation, a 24/7 dementia support line, caregiver training, and respite services. Medical support is provided in partnership with Isaac Health, offering virtual access to neurologists, psychiatrists, and therapists. Available at no cost to traditional Medicare beneficiaries in the greater Rochester area.
KNIGHT NEUROLOGY LLC
About KNIGHT NEUROLOGY LLC
Knight Neurology LLC is a neurology practice in Rockledge, Florida, with board-certified neurologists treating dementia, epilepsy, migraine, multiple sclerosis, movement disorders, and stroke. The practice provides long-term care for patients with progressive dementia, including medications to support cognitive function, occupational therapy, and lifestyle guidance. Two offices operate in Rockledge and the practice welcomes new patients.
Neuroglee Health
About Neuroglee Health
Neuroglee Health (Neuroglee Care, PLLC), headquartered in Boston, Massachusetts, is a virtual dementia care provider and CMS GUIDE Model participant. Care teams deliver assessments, personalized cognitive care plans, medication review, 24/7 support, care coordination, and community resource referrals. Caregiver education, ongoing monitoring, and respite care are available at no cost to eligible Medicare patients. Neuroglee collaborates with health systems including Mayo Clinic to serve patients at home.
UCSF Health
About UCSF Health
The University of California San Francisco Medical Center (UCSF) is a leading healthcare institution renowned for its comprehensive dementia care services. UCSF offers specialized memory clinics, advanced diagnostic tools, and personalized treatment plans tailored to individuals with dementia. Their multidisciplinary team, including neurologists, geriatricians, and social workers, collaborates to provide holistic care, support for caregivers, and access to cutting-edge research. UCSF is committed to enhancing the quality of life for dementia patients through innovative approaches and compassionate care.
Hospice of the Chesapeake
About Hospice of the Chesapeake
Hospice of the Chesapeake, a nonprofit founded in 1979, serves Anne Arundel, Calvert, Charles, and Prince George's counties in Maryland. As a CMS GUIDE Model participant, it provides care navigation, caregiver education, and respite support for people living with dementia. The program offers free access to a Dementia Care Patient and Caregiver Resource Guide and hosts support groups and dementia training for family caregivers, emergency responders, and healthcare workers.
Wovenly
About Wovenly
Wovenly delivers dementia care navigation under Medicare's GUIDE Model through partnerships with healthcare providers and health systems. Services include care coordination, a 24/7 family support line, and up to $2,500 per year in respite care at no cost to qualifying Medicare beneficiaries with a dementia diagnosis. In 2025, Wovenly began serving West Texas communities including Lubbock and Amarillo through a collaboration with Texas Tech University Health Sciences Center.
Author Health Professionals, P.C.
About Author Health Professionals, P.C.
Author Health provides specialized mental health and dementia care for Medicare recipients through a virtual-first model integrated with primary care. A CMS GUIDE Model participant, services include comprehensive assessments, personalized care plans, care coordination, caregiver education, respite, and 24/7 helpline access. It accepts traditional Medicare, Medicare-Medicaid dual-eligible, and many Medicare Advantage and Special Needs Plans, and serves patients in Arizona, Florida, Illinois, Indiana, New Jersey, Pennsylvania, and Texas.
Northwest Center for Cognitive and Neurological Health
About Northwest Center for Cognitive and Neurological Health
The Northwest Center for Cognitive and Neurological Health is a Bend, Oregon clinic led by neurologist Dr. Gregory Ferenz. Participating in Medicare GUIDE Model, it offers cognitive consultations, care planning, dementia prevention through evidence-based risk factor modification, and management of all dementia stages. Care partners receive education, emotional support, and referrals to community resources including support groups and respite care.
VIA Health Partners
About VIA Health Partners
VIA Health Partners, formerly Hospice & Palliative Care Charlotte Region, provides hospice, palliative, and dementia care across 32 counties in North and South Carolina from Charlotte. Its dementia program offers tailored care plans, pain and symptom assessment for patients with impaired communication, and Advance Care Planning. Interdisciplinary teams serve patients in private homes, assisted living, and skilled nursing facilities and provide caregiver education, grief support, and 24/7 phone support.
MEDBETTER HEALTH PA
About MEDBETTER HEALTH PA
MedBetter Health PA, based in Davie, Florida, is a Medicare-approved CMS GUIDE Model participant providing in-home and telehealth care for individuals with dementia. Services include comprehensive assessments, care planning, medication management, caregiver education, respite services, and 24/7 care coordination. In early 2026, the practice expanded GUIDE services into New York City through a partnership with Continental Home Care, serving patients and caregivers throughout the course of the disease.
Pathways Health Partners
About Pathways Health Partners
Pathways Health Partners, based in Leesburg, Florida, participates in Medicare's GUIDE Model for dementia care in Central Florida. The program offers care navigators, customized care plans, nurse assessments, a 24/7 support line, medication management, and caregiver education and respite. Eligibility requires traditional Medicare as primary insurance and documented dementia or cognitive impairment; applicants must not reside in a skilled nursing facility or be enrolled in hospice or PACE.
Pallitus Health Partners
About Pallitus Health Partners
Pallitus Health Partners, part of Hosparus Health, participates in the CMS GUIDE Model to deliver dementia care across Kentucky and Southern Indiana. A multidisciplinary team of physicians, nurse practitioners, and social workers provides care via home visits, clinic appointments, and virtual options, with 24-hour nurse and provider phone access. Services include personalized care plans, care coordination, caregiver education, and grief support.
Reliance Community Care Partners
About Reliance Community Care Partners
Reliance Community Care Partners offers specialized dementia care services designed to support individuals and their families through every stage of the disease. Our team of dedicated professionals provides personalized care plans, including in-home support, memory care activities, and respite services for caregivers. We focus on enhancing the quality of life for those with dementia by fostering a compassionate and understanding environment. Our goal is to help clients maintain their dignity and independence while ensuring their safety and well-being.
Arun Gupta MD; PC
About Arun Gupta MD; PC
Arun Gupta, MD, PC specializes in providing comprehensive care for individuals with dementia. Our practice focuses on early diagnosis, personalized treatment plans, and ongoing support for both patients and their families. Dr. Gupta and his team are committed to improving the quality of life for those affected by dementia through compassionate care, education, and access to the latest treatment options. We offer a warm, understanding environment where patients can feel supported throughout their journey.