Choose from 29 providers offering comprehensive dementia care support at no cost through Medicare's GUIDE program in North Carolina.
Check EligibilityAmount of respite care coverage by Medicare.
Giving families some well deserved rest.
Access to care coordination and support services.
Support when you need it not when it's convenient.
No out-of-pocket expenses for eligible Medicare beneficiaries
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 (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 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, 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.
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.
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.
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.
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