Eligibility for GUIDE Model Participation
- Beneficiaries must have mild, moderate, or severe dementia.
- Beneficiaries must be enrolled in "Traditional Medicare", with Medicare Parts A and B.
- Beneficiaries enrolled in Medicare Advantage, a Special Needs Plan, or PACE are not eligible.
- People enrolled in the Medicare hospice benefit are not eligible.
- Participants may live in a home, apartment, or senior living environment such as Assisted Living or Memory Care. Residents of Long-Term Nursing Homes are not eligible.
- Participants must live in the service area of their GUIDE program provider.
- Beneficiaries may only receive services from one GUIDE Model Program.
For further details, please visit the CMS GUIDE Model FAQ.