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Reminder: Application Deadline for CMS GUIDE Dementia Model Approaching

The application deadline for the new Centers for Medicare and Medicaid Services (CMS) Guiding an Improved Dementia Experience (GUIDE) Model is quickly approaching. Providers may submit applications until Jan. 30, 2024 at 11:59 p.m. ET via the web portal here. Providers should note that additional partners may be added to their model after approval and as their model structure evolves, just as long as CMS is informed of changes.

Resources include the following:

  • LeadingAge National hosted a webinar on the Model with the Center for Medicare and Medicaid Innovation (CMMI). The recording is available here.
  • LeadingAge National organized a webinar with ATI Advisory, Navigating the Decision to Apply to CMS's GUIDE Model for Dementia Care Management, which is also available.
  • CMS issued GUIDE Model Frequently Asked Questions (FAQs).
  • The National Dementia Care Collaborative, with funding from the John A. Hartford Foundation, hosted a free, virtual event on the Model on Nov. 28th. The recording is available here.
  • CMS is hosting an Application Office Hour for the GUIDE Model on Thurs., Jan. 11, 2024 at 2 p.m. ET. The GUIDE Model team will provide a brief overview of the Model as well as address questions about the Model, the Request for Applications (RFA), and the application process. Registration is available here. Please feel free to submit questions to the GUIDE Model team in advance using the field at the end of the registration form.

As a refresher, GUIDE participants will be Medicare Part B-enrolled providers/suppliers who are eligible to bill for Medicare Physician Fee Schedule services and agree to meet the care delivery requirements of the Model. In addition, participants who do not meet the GUIDE care delivery requirements alone may contract with other Medicare providers/suppliers to meet the care delivery requirements. These contracted providers/suppliers will be known as “Partner Organizations.”

The GUIDE Model will offer 24/7 access to a support line, as well as caregiver training, education, and support services. This approach is intended to allow people living with dementia to remain safely in their homes for longer periods and improve their quality of life and the lives of their unpaid caregivers. The eight-year Model will offer two tracks: one for established programs and one for new programs. CMS will support Model participation for organizations that do not currently offer comprehensive dementia care or have prior experience with alternative payment models by providing technical assistance, as well as a pre-implementation year to prepare for participation.

More information from CMS is available here.

Contact: Karen Lipson, klipson@leadingageny.org