Taking good care of your health is hard. Getting support doesn’t need to be. We’re a national group of physiatrists and pharmacists who help aging patients take good care of their brain, body and medications from anywhere. Our mobile technology makes it easy and fun.
The “GUIDE” (Guiding an Improved Dementia Experience) Model is a new model led by the Centers for Medicare & Medicaid Services (CMS) that aims to support people with dementia and their caregivers. GamePlan Medical is a proud participant in the CMS GUIDE Program, committed to providing compassionate, coordinated dementia care.
For primary care providers, Health Gameplan collaborates with you to help enroll eligible Medicare beneficiaries into the CMS GUIDE program. Partnering with us does not change your relationship with your patients — you remain their trusted primary care provider while we deliver specialized dementia support.
Dedicated Care Navigator to help you access all necessary services, from clinical care to community support.
GUIDE-eligible patients face no out-of-pocket charges for our services.
With up to $2,500 annually for respite care, allowing caregivers to recharge.
Receive round-the-clock support and answers to urgent questions from a dedicated care team.
Personalized care planning addressing medical, behavioral, and functional needs to ensure holistic well-being.
Gain access to evidence-based training and resources designed to reduce caregiver strain and empower your role.
To be eligible for the GUIDE program at GamePlan Medical, individuals typically need to meet specific Medicare requirements.
A confirmed diagnosis of dementia from a qualified clinician.
Medicare serving as their primary payer.
Enrollment in Original Medicare Parts A and B (individuals enrolled in Medicare Advantage, including Special Needs Plans, or PACE programs are generally not eligible).
Currently residing in a long-term nursing home. (Assisted living facilities are usually accepted).
Currently enrolled in Medicare hospice benefit.
The Guiding an Improved Dementia Experience (GUIDE) Model is a voluntary nationwide program led by the Centers for Medicare & Medicaid Services (CMS). It aims to provide comprehensive, coordinated dementia care to support people living with dementia and their unpaid caregivers, helping to improve quality of life, reduce caregiver strain, and enable individuals to remain in their homes and communities longer.
Eligibility typically requires a confirmed dementia diagnosis, enrollment in Original Medicare Parts A and B (not Medicare Advantage or PACE), Medicare as your primary payer, not residing in a long-term nursing home, and not currently enrolled in Medicare hospice benefit. To enroll, your GUIDE provider will explain the program and, with your agreement, will file the necessary paperwork with Medicare. Participation is voluntary. We encourage you to contact GamePlan Medical directly to confirm your specific eligibility.
The GUIDE Model is designed as an additional Medicare benefit and does not conflict with other Medicare benefits. While standard Medicare deductibles and copayments for covered services would still apply, the GUIDE program itself aims to provide enhanced services and support without additional direct program costs to the beneficiary. Respite services, for eligible caregivers, are covered up to an annual cap of $2,500.
GUIDE significantly improves access by providing a dedicated interdisciplinary care team and a Care Navigator to coordinate care and connect patients and caregivers to both clinical and non-clinical services (like meals and transportation). It offers 24/7 access to a support line, caregiver education and training, and respite services. This comprehensive support helps reduce barriers to care, alleviates stress, and enables patients to remain safely in their homes for longer.
While the CMS GUIDE program has specific application tracks for organizations to become official participants, GamePlan Medical is already an approved participant. We actively collaborate with primary care providers who wish to enroll their eligible Medicare beneficiaries into the GUIDE program through our established participation. This allows you to offer your patients the benefits of GUIDE without needing to apply directly to CMS as a separate GUIDE participant.
By partnering with GamePlan Medical for the GUIDE program, primary care providers can offer their eligible patients comprehensive, coordinated dementia care without altering their existing patient relationships. You remain the trusted primary care provider, while GamePlan Medical delivers specialized dementia support. This collaboration allows you to enhance your patient care offerings, potentially improve patient outcomes and satisfaction, and streamline the process of accessing specialized dementia services for your patients, all while leveraging an established CMS-approved program.
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