Sabio Health is a proud participant
in the
CMS
guide
(Guiding an Improved
Dementia Experience)
Model Program
What is the GUIDE model?
The GUIDE (Guiding an Improved Dementia Experience) Model is an innovative program introduced by
the Centers for Medicare & Medicaid Services (CMS). This program is designed to provide comprehensive,
coordinated care for individuals living with dementia. The GUIDE Model’s mission is to improve the quality
of life for dementia patients, reduce the burden on their caregivers and enable individuals to continue
living in their homes and communities for as long as possible.
As a participant in the GUIDE Model, Sabio Health is committed to delivering high-quality care and support
through personalized care plans, caregiver education, and comprehensive care coordination.
Key Components GUIDE model
Comprehensive Assessments
Thorough evaluations to understand the unique needs of each patient and caregiver.
24/7 Access
Around-the-clock availability for support and care coordination.
Caregiver Education and Support
Programs designed to equip caregivers with the knowledge and tools needed to provide effective care.
Care Coordination and Transitional Care Management
Seamless coordination across various healthcare services and providers.
Individualized Care Plans
Customized plans tailored to each patient’s needs and preferences.
Ongoing Monitoring and Support
Regular check-ins to ensure the effectiveness of care plans and address any changes.
Medication Management
Assistance with managing and optimizing medications for dementia care.
Community Coordination for Services and Support
Connecting patients and caregivers with community resources to enhance quality of life.
How to enroll in GUIDE servies with Sabio Health
If you are a traditional Medicare beneficiary and want to determine your eligibility for GUIDE services, Sabio Health can help. Our providers will conduct a comprehensive assessment to evaluate your needs. If you meet the diagnosis criteria for GUIDE, we will guide you through the enrollment process and provide ongoing support.
No Referral Needed
You do not need a referral to access GUIDE services.
Medicare Coverage
GUIDE services are covered under Medicare at no additional cost for eligible services specified in the model.
Benefits for partner Providers
By partnering with Sabio Health under the GUIDE Model, providers can:
Enhance care coordination and patient outcomes.
Access caregiver education programs and respite service payments for eligible beneficiaries.
Reduce hospitalizations and emergency room visits, lowering overall long-term care costs.
GUIDE offers a per beneficiary per month care management payment (DCMP), which is adjusted based on health equity and quality performance metrics. Additionally, separate payments are available for respite services for patients with moderate to severe dementia.
GUIDE Referral Form
Frequently Asked Questions about the GUIDE Program
Any Traditional Medicare beneficiary (Part B) with a documented dementia diagnosis may be eligible. We help verify during intake.
There is no out-of-pocket cost. GUIDE services are covered through CMS funding.
Yes. Caregivers, family members, physicians, or other professionals may refer someone using the form above.
GUIDE offers ongoing support, care navigation, and caregiver education for as long as the patient is eligible.
No — patients do not have to be homebound to qualify. All visits are conducted in the home for convenience.
-
A dedicated care navigator
-
24/7 support line
-
Home-based clinical assessment
-
Caregiver support and education
-
Access to respite care (for eligible cases)
No. We partner with your existing providers to coordinate dementia care while they continue managing medical needs.
Yes. GUIDE services complement—not replace—home health or caregiving services already in place.
Yes, for eligible patients with moderate-to-severe dementia. We’ll review these options during care planning.
Our team will contact the patient and/or caregiver within 2 business days to confirm eligibility and schedule the initial assessment.
Any Traditional Medicare beneficiary (Part B) with a documented dementia diagnosis may be eligible. We help verify during intake.
There is no out-of-pocket cost. GUIDE services are covered through CMS funding.
Yes. Caregivers, family members, physicians, or other professionals may refer someone using the form above.
GUIDE offers ongoing support, care navigation, and caregiver education for as long as the patient is eligible.
No — patients do not have to be homebound to qualify. All visits are conducted in the home for convenience.
-
A dedicated care navigator
-
24/7 support line
-
Home-based clinical assessment
-
Caregiver support and education
-
Access to respite care (for eligible cases)
