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Elderly couple meeting with a caregiver in a home-like setting, reflecting the GUIDE Model’s focus on compassionate, coordinated dementia care.
Elderly couple meeting with a caregiver in a home-like setting, reflecting the GUIDE Model’s focus on compassionate, coordinated dementia care.

UPMC GUIDE Model

UPMC will be participating in the Centers for Medicare and Medicaid Services (CMS)’s Guiding an Improved Dementia Experience (GUIDE) Model starting in July 2025. The GUIDE Model is a voluntary nationwide model that aims to support people with dementia and their unpaid caregivers through a standardized care delivery approach.

Program Services

  • Comprehensive assessment with interdisciplinary team.
  • Care plan to identify individualized health and care needs.
  • Caregiver support.
    • Education.
    • Respite care (temporary, short-term breaks for unpaid caregivers).
  • 24/7 access to a care team member or helpline to answer questions and provide support.

Eligibility requirements

Individuals must meet this set of criteria to be eligible for the GUIDE Model. If they do, information will be sent out directly from Medicare and GUIDE Model participants (medical offices and organizations that are participating in this model).

  • Has dementia.
    • Dementia diagnosis must be confirmed by a GUIDE Model clinician.
  • Has Medicare as their primary payer and is enrolled in Medicare's Part A and B.
    • Cannot be enrolled in a Medicare Advantage plan (including Special Needs Plans) or the Program of All-Inclusive Care for Elderly (LIFE program).
  • Cannot be enrolled in the Medicare hospice benefit.
  • Is not a long-term nursing home resident.

Contact information

UPMC, Division of Geriatric Medicine
3471 Fifth Avenue, Suite 500
Pittsburgh, PA 15213

Phone: 412-692-4200

Key information for patients, care partners/caregivers, and community partners

  • UPMC GUIDE Model Brochure (PDF)
  • UPMC GUIDE Model Flier (PDF)
  • GUIDE Model Beneficiary (Patient) and Caregiver Fact Sheet (English PDF and Spanish PDF)
  • GUIDE Model Overview Fact Sheet (PDF)
  • GUIDE Model Strength in Partnerships Fact Sheet (PDF)
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