Choose from 30 providers offering comprehensive dementia care support at no cost through Medicare's GUIDE program in Virginia.
Check EligibilityAmount of respite care coverage by Medicare.
Giving families some well deserved rest.
Access to care coordination and support services.
Support when you need it not when it's convenient.
No out-of-pocket expenses for eligible Medicare beneficiaries
Memory Connect is a CMS GUIDE Model dementia care program whose services are provided by J.M. Geiss, D.O., APC (Senior Doc). The program offers comprehensive assessments, care coordination, caregiver education, a 24/7 caregiver support line, and respite care for eligible participants. Care is delivered in-home, in senior living communities, and via telemedicine. Headquartered in Southern California, the program serves patients across multiple states.
ARH Memory Care is Appalachian Regional Healthcare's CMS GUIDE Model dementia program, launched July 2025 at Highlands ARH Regional Medical Center. It serves Medicare beneficiaries with Alzheimer's disease or related dementias in eastern Kentucky's Big Sandy region, with plans to expand across Kentucky and West Virginia. A nurse navigator and care team develop personalized care plans, with 24/7 support line access, caregiver education, and respite services.
At Home Harmony (Harmony at Home Provider Services LLC), a home-based medical and pharmacy practice in Henrico, Virginia, participates in Medicare's GUIDE Model. GUIDE services include personalized care plans, care navigation, home safety evaluations, a 24/7 support line, caregiver education and support groups, and respite vouchers for qualifying families. The program is covered by Medicare for patients with traditional Medicare Parts A and B.
Atrium Health Wake Forest Baptist, part of Advocate Health in Winston-Salem, North Carolina, participates in the CMS GUIDE Model, which launched there on July 1, 2024. People living with dementia and their caregivers receive care coordination, dementia medical management, caregiver education, 24/7 on-call support, and community referrals. Qualifying caregivers may receive up to $2,500 per year for respite services. Eligibility requires a dementia diagnosis, traditional Medicare, and community-based living.
Ballad Health Medical Associates, part of Ballad Health serving the Appalachian Highlands of Northeast Tennessee and Southwest Virginia, provides dementia care through the Medicare GUIDE Model. The Center for Healthy Aging in Kingsport coordinates geriatric services for adults 65 and older, including neurology, palliative care, physical therapy, and in-home care coordination. The team works with patients and families to develop individualized treatment and care plans.
Bay Aging, an Area Agency on Aging in Urbanna, Virginia, participates in the CMS GUIDE Model. With the Peninsula Agency on Aging, it serves Medicare beneficiaries with dementia across Virginia's Peninsula, Middle Peninsula, and Northern Neck. A Care Navigator and interdisciplinary team develop a person-centered care plan, with 24/7 help line access. Respite services are available up to an annual cap for eligible beneficiaries with moderate to severe dementia.
Bay Health Solutions, a home health and assistive care provider in Urbanna, Virginia, participates in the CMS GUIDE Model in partnership with Bay Aging and Peninsula Agency on Aging. It serves Medicare beneficiaries with dementia across Virginia's Peninsula, Middle Peninsula, and Northern Neck. A care navigator and interdisciplinary team develop a person-centered plan, with 24/7 help line access and respite services up to an annual cap for eligible caregivers.
Ceresti Health, headquartered in Carlsbad, California, is a nationwide CMS GUIDE Model participant serving families across all 50 states. Eligible Traditional Medicare beneficiaries and caregivers receive a dedicated care navigator, personalized dementia education, caregiving tools, and up to $2,500 per year in respite care at no out-of-pocket cost. Services are delivered through an iPad-based platform with pre-loaded content, internet access, and engagement modules including reminiscence and music therapy.
ConnectionsPlus Healthcare + Hospice, a Virginia nonprofit serving the Shenandoah Valley since 1984, launched its Dementia Care Management Program under the CMS GUIDE Model on July 1, 2025. The program provides collaborative care planning, caregiver education, respite coordination, and 24/7 telephone access to professionals. It serves people with dementia and their caregivers across Rockbridge County, Lexington, Buena Vista, Alleghany County, Clifton Forge, Covington, Bath County, and surrounding communities.
Dementia Care FL PLLC, located in Florida, specializes in providing comprehensive care for individuals with dementia. Their services include in-home assessments, personalized care plans, and ongoing support to enhance the quality of life for patients and their families. The team at Dementia Care FL PLLC is dedicated to offering compassionate, professional care tailored to the unique needs of each client. They focus on maintaining the dignity and independence of those affected by dementia, ensuring a supportive and understanding environment.
EmpowerMe Medical Group, P.C., the medical practice of EmpowerMe Wellness, participates in the Medicare GUIDE Model, serving beneficiaries in all 50 states. Each participant receives a personalized care plan and a dedicated care navigator coordinating appointments, medications, and community referrals. The program provides 24/7 access to geriatric-trained clinicians, caregiver education and support groups, and Medicare-covered in-home respite care for qualifying caregivers. Services are fully covered for eligible Medicare beneficiaries.
Five Star Home Health Care LLC, accessible at www.fshhc.com, offers specialized dementia care services tailored to enhance the quality of life for individuals living with dementia. Their experienced caregivers provide personalized in-home assistance, focusing on safety, comfort, and engagement. Services include daily living support, medication management, and cognitive stimulation activities designed to promote mental health and well-being. Five Star Home Health Care is committed to delivering compassionate, professional care that respects the dignity and unique needs of each client.
Harmonic Health is a dementia care medical group participating in the Medicare GUIDE Model, serving patients and caregivers in more than 30 states. Care navigators work alongside clinicians to provide personalized care planning and 24/7 support. GUIDE enrollment includes an annual respite benefit of up to $2,500 fully covered by Medicare. Harmonic Health also connects families with homecare and adult day program partners.
Isaac Health is a national telehealth dementia care provider and CMS GUIDE Model participant serving all 50 states. Services include early diagnosis, treatment planning, medication management, and care navigation. Eligible Medicare beneficiaries receive 24/7 specialist support, a dedicated care navigator, home safety assessments, caregiver training, and in-home respite care at no cost. The clinical team of neurologists, geriatricians, and therapists supports both patients and caregivers.
HPA Medical Management LLC participates in the CMS GUIDE Model through the Addus HomeCare family, including JourneyCare Palliative Care, Serenity Supportive Care, and Alamo Supportive Care. A community health worker assesses the person with dementia and their caregiver, then coordinates care and community services. The program includes dementia education, care coordination, and 24/7 support. Services are provided at no cost under Medicare Part A and B.
Lifetime Redesign OT, PLLC specializes in providing occupational therapy services tailored for individuals with dementia. Their approach focuses on enhancing the quality of life through personalized care plans that address cognitive, physical, and emotional needs. Services include home safety assessments, cognitive rehabilitation, and caregiver training. Their team of experienced occupational therapists works closely with patients and families to promote independence and safety in daily living activities. Visit their website to learn more about how they can support your loved one’s journey with dementia.
EVMS Medical Group at Old Dominion University provides comprehensive dementia care in Norfolk, Virginia. Through the Glennan Center for Geriatrics and Gerontology, the Memory Consultation Clinic and Comprehensive Memory Center offer multi-specialty assessment, diagnosis, and treatment for cognitive disorders. The care team includes geriatricians, neuropsychologists, and social workers who build treatment plans and connect families with community resources across the Hampton Roads region.
Martha W. Goodson Center, part of Riverside Health in Williamsburg, Virginia, participates in the CMS GUIDE Model to provide memory care services across southeastern Virginia. Services include personalized care plans, medication management support, caregiver education, respite care, and 24/7 access to a dedicated support line. Enrollment is available through a primary care provider referral or by contacting the center directly to schedule an appointment with an enrollment specialist.
MedStar Total Elder Care operates MedStar Health's CMS GUIDE Model dementia care program, serving patients in Central Maryland, Washington, D.C., and Northern Virginia. Services include care navigation, a 24/7 support line, caregiver training, respite services, and connections to community resources. Each patient is assigned a care navigator for clinical and non-clinical support. Enrollment begins with a provider referral followed by an eligibility review and Medicare approval.
PocketRN is a CMS GUIDE Model participant providing virtual, nurse-led dementia care at no cost to Traditional Medicare Parts A and B enrollees. Each family is paired with a dementia-trained nurse for regular check-ins, with 24/7 virtual care team access. Services include care coordination, medication review, caregiver education, and up to 72 hours of paid in-home respite care annually. PocketRN partners with home care agencies nationwide.
Sentara Medical Group participates in the CMS GUIDE Model, with its program based in Norfolk, Virginia. Operating more than 100 sites of care across Virginia and North Carolina, Sentara provides dementia diagnosis and management through neurology teams including neuropsychologists, neurologists, and radiologists. Services include cognitive assessments, medical management, and coordinated support for patients and families affected by Alzheimer's disease and related dementias.
Synapticure is a virtual specialty care provider for people with Alzheimer's and other dementias, Parkinson's, ALS, and related neurodegenerative conditions. An Established CMS GUIDE Model participant since July 2024, it serves Medicare beneficiaries with dementia in all 50 states. Services include video visits with neurologists, dedicated care teams, 24/7 phone support, care navigation, caregiver support, and respite care. Care is covered by Medicare, Medicaid, and most major insurers.
SAH Telemedicine PC, accessible through Tembo Health at tembo.health, offers specialized telemedicine services tailored for dementia care. This platform connects patients with healthcare professionals who provide remote consultations, monitoring, and management of dementia symptoms. The service aims to enhance the quality of life for dementia patients by offering convenient access to expert care from the comfort of home. It's an ideal solution for those seeking regular medical attention without the need for physical travel.
The Neurology Center of Southern California (North County Neurology Associates) is a private neurology practice established in 1978, with offices in Carlsbad, Escondido, La Jolla, Poway, San Diego, and Temecula. The practice participates in the CMS GUIDE Model, providing Medicare-covered dementia care including memory evaluations, neuropsychological testing, personalized treatment plans, and ongoing patient and family support. New patients can schedule online or by phone.
Theoria Medical PLLC is a national primary care medical group headquartered in Novi, Michigan, providing tech-enabled, value-based primary care to residents of senior living and post-acute communities across the United States. Its integrated model combines on-site medical staff, telemedicine, remote patient monitoring, and clinical analytics to support older adults with dementia. Services include medication management, chronic condition management, and coordination with facility care teams and families.
Troupe Health Medical Group, accessible at www.troupehealth.com, offers specialized dementia care services in a compassionate and supportive environment. Their team of dedicated healthcare professionals provides personalized care plans, focusing on enhancing the quality of life for individuals with dementia. Services include memory care, cognitive assessments, and family support programs. Troupe Health emphasizes a holistic approach, integrating medical treatment with emotional and social support to meet the unique needs of each patient and their family.
Vahe Akopian MD Inc provides specialized dementia care in Glendale, California, led by neurologist Dr. Vahe Akopian. As a CMS GUIDE Model participant, the practice partners with AVVACare to deliver Medicare-covered dementia care coordination and caregiver support. Services include personalized care plans, medication management, help arranging meals and transportation, 24/7 support access, and respite care. The program is designed to help individuals with dementia remain safely in their homes.
VCU Health operates the VCU GUIDE Center for Dementia Care in Richmond, Virginia, as a CMS GUIDE Model participant. Certified dementia practitioners provide assessments, personalized care plans, medication reviews, and regular visits with 24/7 urgent access. Caregiver education, home safety evaluations, and up to $2,500 annually in respite care are included. Eligible patients need traditional Medicare Parts A and B, a dementia diagnosis, and care from VCU Health providers.
CaringAtHome, LLC specializes in providing personalized in-home care for individuals with dementia. Our dedicated caregivers are trained to support the unique needs of each client, offering assistance with daily activities, medication management, and engaging in memory-enhancing activities. We focus on creating a safe, comfortable, and nurturing environment that promotes dignity and independence. Our services are tailored to help families by offering respite care and ensuring that loved ones receive compassionate, professional care in the comfort of their own homes.
Virginia Health Services launched its GUIDE dementia care program on July 1, 2025, as a CMS GUIDE Model participant in Virginia. A care navigator provides resources, respite options, and ongoing support to reduce caregiver stress. Participants must have a dementia diagnosis, traditional Medicare Parts A and B, and reside in a community setting. The organization also offers home health, hospice, and respite services across Virginia, headquartered in Newport News.
Check eligibility and find a participating organization.