New Resources on the GUIDE Dementia Care Model
Following recent meetings with the Center for Medicare and Medicaid Innovation staff for the Guiding an Improved Dementia Experience (GUIDE) model, CMMI staff shared a number of resources including a series of fact sheets, operational guidance, training materials and more on the model that members who are both GUIDE participants and providers of GUIDE services likely will find useful in navigating the latest changes. These resources can be found here, including more information about how to comply with the updated policies around Residential Care Communities.
Keep up to date on any GUIDE model developments through the GUIDE model serial post.
CMMI GUIDE staff will also be joining the October 22 LeadingAge Adult Day Network at 1 p.m. ET to discuss the opportunities for adult day providers in the model and to answer members’ questions about the model. If you are interested in joining this discussion, reach out to Georgia Goodman at ggoodman@leadingage.org for details on how to join.
More details are coming soon for GUIDE participants and providers to participate in a November discussion with CMMI GUIDE staff on the Residential Care Community changes and challenges, and how to meet the needs for respite care under the model.
CMS Directs MACs to Publish Quarterly Data on TPE
In a Change Request (CR 14616) published on September 30, 2026, the Centers for Medicare and Medicaid Services (CMS) directs Medicare Administrative Contractors (MACs) to post Target Probe and Educate (TPE) results quarterly on their websites. This is particularly relevant for home health, hospice, and nursing home providers who, until now, had no insights into trends and issues concerning TPE.
The changes CMS is requiring will take effect November 2, 2026. CMS states that, at a minimum, MACs must post the three most common reasons per Targeted Probe and Educate prioritized problem on their websites. Additionally, if more than three denial reasons for a specific topic would be useful, the MACs should include those as well.
Weekly recaps: October 7, 2026
- Affordable Housing Weekly Recap. Here is your Affordable Housing Weekly Recap.
- Home Health Weekly Recap. Here is your Home Health Weekly Recap.
- Hospice Weekly Recap. Here is your Hospice Weekly Recap.
- Medicaid, HCBS, and PACE Weekly Recap. Here is your Medicaid, HCBS, and PACE Weekly Recap.
- Nursing Home Weekly Recap. Here is your Nursing Home Weekly Recap.
- Workforce Policy Weekly Recap. Here is your Workforce Policy Weekly Recap.
- Life Plan Communities Weekly Recap. Here is your Life Plan Communities Weekly Recap.
