Comprehensive Care for Alzheimer’s Act

3/12/2024, 4:36 PM

Comprehensive Care for Alzheimer's Act

This bill allows the Center for Medicare and Medicaid Innovation (CMMI) to test a Dementia Care Management Model that provides comprehensive care to Medicare beneficiaries with Alzheimer's disease or a related dementia.

Under the model, participating health care providers receive payment under Medicare for comprehensive care management services that are provided to individuals with diagnosed dementia, excluding Medicare Advantage enrollees, hospice care recipients, and nursing home residents. Required services include medication management, care coordination, and health, financial, and environmental monitoring, as well as trainings and other support services for unpaid caregivers. Providers must furnish services through interdisciplinary teams and must ensure access to a team member or primary care provider 24-7. The CMMI must set payments and determine quality measures for the model in accordance with specified requirements.

The bill also allows the CMMI to design a similar model under Medicaid.

Congress
118

Number
S - 626

Introduced on
2023-03-02

# Amendments
0

Sponsors
+5

Cosponsors
+5

Variations and Revisions

3/2/2023

Status of Legislation

Bill Introduced
Introduced to House
House to Vote
Introduced to Senate
Senate to Vote

Purpose and Summary

Comprehensive Care for Alzheimer's Act

This bill allows the Center for Medicare and Medicaid Innovation (CMMI) to test a Dementia Care Management Model that provides comprehensive care to Medicare beneficiaries with Alzheimer's disease or a related dementia.

Under the model, participating health care providers receive payment under Medicare for comprehensive care management services that are provided to individuals with diagnosed dementia, excluding Medicare Advantage enrollees, hospice care recipients, and nursing home residents. Required services include medication management, care coordination, and health, financial, and environmental monitoring, as well as trainings and other support services for unpaid caregivers. Providers must furnish services through interdisciplinary teams and must ensure access to a team member or primary care provider 24-7. The CMMI must set payments and determine quality measures for the model in accordance with specified requirements.

The bill also allows the CMMI to design a similar model under Medicaid.

Alternative Names
Official Title as IntroducedA bill to recommend that the Center for Medicare and Medicaid Innovation test the effect of a dementia care management model, and for other purposes.

Policy Areas
Health

Potential Impact
Adult day care
Drug therapy
Emergency medical services and trauma care
Health care coverage and access
Health care quality
Health promotion and preventive care
Home and outpatient care
Medicaid
Medical tests and diagnostic methods
Medicare
Mental health
Minority health
Neurological disorders

Comments

Recent Activity

Latest Summary4/4/2023

Comprehensive Care for Alzheimer's Act

This bill allows the Center for Medicare and Medicaid Innovation (CMMI) to test a Dementia Care Management Model that provides comprehensive care to Medicare beneficiaries with Alzheimer's dise...


Latest Action3/2/2023
Read twice and referred to the Committee on Finance.