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Faster cognitive workups.
Ongoing dementia care.
One referral.

Telehealth Cognitive Care Specialists and GUIDE dementia care, as an extension of your practice. Your patients are seen sooner, and you stay their doctor.

Refer a patient  or fax referral to 1-877-766-3950

Case summary

From referral to treatment

Example patient, 74 · Referred after his Annual Wellness Visit

Sent to referring provider
  1. Referral Abnormal clock draw on Mini-Cog
  2. Cognitive testing MoCA 22/30
  3. Reversible causes B12, TSH, CMP and CBC unremarkable
  4. Brain MRI No stroke, mass or significant microhemorrhage
  5. Biomarkers Plasma p-tau217 elevatedAmyloid PET confirmedAPOE genotyped for treatment risk
  6. Diagnosis and plan Mild dementia due to Alzheimer’s disease. Anti-amyloid therapy started.

Outcome

His family thanked his primary care doctor for getting him to the right place, fast.

Provider time spent: 2 minutes to make referral to BrainHealth Clinic

Example only. Actual cases vary.

  • 1 business day

    Typical time to reach your patient.

  • Within 2 weeks

    Typical time to a specialist visit.

  • Notes back to you

    Findings and care plan, every visit.

  • Most plans accepted

    Medicare, Medicare Advantage and more.

Dr. Dave

“It’s been a seamless experience—for both our team and our patients. The process got one of my patients from referral to complete evaluation and a diagnosis with a clear treatment plan in a couple weeks. An excellent experience all around.”

Dr. David Albenberg Access Healthcare

Two programs, one partner

Send one referral. We route each patient to the right program after intake.

BrainHealth Clinic

Specialist workup and longitudinal management

Refer when

Cognitive concerns, MCI, or dementia needing workup or follow-up.

  • E/M telehealth consultation

    Visit with a Cognitive Care Specialist to evaluate, identify reversible causes and recommend a plan.

  • Cognitive assessment

    When clinically indicated, validated instruments such as the MoCA, with a baseline for tracking change.

  • Principal Care Management (PCM)

    When clinically indicated, ongoing monthly care management for the cognitive condition between visits.

  • Labs and imaging when indicated

    Biomarker and rule-out panels (e.g. pTau-217, NfL, GFAP, APOE), aligned with AAN guidance.

Coverage: Medicare, Medicare Advantage and most commercial plans. Not for patients receiving hospice care.

BrainHealth GUIDE

Comprehensive dementia care under the CMS GUIDE Model

Refer when

Traditional Medicare (FFS) patients with dementia, living at home, in assisted living, or in short-term rehab planning to return home.

  • Assessment and care plan

    Comprehensive assessment of the patient and caregiver, with a person-centered plan.

  • Care navigation

    A dedicated Care Navigator coordinates services, transitions and community resources.

  • Caregiver support

    Training, education and a 24/7 support line, plus up to 65 hours of respite a year for moderate or advanced dementia with a caregiver.

  • Coordinated with you

    You remain the patient’s physician. We share the care plan and updates.

Not eligible: Medicare Advantage enrollees, long-term nursing home residents, and patients receiving hospice care. Diagnosis not yet confirmed? We can complete the workup first.

What to include

  • Insurance information
  • Patient history and reason for referral
  • Recent notes or labs, if available
  • Whether your practice already bills PCM or CCM for this patient

No form required. We accept your standard referral packet.

Refer a patient →

or fax 1-877-766-3950

How referral works

From referral to a care plan in your inbox, typically within 2 weeks.

  1. Step 1

    Send the referral

    Use the online form or fax it to us. Your own referral packet works too.

  2. Typically within 1 business day

    We contact the patient

    We verify coverage and handle intake and consents.

  3. Typically within 2 weeks

    Patient is seen

    E/M visit with a Cognitive Care Specialist by telehealth. Testing as clinically indicated.

  4. After the visit

    Results come back to you

    Findings, recommended treatment, any testing ordered, and the follow-up plan, sent to your office after every visit.

Questions from providers

 

Will referring affect my billing? If your practice already bills PCM or CCM for this patient, let us know when you refer so we can coordinate. 
Can your specialists prescribe?  Yes. Our specialists can prescribe, and we share every recommendation and change with you. 
What should I send with a referral? Insurance information, patient history and the reason for referral, plus recent notes or labs if available. You don’t need our referral form; your standard referral packet works. 
Do I keep managing the patient’s other conditions? Yes. You remain the patient’s physician for everything else, and we keep you updated on cognitive care. 

Work with BrainHealth as an extension of your practice

Refer one patient or set up an ongoing partnership for your practice or health system.
REFER A PATIENT
CALL (916) 314-8600

GUIDE (Guiding an Improved Dementia Experience) is a Medicare program run by the Centers for Medicare & Medicaid Services (CMS) for people with dementia who have Traditional Medicare. Enrollment is voluntary, you may leave at any time, and it does not change your Medicare coverage or your doctors. Respite is available to patients with moderate or advanced dementia who have an unpaid caregiver, up to Medicare’s annual limit. The statements contained in this document are solely those of the authors and do not necessarily reflect the views or policies of CMS. Eligibility requirements apply. Not all individuals qualify. Note: this is not medical advice.