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Caregiver Training Services

Medicare pays practitioners for caregiver training services that support patients with certain diseases, including Alzheimer's and dementia.

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On November 2, 2023, CMS finalized its proposal to make payments when practitioners train caregivers to support patients with certain diseases (e.g., dementia). Starting January 1, 2024, Medicare pays for caregiver training services when furnished by the following practitioners:

Physician practitioner

Non-physician practitioners, including:

  • Nurse practitioners

  • Clinical nurse specialists

  • Certified nurse-midwives

  • Physician assistants

  • Clinical psychologists

Therapists, including:

  • Physical therapist

  • Occupational therapist

  • Speech-language pathologist

Any practitioner above can provide caregiver training as part of a patient's individualized treatment or therapy plan. For example, caregivers can get Alzheimer's and dementia training.

Ten Warning Signs of Alzheimer's

Caregivers need to be aware of the ten warning signs of Alzheimer's disease:

  1. Memory loss that disrupts daily life

  2. Challenges in planning or solving problems

  3. Difficulty completing familiar tasks

  4. Confusion with time and place

  5. Trouble understanding visual images and spatial relationships

  6. New problems with words in speaking or writing

  7. Misplacing things and losing the ability to retrace steps

  8. Decreased or poor judgment

  9. Withdrawal from work or social activities

  10. Changes in mood and personality

Alzheimer's Caregiving Tips

Caregivers can help people with Alzheimer's disease safely bathe, dress, and groom.

Bathing safety tips
  • Don't leave the person alone in the tub or shower

  • Do check the water temperature before the person enters

  • Do use a rubber bath mat in the tub and a sturdy shower chair

Dressing tips
  • Lay clothes in the order the person puts them on – underwear on top, pants in the middle, and shirt on the bottom.

  • Buy multiple sets of the same clothing to reduce choice anxiety.

  • Use elastic shoelaces for easy slip-on.

Grooming tips
  • Caregiver can brush their teeth at the same time to demonstrate.

  • You can use an electric toothbrush to clean the person's teeth.

  • Encourage the man to shave using an electric shaver for safety.

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