PocketRN is thrilled to announce our approval as a participant in the groundbreaking CMMI GUIDE program.
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October 16, 2025
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Jenna Morgenstern-Gaines
When it comes to Medicare’s GUIDE model, home care agencies have options. But not all partners are created equal. At PocketRN, we have built a Nurse For Life model that delivers lasting value to families and real advantages for agencies that choose to lead.
Our approach is designed around one goal: making sure families facing dementia are never left to navigate care alone, while ensuring agencies can expand their role without unnecessary burden. Here’s why PocketRN stands out.
For years before GUIDE, PocketRN focused solely on partnerships with home care agencies. We know how home care works. It is our bread and butter. Many GUIDE implementers require agencies to be Medicare certified or take on new staffing, billing, and compliance infrastructure. PocketRN removes those barriers.
Participation is simple. Call the patient, confirm Medicare ID for eligibility, and schedule their first welcome call with PocketRN. We take it from there. Agencies can expand services, strengthen client relationships, and grow their role in dementia care without adding overhead or disrupting operations.
PocketRN is proud to be the only nurse-led participant in the GUIDE program. That means every family is paired with a dedicated dementia-trained nurse who stays with them throughout their journey—not a rotating team or call center.
This continuity matters. Nurses are trained to recognize not just dementia symptoms, but broader health changes that can put families at risk. Regular check-ins allow issues to be caught early, preventing crises and helping clients remain safely at home longer. For agencies, this means higher retention, more stable client relationships, and fewer costly hospitalizations that interrupt care.
With PocketRN, families gain a trusted nurse who knows their story and can walk with them through the hardest moments, while agencies gain a partner who strengthens both outcomes and reputation.
All GUIDE programs offer around-the-clock support, but PocketRN goes further. Families don’t just reach a general support line—they connect directly to clinical nurses trained in dementia and beyond.
This level of access relieves caregiver anxiety, gives families confidence that help is always just a call away, and prevents unnecessary ER visits when issues arise after hours. Agencies can assure their clients that no matter the time of day, a qualified nurse is there to provide immediate, trusted guidance.
This immediacy builds peace of mind for families and creates stronger loyalty to the agencies that bring them this resource.
Dementia care is about more than medications or clinical interventions. It touches every part of family life. PocketRN’s model recognizes this by offering holistic, relationship-based support.
Through required caregiver training with Nevvon, families gain confidence and practical skills in 11 languages. Through support groups with Daughterhood, caregivers find community, emotional resilience, and a safe place to share their experiences.
These resources reduce burnout, increase knowledge, and help families feel less isolated. For agencies, they translate into clients who are more likely to remain engaged and supported, resulting in longer-lasting care relationships.
Scaling dementia care is challenging, but PocketRN has built a national network of more than 1,000 nurses—without spending on recruitment advertising. We have grown organically, attracting top nursing talent by being recognized as one of the best places to practice nursing.
This matters to agencies because it guarantees both quality and capacity from the start. Agencies can count on PocketRN to deliver consistent, compassionate, and expert dementia care across geographies, without worrying about resource gaps.
PocketRN is consistently highlighted in national press and policy conversations as a leader in virtual dementia care. Our partnerships with health systems, agencies, and advocacy groups, along with our role in the GUIDE coalition, demonstrate not only our credibility but also our ability to shape the future of dementia care delivery.
For agencies, aligning with PocketRN means being connected to an industry leader that is influencing innovation, advancing the value of home care, and elevating the role of agencies in the broader healthcare continuum.
With PocketRN, families gain 24/7 access to dementia-trained nurses, caregiver education, respite care, and personalized planning at no cost. Agencies gain the ability to expand services, retain clients longer, and position themselves as trusted leaders in their communities—without additional burden.
We don’t just participate in GUIDE. We are redefining what it makes possible.
Because with PocketRN, families are never alone. And agencies never have to shoulder the burden alone either.
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