The GUIDE Model eligibility engine
Find every patient who qualifies for GUIDE.
Most senior living communities miss 60–80% of their GUIDE-eligible residents. Cohort finds every qualifying resident in under 60 seconds, and shows you the reimbursement you’re leaving on the floor.
Encrypted in transit, processed in HIPAA-bound infrastructure, and deleted after the scan unless you sign up.
Scan result
GUIDE$165,600
~46 likely-eligible residents
Most communities don’t know which residents qualify for GUIDE.
- GUIDE pays $4,000–$6,000 per qualified resident per year.
- Four eligibility criteria. The killer is #3: Traditional Medicare, not Medicare Advantage.
- 54% of Medicare-eligible Americans are on MA, which disqualifies them.
- Your current process is squinting at insurance cards and hoping.
Residents who qualify
What you assume
100%
What actually qualifies
20%
Typically 15–25% of your census.
How the scan works
From roster to reimbursement in three steps.
- 01
Upload your resident roster.
A CSV export from PointClickCare, MatrixCare, Aline, ECP, or any system.
- 02
We check eligibility in under 60 seconds.
Every resident scored against all four GUIDE criteria.
- 03
See your number.
How many eligible residents you have, and what they’re worth in annual reimbursement.
What you get
The complete enrollment workflow, not a spreadsheet.
The ranked worklist.
Sorted by enrollment likelihood, not alphabetical. The resident whose daughter is engaged, who was hospitalized last week, and whose diagnosis tier pays the most sits at the top.
The evidence link.
Every resident gets one shareable page showing exactly why they qualify, with a recommended outreach script and a one-click attestation form. Push to Teams, Slack, or email.
The monthly executive report.
Generated on the first of every month and emailed to whoever you choose. Your CEO will want to see it.
Math you can show your CEO
See the reimbursement you’re leaving on the floor.
Defaults are industry standards. Adjust to your community; the math updates live.
Annual reimbursement potential
$165,600
Across ~46 likely-eligible residents
Why now
GUIDE runs through 2032. You’re either capturing reimbursement now or you’re not.
- The New Program Track started July 2025, and most communities are still figuring out enrollment workflows.
- Every month of missed enrollments is real money that doesn’t come back.
Program coverage
Cohort starts with GUIDE, the most under-captured program in senior living. CCM, BHI, and PCM eligibility follow in 2026, for the same buyer. Sign up now and you grow into them.
Who this is for
Built for one buyer.
Senior living operators with 100–500 residents who are GUIDE participants or plan to be. If your Director of Nursing has eligibility-tracking on their list of problems, keep reading. Hospital systems, large multi-site operators, and bundled-services vendors: we can still help, but we’re not built for you.
What we don’t do
We’re not your dementia care team.
- Provide care navigation services
- Schedule respite care
- Generate clinical documentation
- Make clinical recommendations
- Submit enrollments to CMS on your behalf
Your clinical team owns the care. Cohort handles the data work.
Pricing
Public pricing. No “contact sales.”
Starter
Up to 250 residents
$999/mo
Billed monthly
- All GUIDE eligibility features
- Monthly executive reports
- Evidence link sharing
- Up to 3 team members
Growth
Up to 750 residents
$1,499/mo
Billed monthly
- All GUIDE eligibility features
- Monthly executive reports
- Evidence link sharing
- Up to 10 team members
- Priority support
More programs (CCM, BHI, PCM) arrive in 2026. Existing customers get them at a tier upgrade or add-on price. Start with GUIDE today and grow into the rest.
FAQ
Questions, answered plainly.
How is this different from Craniometrix or Rippl?
Those are care-delivery companies; they run the GUIDE program for you. Cohort is the eligibility and enrollment layer: we find who qualifies and hand your team a ranked worklist. We don’t deliver care.
What other CMS programs do you cover?
Today, GUIDE: the most under-captured program in senior living. CCM, BHI, and PCM are on the 2026 roadmap. Sign up for GUIDE now and you’ll get access to future programs at a tier upgrade or add-on price.
How accurate is the eligibility check?
The free scan is a statistical estimate from your CSV plus public CMS data. After sign-up, the authoritative check normalizes diagnoses to ICD-10 and verifies Medicare type per resident.
How quickly can we get started?
The free scan takes under 60 seconds. After sign-up, your full roster analysis lands within 24 hours and your first login opens the ranked worklist.
Is this HIPAA-compliant?
Yes. PHI is encrypted in transit and at rest, processed under our Anthropic and infrastructure BAAs, and access is org-scoped and audit-logged. See the security page in the footer.
Do you submit enrollments to CMS for me?
No. Cohort identifies eligible residents and prepares the evidence and outreach; your team owns the actual enrollment and any CMS submission.
Do you integrate with PointClickCare / MatrixCare / Aline?
We read CSV exports from all of them today, with header templates for the common systems. Direct integrations are on the roadmap.