Your involvement in the program is entirely up to you!

Our goal is to support you as a caregiver in whatever capacity you request - immediate needs, caregiving education, to long-term planning.

After completing the onboarding process and care plan development, the only "mandatory” participation required is a monthly to quarterly telephone check-in with your care navigator. You decide the duration of this discussion.

You can also take advantage of other optional enrichment resources like more frequent check-ins, virtual education sessions, and peer group sessions.

• Our Onboarding Process and Care Plan Development have two parts: the completion of forms and a video assessment with a Care Navigator. We take the time to get to know you but also understand that most caregivers are busy. We will guide you through quick, bite-sized forms - just 2-3 minutes each. You set the pace on completing these. The video assessment with one of our Care Navigators takes 15-20 minutes. There is no travel involved. 

• Following the Onboarding Process, the time you commit to HōttoCare is up to you. Depending on the stage of Dementia, certain individuals are eligible for a Home Assessment as a free benefit. This takes 30-60 minutes. We travel to you.

• The Care Navigator will do routine Check-Ins by telephone, usually monthly, and you decide the length of the check-in. There is no travel involved

• We offer routinely scheduled Dementia-related Optional Education and Peer Group Virtual Sessions, to deepen understanding of Dementia, provide tools as a caregiver and build community. These are 60-90 minutes long. Participation with these are optional. No travel involved.

• Once a year, there is a Re-Assessment to measure Dementia progression, again done through quick, bite-sized surveys, each 2-3 minutes each.

Starting in Summer 2025, we will provide a one-time in-home visit to make professional recommendations for environment changes that can maximize remaining independent at home for as long as possible. This is a free benefit for individuals past a certain stage of their Dementia. 

When regular in-home support is needed, we will get support for you through home health, palliative, and hospice agencies. 

Yes! We offer you assistance with securing in-home respite care and facility based care (Day Programs and overnight facilities) through Medicare.

During the onboarding process, you will have a chance to elaborate more on your specific needs and concerns that we can address. 

Enroll and log-in to medicare.gov.

However, if you are still unsure, we can verify eligibility by filling out our Welcome form! 

The individual with Dementia keeps their existing healthcare team.

We are an additional benefit and our focus is to provide exceptional, specialized Dementia support, pay attention to the details, and coordinate with your existing healthcare team.

We become the easiest point of contact to help the journey feel less lonely. That’s a win!

You do not need a diagnosis of dementia! Our clinicians can make a diagnosis of dementia. We do the cognitive testing and can order labs and imaging if needed. You'll also be given a detailed explanation of the results in your care plan.

Your primary care doctor & neurologist (as relevant) will get a copy of your care plan. When there are major updates, our physicians will either send them an email, text message, staff message or talk with them on the phone.

Your care navigator may sometimes ask to join your visit with them to support care coordination.

Decades of research on similar programs at academic centers and in Europe showed these services reduced caregiver burnout and doubled the time patients were able to remain at home. In turn, this saved tax payer dollars by delaying time to nursing home care. Medicare is funding this program to expand these benefits into the broader community.

If you are fortunate to be in an early stage of dementia, proactive learning & planning, sets you up for a smoother journey! Prevent some "fires” by planning ahead. You don't have to “reinvent the wheel” because we give you a roadmap on what to expect and key areas to prepare. The discussions with family take time and can involve the person with cognitive impairment in a meaningful way while they still have decision making capacity. Financial planning, delegating roles and responsibility, wishes at the end of life, living options based on finances, what to expect with behavior challenges are a few examples.

Yes as long as you also have Medicare. In fact, many of our patients have Medi-Cal as a supplemental plan to Medicare.