Cognitive assessment visit: Required elements
| Cognition-focused evaluation including a pertinent history and examination |
| Medical decision-making of moderate or high complexity |
| Functional assessment (eg, basic and instrumental activities of daily living), including decision-making capacity |
| Use of standardized instruments for staging of dementia (eg, Functional Assessment Staging Test [FAST], Clinical Dementia Rating [CDR]) |
| Medication reconciliation and review for high-risk medications |
| Evaluation for neuropsychiatric and behavioral symptoms, including depression, with use of standardized screening instrument(s) |
| Evaluation of safety (eg, home), including motor vehicle operation |
| Identification of caregiver(s), caregiver knowledge, caregiver needs, social supports, and the willingness of caregiver to take on caregiving tasks |
| Development, updating or revision, or review of an advance care plan |
| Creation of a written care plan, including initial plans to address any neuropsychiatric symptoms, neurocognitive symptoms, functional limitations, and referral to community resources as needed (eg, rehabilitation services, adult day programs, support groups) shared with the patient and/or caregiver with initial education and support |
| Typically, 50 minutes are spent face to face with the patient, family, or caregiver |
| For detailed information see: https://www.alz.org/careplanning/downloads/cms-consensus.pdf |