No Matter Your Why...
CCS Health™ Supports
You and Your Community
Fund your Why with
LEAD
with GUIDE
ENGAGE
with CTI
PARTNER
with CCS
Turn-Key Revenue Generation & Sustainability
Unlock new funding opportunities designed to support your vital work:
Activate CMS Funding right away with CCS Health™ & GUIDE
CCS Health provides a turnkey solution that includes necessary clinical sign-off and integrated software. This enables your organization to immediately generate revenue from CMS for the next seven years without needing to secure new payer contracts.
The Platform of choice for GUIDE, providing higher payment
CCS Health software is designed to be the preferred platform for the GUIDE Model, providing simpler GUIDE payments and a seamless way for your workforce to document their work and submit claims. We offer incentives, including potential multipliers on GUIDE payments, when combined with a CTI partnership.
- Seamless documentation & claim submission
Our multi-faceted software supports efficient documentation and claim submission across multiple care models, with easy, faster, and more compliant billing.
Extend Your Impact with CTI & CTI+
Proven Care Models for Measurable Outcomes and Reimbursement
Evidence-Based & Payer Funded
CTI is a proven coaching model that significantly reduces hospital readmissions and unnecessary emergency department (ED) visits. It delivers cost-effective care and generates average reimbursements ranging from $450 to $700 per client. For over 15 years, CTI has demonstrated outcomes including up to a 72% reduction in hospital readmissions and unnecessary ED visits, creating the potential for millions of dollars in savings.
Bridging Healthcare & SocialCare through No Wrong Door Engagement
CTI acts as a natural bridge between clinical and social care. Its interoperable technology connects your data to health organizations and payers, securing your agency a crucial "seat at the table" to make health recommendations for your community.
Sustainable & Restriction-Free Revenue
Together, CTI and CTI+ empower you to create sustainable, restriction-free revenue, make client data actionable, and modernize your organization by converting manual processes to digital.
Real Partners Securing Wins
“With the fee-for-service revenue we earn each month from our CTI contract, we can sustain program operations and pay our Coaches a livable wage and benefits, because, without coaches, there’s no CTI.”

Lynn Schemmer-Valleau
Community Services Program Manager
Multnomah County Aging, Disability & Veterans Services
GUIDE Powered by CCS Health
The GUiding an Improved Dementia Experience (GUIDE) Model is a voluntary nationwide test model from CMS, offering Medicare payments for comprehensive, coordinated dementia care. This includes services like care coordination, caregiver education and support, and respite services provided to patients and their families.
CCS Health is the platform of choice for the GUIDE Model, providing simpler GUIDE payment, and a seamless way for your workforce to document their work and submit claims.
Program Benefits
Medicare Contract Payment: For the next several years, offers new payment structures to incentivize high-quality dementia care
Standardized Care: Establishes a consistent approach to providing comprehensive dementia care
Support for Caregivers: Provides resources and support for unpaid caregivers of individuals with dementia, including 24/7 access to a support line and connections to community-based providers
- Comprehensive Assessment: Standardizes the use of a thorough evaluation of health needs for eligible patients
Transform Your Operations with Multi-Faceted Software
Move from Purpose-Driven to Empowered Operations
Our multi-faceted software and care models are designed to make your organization more efficient and impactful. This means moving from:
Scraping together funding to invoicing for eligible services and creating sustainable revenue
Tracking data in multiple places to managing data in one place and creating actionable dashboards
Being excluded from the table to securely and easily sharing program data with health providers and payers, gaining a crucial seat to influence community health
Guessing community needs to using data to identify care and intervention gaps
Being on your own to receiving expert support from a community learning network and trainers
The Platform with Proven Results
We've helped community-based organizations earn over $60 million in value-based revenue and created over $500 million in healthcare cost reduction.
Schedule a meeting with us to discover how CCS Health can help your organization expand its impact, access new revenue streams, and modernize your operations.
We look forward to a conversation about empowering your purpose!
About CCS Health
CCS Health is a social good company that for more than a decade has assisted and partnered with community-based workforces, agencies, and groups through training and technology to improve outcomes for statewide, regional, and community social health initiatives. It is also the proud steward of the esteemed evidence-based Care Transitions Intervention®. CCS Health is the incubator and national implementer of the Community HUB concept, designed to prove its community impact through sustainability, efficiency, connectivity, and performance. CCS Health exists to assist communities in health transformation.