Care team integration and partnerships help create coordinated, caregiver-centered systems of support by strengthening collaboration across healthcare, aging, tribal, disability, and community-based organizations. This page features tools, promising practices, and webinars to help the aging network build effective partnerships, improve coordination across services, and better support family caregivers.
Tools, Practices, and Events
- Caregivers as Partners in Care Teams (CAP-CT) Trainings— Provides training to help healthcare and community-based professionals identify, engage, and support family caregivers as partners in care teams; courses are available online and as live trainings and are eligible for free continuing education and continuing medical education credits. Below is a sample of topics, with more courses added regularly: (UCSF, 2026)
- Foundational Skills for Engaging Caregivers in Healthcare
- Identifying the Caregiver Team
- Engaging Caregivers
- Supporting Caregivers
- Engaging Kin and Grandfamily Caregivers
- Legal Aspects of Caregiving
- Engaging Caregivers in Hospital Settings
- Medicare Fee-for-Service Billing Guides — Helps healthcare providers, care managers, and caregiver support programs understand Medicare billing options for caregiver-related services (UCSF, 2026)
- Billing Guide for Medicare Fee-for-Service Caregiver Training Services (CTS) and Caregiver Health Risk Assessment (CHRA) Codes — Explains how Medicare reimbursement works for caregiver training and caregiver health risk assessments
- Billing Guide for Medicare Fee-for-Service Health-Related Social Needs (HRSN) — Explains how providers can bill Medicare for services that address health-related social needs that affect care recipients and the caregivers who support them
- Promising Practice Spotlights — Highlights evidence-based, evidence-informed, and innovative approaches that organizations can adapt to strengthen caregiver support in their communities. Access the other spotlights in the series (NCSC TACC, 2026)
- Care Transitions Intervention® — Features a coaching model that helps improve care transitions by supporting individuals and caregivers as they move from hospital to home or other care settings
- Integrated Memory Care — Features an integrated care model that brings together primary care, dementia care, and caregiver support to better meet the needs of people living with dementia and their family caregivers
- Integrating Family Caregivers as Care Team Partners (YouTube)— Shares strategies to help aging network organizations and healthcare partners strengthen collaboration, improve care coordination, and support family caregivers as part of the care team (NCSC TACC, 2025)