; and (bb) the Direct Contracting Model. (ii) Additional authority In addition to the models described in subclauses (I) through (III) of clause (i), the Secretary may incorporate the Dementia Care Management Model into other existing coordinated care models established under title XVIII or under this section, including accountable care organizations, value-based purchasing arrangements, and such other coordinated care models as the Secretary determines to be appropriate. (2) Comprehensive care management services defined In this subsection, the term comprehensive care management services means the following services furnished by an eligible entity with respect to an eligible individual: (A) Continuous monitoring and assessment An eligible entity shall regularly assess and continuously monitor the following: (i) Neuropsychiatric symptoms, including behavior, physical safety, and function of an eligible individual. (ii) Comorbidities. (iii) Financial resources and needs. (iv) Caregiver supports and resources, including caregiver education, training, and support. (v) The well-being of unpaid caregivers of the eligible individual. (vi) Potential risks and harms of the eligible individual’s home and environment and the need for support for activities of daily living. (B) Ongoing dementia care plan An eligible entity shall develop and implement an Alzheimer’s disease or related dementia care plan, including advance care planning as appropriate, for an eligible individual. The care plan shall include patient-centered goals for the eligible individual as well as goals for unpaid caregivers of the eligible individual. Such care plan shall be continuously evaluated and modified as appropriate. (C) Psychosocial interventions An eligible entity may implement psychosocial interventions designed to prevent or reduce the burden of cognitive, functional, behavioral, and psychological challenges as well as the associated stress on unpaid caregivers of the eligible individual. (D) Self-management tools An eligible entity shall