Non-Medical Home Care

Custodial Care | Personal Home Care Services

Caregiving for a loved one is not easy but is a labor of love. With the aging populations, consumers are seeking alternatives so that the Elderly are able to age in place. Obtaining home care services through a Non-Medical Home Care Provider is a great solution. There are solutions available for caregivers to obtain help. Non-Medical Home Care solutions can be found providing respite care relief for caregivers. Custodial care services are not covered by Medicare and considered private duty care at a hourly rate. The national average is $22/hour.

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Personal Home Care

What types of assistance services can I find through a Non-Medical Home Care Health Care Provider?

1. Bathing

2. Dressing

3. Toileting

4. Transferring

5. Continence 

6. Feeding

7. Cognitive Impairment

What is a Home Health Aide?

A trained and certified home health care professional that can assist a client with meal preparations, transferring, laundry, medication reminders, errands, physician appointments, personal care and more.   

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Elderly Home Care & In Home Senior Care Providers

What are the types of Health Care Organizations that can provider Non-Medical Home Care?

1. Nurse Registries

2. Home Care Services Pool

3. Companion Services

4. Home Health Care Agencies

What is a Nurse Registry?

A nurse registry offers licensed, health related caregivers that are 1099 contractor.  Caregivers through a nurse registry may be registered nurses (RNs), licensed practical nurses (LPNs), certified nursing assistants (CNAs), home health aides (HHAs), companions or homemakers. All caregivers are screened and have completed a complete background check.  A nurse registry must be a licensed state entity in order to provide the health care contractors.
 

How does a Nurse Registry differ from a Home Health Agency, and a Health Care Services Pool?

 
A) Some of the differences between a nurse registry and other types of health related providers are included below:
 
• A nurse registry and a home health agency may provide services that are privately paid for by insurance or other means to patients in their home or place of residence and provide staff to health care facilities, schools, or other business entities on a temporary or school year basis.
 
• A health care services pool may hire or contract with individuals and assign them to health care facilities to support or supplement the facilities’ work force in temporary work situations such as employee absences, temporary skill shortages, seasonal workloads, and special assignments and projects but cannot provide private duty staffing or enter into direct contracts with individuals to provide services. 
 
• A nurse registry and a health care services pool do not qualify for Medicare reimbursements; a home health agency does. 
 
• A nurse registry cannot have any employees except for the administrator, alternate administrator and office staff – all individuals who enter the home of patients to provide direct care must be independent contractors. 
 
• A home health agency and a health care services pool may hire employees or contract with independent contractors to provide staffing. However, a home health agency must provide at least one service directly. 
 
• A nurse registry is limited to contracting with only registered nurses, licensed practical nurses, certified nursing assistants, home health aides, homemakers, and companions. 
 
These are only a few of the differences.  
 

What type of clinical people can be independent contractors for a Nurse Registry?

Registered nurses, licensed practical nurses, certified nursing assistants, home health aides, homemakers, and companions all of which must be independent contractors for a nurse registry. Each of the above must provide evidence of their license or certification and training as applicable prior to having any patients referred to them by the nurse registry. A nurse registry cannot have any direct employees providing services to patients. Each nurse registry shall in its contracts with independent contractors provide instructions as to the responsibility for the payment of self-employment estimated taxes.
 

Do Nurse Registries have to have documentation that independent contractors have HIV training?

Yes, the state law regarding HIV training was changed in 2008 to require certified nursing assistants and home health aides that apply for contracts with nurse registries to have a one time HIV course. Professional independent contractors, such as RN’s and LPN’s are governed by their board with regard to training requirements, including HIV. 

What are the background screening requirements for independent contractors?

Using the State of Florida as an example, Independent contractors who enter the home of patients must have a Level 1 Florida Department of Law Enforcement (FDLE) background screening submitted within 5 working days after the contractor begins working. A copy of the screening results is filed in the independent contractors file at the nurse registry. The managing employee of each nurse registry must sign an affidavit annually, under penalty of perjury, stating that all personnel hired or contracted with or registered on or after October 1, 2000, who enter the home of a patient or client in their service capacity have been screened. 

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