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Choosing the Right Provider
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Consumer Cost Comparison


Employment Agency

Placement Agency (Registry)


The agency is the employer

You are the employer

Hourly Rate



Payroll Taxes

Included in the rate

You Pay

Worker's Comp

Included in the rate

You Pay

Agency Fee


$22 per shift

Total Cost

Five-Hour Shift



Eight-Hour Shift



* Quoted rates are for illustration purposes only. Actual rates vary by provider.

Questions You Should Ask Before You Decide

Home care choices can be difficult and we realized there are several options available to you. To help you, the Home Care Association of America recommends you ask the following questions of your prospective home care providers including:

  1. How do you recruit your caregivers?
  2. Should a scheduling conflict occur, are there trained back-up caregivers?
  3. Are your caregivers bonded and insured?
  4. Are the caregivers employees of the provider and who handles payroll and required taxes for the caregiver?
  5. What type of background checks and screening do you do?

Consumer Resources

Item Name Posted By Date Posted
Risks of Registries & Independent Contractors PDF (118.67 KB) Administration 4/4/2013
The Accidental Employer PDF (30.65 KB) Administration 4/4/2013
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