What Are The Challenges Of Self-Directed Home Care?

Self-directed home care allows seniors, those diagnosed with an illness, or those with disabilities to control their home care providers. Plus, it gives individuals the decision-making authority to recruit, hire, train, and supervise individual caregivers.

But as a family caregiver, you may find that there are many challenges to self-directed home care.

Suppose you or a loved one receives assistance in Massachusetts through the MassHealth/Medicaid PCA program or Massachusetts Department of Elder Affairs Home Care program. In that case, you have the right to self-direction.

Under the law, you can hire caregivers and receive services paid by the Commonwealth to establish yourself as a household employer with the IRS and Department of Revenue.

Moreover, fiscal intermediaries can help you obtain worker’s compensation insurance and handle employer responsibilities such as:

  • Managing payroll
  • Withholding taxes
  • Paying into the unemployment insurance system.

However, even with these supports, the challenges of being an employer and withholding and filing taxes correctly can be daunting, particularly at tax time.




Common Challenges of Self-Directed Home Care

Self-directed home care programs often offer recipients little help finding qualified, pre-screened caregivers. Although the organization can access a list of potential caregivers and their contact information, most of the work – including phone calls and screenings – falls on you.

The search to find a potential caregiver is a time-consuming, stressful process. After all, it isn’t easy to find qualified caregivers that are a good fit and willing to work for the wages allowed.

At MeetCaregivers, we regularly receive calls from those wanting to select and manage their caregivers through public assistance programs. These individuals usually require assistance in finding the right person who fits their criteria.

Currently, the available self-directed programs lack processes to pay for our services. However, the overall cost would be less than using a full-service agency.

Families that need additional hours beyond those provided through state programs can benefit by selecting caregivers from our network, including:

  • Qualified, pre-screened PCAs
  • Home health aides
  • Certified nursing assistants
  • Homemakers

Working with us is not only convenient, but it also saves you money.


Support and Solutions

With MeetCaregivers, families get maximum choice and control. For example, you can direct their care without hassle, complexity, and long-term commitments that come as a household employer.

You can quickly and easily find pre-screened, qualified caregivers when you choose self-direction. Then, you can hire, fire, train, schedule, and supervise your caregivers, all while avoiding the hassle of direct employment and the complexities of insurance and taxes.

And, of course, you can still save significant money off the cost of a traditional full-service agency.

We hope to work with the Department of Elder Affairs to make this option a reality for families choosing self-direction through publicly funded programs.


Home Care Solutions From MeetCaregivers

For more information, contact MeetCaregivers at 1 (888) 541-1136 or Or to find more information about caregiving and self-directed home care, check out our blog.

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