All caregivers are required to have undergone a multi background check that include:
Workers Compensation Coverage - If required by the state where the operation is based, the Agency must comply with the state statutory limits and a minimum of $500,000 employersâ liability.
If you have Certificates of Insurance readily available, please upload now. Liability Insurance
All caregivers employed and contracted by the agency are required to complete a minimum of twelve (12) courses or 8 hours of continuing education annually. HCSB will provide access to two educational programs at no additional charge. Please agree by initialing one or more of the below boxes:
Agencies are required to have a complaint resolution policy and maintain a log of complaints and outcomes.
a. Permission to use the Home Care Standards (HCSB) A+ Certification is valid so long as my agency remains in good standing. If agency fails to comply with the A+ Certification requirements, I will immediately cease use of the A+ Certification mark. HCSB may publish on its website names of certain agencies that have used the A+ Certification in an unauthorized manner.
b. HCSB has the absolute and unrestricted right to revoke my HCSB A+ Certification, including any rights the agency may have to use the HCSB A+ Certification.
c. In consideration of the A+ Certification granted, neither the Home Care Standards Bureau - Regulatory Board (HCSB-RB), nor HCSB, its directors, officers, employees and others acting on its behalf, shall be liable for any actions taken or omitted, to be taken in any official capacity or in the scope of employment, except to the extent that such actions or omissions constitute willful misconduct or gross negligence, and I hereby release HCSB and HCSB-RB from any liability for such actions or omissions.
d. The agency will fulfill any ongoing compliance requirements by HCSB or HCSB-RB. i.e. HCSB may suspend or revoke the A+ Certification for nonpayment.
f. The agency will comply with all rules and requirements of the HCSB-RB. If granted an A+ Certification, the agency will comply with all standards and requirements that the HCSB-RB may issue from time to time, including usage standards for the A+ Certification.
g. All caregivers employed and contracted by this agency have undergone background checks. The agency understands that these reports will be maintained and will be made available to HCSB for review at the onsite audit.
h. The agency will carry continued insurance meeting minimum HCSB standards. The agency understands that continuance of insurance coverage will be made available to HCSB for review at the annual audit.
i. All caregivers employed and contracted by agency must complete 12 courses or 8 hours of approved caregiver education annually or demonstrate competency by passing an exam that covers core education topics.
j. The agency agrees to both scheduled and unannounced on-site audits.
k. The agency agrees to maintain 90% of its caregivers as W2 employees.
l. The agency will maintain a policy regarding motor vehicle use and required licenses to transport clients.
m. The agency will maintain a Complaint Resolution policy and a log of complaints and outcomes consistent with this policy.
n. The agency agrees to complete any requested monthly disclosures verifying ongoing compliance or progress meeting outstanding compliance items. I understand and agree to follow the HCSB A+ Certification Terms and Code of Ethics & Standards
As the authorized representative of this agency applying for the A+ Certification and enrollment in the Home Care Standards Bureau (HCSB), it is important to note that any and all information will be reviewed, checked, and verified to match the application and the statements of the applicant.
If at any time the information represented to HCSB is found to be intentionally untruthful, materially false, concealing facts, or misleading, it will be considered an attempt by the agency to defraud the HCSB and will lead to the dismissal of the application process. If the company has already achieved the A+ Certification, the Board of Directors will determine if the privileges will be revoked or other steps taken to assist the agency to correct the wrong and able them to keep their A+ Certification.
Payment Details: An application Fee of $95.00 will be a one-time charge processed today.
At the time of A+ Certification Approval, your credit card will be charged the month to month subscription amount of $195.00 ($145 for Agencies who are first in their market). As soon as you've successfully completed this A+ Certification process and your payment is confirmed, your A+ Certification will go into effect. Your agency will receive the marketing items for approval, and the link to your full landing page on HCSB's website.
After that, we'll renew your monthly subscription automatically, unless you cancel. The price is locked in for the first 36 months.
If you choose to cancel the subscription after A+ Certification during the first 12 months, you will need to submit a request to cancel in writing 90 days prior to your billing cycle. After the first 12 months, you will need to submit a request to cancel in writing 30 days prior to your billing cycle.
IF MY AGENCY IS NO LONGER A+ CERTIFIED, I WILL NO LONGER USE ANY MATERIAL THAT HAS THE HCSB LOGO AND WILL NOT DISPLAY IN ANY MANNER THE A+ CERTIFIED CERTIFICATE AND WILL DESTROY ANY BROCHURES AND OTHER MARKETING MATERIALS THAT HAVE ANY REFERENCE TO THE HOME CARE STANDARDS BUREAU.
Please return billing authorization by emailing to email@example.com or fax the form to 855-487-1212
HCSB Billing Authorizaton Form