As an approved provider who engages a third party to provider services, your organisation can use a brokered model (as an agent) or you may prefer to have a subcontracting arrangement, as principal to a subcontractor. The arrangements you put in place, depend on the terms of the contract.
Services may be supplied directly by the provider, or sub-contracted to another service provider (individual or organisation), or brokered through another organisation’.
Brokerage- a funded provider facilitates the delivery of services to a service user/consumer, using another provider. The costs of the service comes from funds available to support that person. In the brokerage model the funded provider is an intermediary – the middle man, in lay terms. The provider who is brokering services is responsible for the assessment of consumer needs and ensuring the consumer has all the information to decide if they want the services through a brokered arrangement.
Considering consumers in third party arrangements
Ask the consumer and some say they like to have the choice in who supplies their services, whilst others say they want a quality service, delivered on time and don’t mind if services are delivered via a brokerage arrangement.
Where a home care provider engages a third party to provide services to a consumer both parties should understand:
The context of the request to provide services to a consumer.
Is the home care providing acting on behalf of the consumer.
Is the home care provider sub contracting out services to be delivered by another provider.
Will the consumer, have a contract with the home care provider only or will the consumer have a contract with the third party who is actually providing the service.
The Department of Health and third party arrangements
In the eyes of the Department of Health and the regulator – Aged Care Quality and Safety Commission - the approved home care provider remains responsible for service quality and meeting all regulatory responsibilities. This means that the onus is on the approved home care provider to ensure that the third party provider is “ doing the right thing”.
Will there be a ‘brokerage fee’ (if any), and what will that fee cover.
Just because a brokerage feed has been charged, do not assume that a brokerage arrangement is in place.
What are the payment arrangements (who pays who) and what are the GST arrangements.
Home care is GST free, if you receive a home care subsidy or government funding, and you supply the care to a consumer rather than supplying service to another party who is in fact the approved provider.
Monitoring, Reporting and Communications
Whether service provision is via a brokerage or subcontractor model, it is important to “do the paperwork”.
Ensure the contractual arrangement is in place and is kept up to date especially if there are changes in the arrangements. Whilst the financial arrangement and performance measures have been agreed, there are a range of responsibilities for both parties.
Care worker induction
Incident and hazard reporting
Processes for care delivery
Reports to be completed by the third party
Communication about care recipient needs
At Health Business Solutions, we have developed easy to use tools and processes to help approved home care provider ensure they have tools and processes for subcontractors including:
Exception reports for currency of compliance checks such as worker screening etc.
Report templates to be completed by sub contractors
Qualitative and quantitative assessment of performance of sub contractors.
As a provider save yourself the headache and ensure you are covered by having all the tools to help you with the ongoing management of your brokerage/sub contractor management. Contact us today for more information.