COVID-19 pandemic – For updates to the directives, which could change at any time, please consult this page regularly.

COVID-19 pandemic – Important information for workers who provide home care support services under the direct allowance / service employment paycheque arrangement

Given the COVID-19 pandemic, the Government of Québec has announced a number of requirements for health care, education and daycare workers.

The following directives must be followed by workers who provide home care support services under the direct allowance / service employment paycheque arrangement.

Responsibilities of workers hired under the direct allowance / service employment paycheque arrangement

  • Workers who have flu-like symptoms must call the Government of Québec’s COVID-19 information line at 1 877 644-4545 to find out what they must do to protect their health and avoid spreading the virus.
  • Workers who have flu-like symptoms or who have had close contact with a probable or confirmed case of COVID-19 must not visit a user.
  • Workers must not visit a user within 14 days of returning from travelling abroad, irrespective of the country. Workers returning from travelling abroad must self-isolate for 14 days.
  • Workers who are affected by these measures must inform their employer (the user) quickly and contact the user’s CLSC to prevent any interruption of services.
  • A number of assistance programs have been put in place for workers who are residents of Québec and who have lost their income due to COVID-19. The workers concerned can apply to one of these programs. A tool to determine the type of assistance a worker may be eligible for depending on their situation is available on the page Government Assistance Programs COVID-19.

Before going to the user’s home

  • Workers must contact the user to check if they have returned from travelling within the last 14 days, have flu-like symptoms or have had close contact with a probable or confirmed case of COVID-19.
  • If they have, refer the user to the Government of Québec’s COVID-19 information line at 1 877 644-4545.
  • If it is determined that the user is at high risk of having COVID-19 or if the user tested positive for COVID-19 and must stay at home:
    • Inform the user that you must temporarily suspend services;
    • Contact the user’s CLSC quickly to prevent any interruption of services.
  • Workers must not provide services to a user at high risk of having COVID-19 or to a user who tested positive for COVID-19.

Priority services that must be maintained

  • If neither the user nor the worker has returned from travelling within the last 14 days, has flu-like symptoms or has had close contact with a probable or confirmed case of COVID-19, the worker must continue to provide the user with home care support services.
  • Should a worker refuse to continue to provide a user with services despite the absence of risk factors, the worker must inform the user and contact the CLSC quickly to prevent any interruption of services.
  • Workers may use the emergency day care services that have been put in place for workers who do essential work. Consult the page Emergency daycare services.

Worker safety

  • Since all of Québec is now affected by community transmission of the virus, workers who provide services within 2 metres of a user must wear a procedure mask at all times. They must change the mask if it is wet, soiled or at the end of their shift.
    • The user’s CLSC will distribute procedure masks and also ensure they are used properly.
  • Workers hired under the direct allowance / service employment paycheque arrangement are not allowed to provide services to a user at high risk of having COVID-19 or to a user who tested positive for COVID-19. This means that they will not be provided with personal protective equipment.
  • It is recommended that workers complete a 15-minute training module on hand hygiene This hyperlink will open in a new window..

Home care support services

If you live at home and need help with certain activities, you may be eligible for home care support services.

Home care support services are provided by institutions in the health and social services network that have a local community services centre (CLSC) mission. These institutions are responsible for receiving and assessing the needs of anyone who requires their services.

They are responsible for providing the health or social services the person needs themselves or, for some home care support services and under certain conditions, arranging to have them provided by an external provider such as a home care social economy enterprise, a private company or a community organization. Home care support services may also be provided by a worker who is hired privately by the user and paid under the direct allowance / service employment paycheque arrangement.

Institutions must complete a clinical procedure, in collaboration with the user and their family, that focuses on assessing the user’s situation and needs.

After this assessment, a plan for the services to be provided is drawn up to meet their needs. The service provider or providers are also selected in collaboration with the user and their family, taking into account the user’s situation, their safety and that of the care provider as well as the expertise and support required depending on the type of care and services to be provided.

If you think you need home care support services, contact your CLSC This hyperlink will open in a new window..

Direct allowance / service employment paycheque

The direct allowance / service employment paycheque is an arrangement for the delivery of home care support services that may be used by the user and the care provider under certain conditions. Under this arrangement, the user can choose and hire the worker who will provide some of their home care support services in accordance with certain guidelines.

The direct allowance gives users more flexibility in choosing service providers. It is also intended to prevent exhaustion among the user’s family members. There are two forms of direct allowance: a lump sum and a service employment paycheque. The service employment paycheque is the main form of direct allowance used.

The service employment paycheque is a mechanism for managing the direct allowance and was created primarily to counter undeclared work and to support the user in their role of employer by simplifying administrative pay-related tasks. The service employment paycheque mechanism allows a financial institution to act as paymaster for the CLSC and as manager, for the user, of the employee’s pay.

Service Employment Paycheque Processing Centre

The Service Employment Paycheque Processing Centre (Centre de traitement du chèque emploi-service – CTCES) is responsible for operations concerning employees’ pay, such as paying wages and deducting contributions required under various social protection plans. It also prepares and issues government slips.

When the user’s situation permits the use of the direct allowance / service employment paycheque, the CLSC registers the user with the CTCES (financial institution designated for the entire province). The CLSC allocates service hours based on the needs identified and the services plan drawn up in collaboration with the user and their family.

The CLSC allocates the necessary sums to pay for the services required through the CTCES. Under the direct allowance / service employment paycheque arrangement, the user does not have to deal with money at all.

Publications

For more information about the role and responsibilities of the person who is receiving services (the user) and the person who is providing services (the privately hired worker) under the direct allowance / service employment paycheque arrangement, you can read the information leaflets: