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 .
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.
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:
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 with flu-like symptoms 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.
- Workers who are affected by these measures may be eligible for the Temporary Aid for Workers Program for absences due to COVID-19. For information about eligibility and how to apply for aid, please go to the page Temporary Aid for Workers Program (COVID-19 TAWP).
- Workers who notice that a user has flu-like symptoms must refer the user to the Government of Québec’s COVID-19 information line at 1 877 644-4545 so that they can find out what they must do to protect their health and avoid spreading the virus.
- For updates to the directives, which could change at any time, please consult this page regularly.
Last update: March 25, 2020