Caregiver Registry Standards Board
ENJOY THE BENEFITS OF ACCREDITATION!
Caregiver Registry Standards Board (CRSB) Accreditation establishes industry standards for caregiver registries that screen & refer independent contractors.
The Caregiver Registry Standards Board created its Accreditation based upon the highest collective standards nationwide & condensed those into a single process that determines whether a registry is operating within those standards.
Caregiver Registry Standards Board Accreditation benefits everyone by enhancing the professionalism of the industry; by becoming nationally accredited, a registry clearly communicates its commitment to the highest standards of quality, professionalism, transparency, and accountability.
WHAT IS THE CAREGIVER REGISTRY STANDARDS BOARD?
An accrediting body for caregiver registries that are operating under the consumer-directed model of care.
MISSION OF THE CAREGIVER REGISTRY STANDARDS BOARD
To create and maintain uniform national standards that provide registry owners/operators with a set of recommended best practices.
The Caregiver Registry Standards Board establishes best practices in these four key areas:
- Administrative Credentialing
- Independent Contractor Screening/Credentialing
- Information Management
- Registry Practices
- Registry should maintain a written contract between the Caregiver and the Registry.
- Registry to provide a written explanation to Caregiver candidates of the Independent-Contractor nature of a Caregiver’s relationship with a Registry.
- Registry to obtain a written representation from Caregiver candidates that the Caregiver is engaging the Registry to gain access to Client opportunities, and is not seeking employment with the Registry.
- Registry to provide a written explanation to Caregiver candidates of the Caregiver’s responsibilities, as an independent contractor, for his/her own actions.
- Registry to provide a written explanation to Caregiver candidates:
- That the Caregiver is not eligible for Unemployment Insurance based on the relationship with the registry.
- That the Caregiver is responsible for his/her own profit and loss.
- That the registry does not provide Workers’ Compensation or Professional Liability insurance coverage on their behalf.
- That the Caregiver is responsible for their own taxes.
- That only the Caregiver and the Client can terminate the relationship, but not the registry.
- If the Registry operates with an escrow or trust account, documented Financial Standards should be maintained. These standards should reflect how client payments are received and disbursed to referred care providers.
- The Registry should maintain:
- ongoing professional liability insurance policy covering the registry.
- ongoing general liability insurance policy covering the registry.
- FBI Criminal Background Check should be obtained for all registry owners and administrators.
- Registry to operate 24 hours per day, seven days per week with live accessibility.
- Registry to have a policy in place requiring notification of clients in the event of discontinuation of registry services or dissolution of business.
INDEPENDENT CONTRACTOR SCREENING/ CREDENTIALING
- The Registry should have procedures for screening/credentialing independent-contractor Caregivers with whom it contracts and refers.
- Registry to conduct face-to-face interviews of all Caregivers who seek to contract with the Registry.
- Registry to conduct multi-state criminal background checks for Caregivers every 5 years.
- Caregiver to complete a United States Citizenship and Immigration Service I-9 Citizenship Form, or otherwise provide appropriate evidence of the Caregiver’s right to work in the United States.
- Registry to verify the validity and currency of any license or certification that the Caregiver claims to possess.
- Registry to verify a chronological work history covering at least the past five years at the time of registration.
- Registry to verify the Caregiver’s training and/or experience, listed on registration profile.
- Registry should request information about the Caregiver from recognized State-monitoring organizations, including abuse registries.
- Registry to review the documentation of medical tests, as appropriate for their state, to establish the Caregiver is free from communicable disease.
- Registry’s screening procedure to include a disclosure statement (as permitted by state/local law) by the registering independent contractor regarding the following:
- Any history of loss of license and/or felony convictions.
- An attestation to correctness and completeness of the application.
- Registry to complete its background check and credential verification for all Independent Contractors before they are eligible for client referrals.
- Registry to maintain procedures to ensure confidentiality of all records for Caregivers and Clients.
- Registry’s offices/sites should implement mechanisms that guard against the unauthorized or inadvertent disclosure of confidential information to persons outside of the Registry.
- Registry to adopt a policy to hold confidential all information obtained about Clients related to their care and not divulge it without the Clients’ authorization (such authorization should permit the information to be given to a Caregiver who provides care to the Client), unless (1) it is required by law, (2) it is necessary in compelling circumstances to protect the health or safety of an individual.
- Registry to represent itself to the public e.g., through its website, as offering caregiver referral services and not home-care services.
- Rate of pay is only to be set by the Caregiver and may be negotiated between Caregiver and Client, but not set by the registry.
- Registry’s agreements with Caregivers should not prohibit a Caregiver from hiring assistants.
- Registry’s agreements with Caregivers allows them to accept or decline offered client opportunities.
- Registry does not require Caregiver to accept minimum number of Client opportunities.
- Registry should avoid:
- Making payment to the caregiver for services performed, using registry funds.
- Controlling or setting Caregiver rate of pay.
- Setting of controlling Caregiver’s work schedule.
- Confirming or verifying a referred Caregivers actual number of hours worked.
- Referring a replacement or substitute Caregiver, without a Client request.
- Determining any aspect of the services a Caregiver will provide to a Client.
- Providing any training, oversite or instruction to Caregivers on how to provide services.
- Registry should not provide a Caregiver with any tools, equipment or supplies.
- Registry may not unilaterally terminate a Caregiver’s relationship with a Client.
- Registry does not have any policies and procedures that pertain to the home-care services that Caregivers perform.
- Registry does not reimburse a Caregiver for any costs or expenses incurred in providing Client care.
- Registry does not unilaterally move a Caregiver from one Client to a different Client.
- Registry should not determine or modify, any terms or conditions of a Client’s home-care relationship with a referred Caregiver.
- Registry does not supervise or monitor care provided by referred caregiver.
- Registry does not conduct performance evaluations of Caregivers.
- Registry agreement with client should:
- Permit the client to interview the caregiver.
- Allow a client to decline a referred caregiver.
- Disclose the client’s responsibility to self-manage the home-care relationship with a referred caregiver.
- Disclose that the registry will not monitor, train, instruct or supervise a caregiver.
Should you consider Caregiver Registry Standards Board Accreditation?
A good offense is the best defense. Accreditation prepares your registry for a potential audit.
Enhances the professionalism of the industry.
Allows for industry bench marking of operational standards.
- Creates credibility and standardization
- Creates transparency for caregiver recruitment
Creates seal of approval that meets or exceeds the Caregiver Registry Standards Board standards.
Communicates the industry’s commitment to excellence.
Who is eligible for Accreditation?
Private-sector caregiver registries that screen, refer and represent independent contractor caregivers.
How long is Accreditation good for?
Once a caregiver registry is Accredited, the Accreditation term is valid for 2-years. The caregiver registry will need to start the application process again for renewal prior to accreditation expiration.
How is Accreditation affected by a sale of my Caregiver Registry?
The Accreditation ONLY applies to the original Accredited entity (or brand) and not the new owner's other non-Accredited entities (or brands).
An Accredited caregiver registry that is sold (i.e., a sale of a controlling ownership interest or a sale of substantially all its operating assets) will retain its Accreditation post-sale under the new ownership during the remainder of the Accreditation term so long as it follows substantially the same operational brand, practices and procedures, using substantially the same documents, that formed the basis for its Accreditation.
If a caregiver registry is sold during an Accreditation audit, the audit will continue and upon its completion the caregiver registry, if determined to satisfy the Accreditation criteria, will be awarded its Accreditation, and the Accreditation will remain in effect post-sale under the new ownership during the Accreditation term so long as the caregiver registry follows substantially the same operational brand, practices and procedures, using substantially the same documents, that formed the basis for its Accreditation.
Are you ready to take your Caregiver Registry to the next level and become Accredited?