Home Care Agency Checklist: Questions to Ask Before You Choose One

If you're leaning toward a licensed agency instead of self-directed care, here are the real questions worth asking before you commit.

Person supporting an older woman standing with a walker

If your family is leaning toward a provider agency rather than self-directed family care, these are the questions that actually reveal how an agency operates.

About their MDHHS approval and coverage

  • Are you an MDHHS-approved Home Help provider agency, specifically?
  • Which counties and cities do you actually staff, versus just advertise?

About staffing and consistency

  • Will my loved one have a consistent, regular caregiver, or a rotating pool?
  • What's your backup plan if my usual caregiver is sick or unavailable?
  • Can a family member be hired as your employee to provide the care?

About billing and communication

  • How and how often will hours and care notes be communicated to our family?
  • What happens if approved hours change after a reassessment?

A red flag worth naming directly

Any agency unwilling to clearly answer how they're compensated, or vague about their MDHHS approval status, is worth a second look before signing anything.

Want help thinking through whether agency care or self-direction fits your family better first? See our family vs. agency comparison.

Woman carefully reviewing a printed document before making a caregiving decision

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CarePay Michigan is an independent information and referral resource. MDHHS determines Home Help eligibility and authorized care. Official program guidance · 2026 provider rates · EVV rules and exemptions.