The Board of HCAOA Illinois has long been aware of alleged utilization of "gray market care givers" in assisted living establishments and nursing homes. These caregivers are not subject to any sort of regulatory oversight or quality standards, as compared to caregivers employed by licensed home care agencies, which we believe puts clients at risk and exposes facilities to significant liability.

The board is currently exploring avenues to address this issue legislatively, and feedback from our members will help inform our next steps.

  • We need to hear from you! If you are aware of gray market caregiving taking place in facilities where you provide care, please fill out the below survey to provide us with more context and insight into this issue. Please be as detailed as possible in your responses.
  • We’d also love to connect with you! If you’re interested in talking more about this issue or have any questions, please reach out to advocacy@hcaoa.org.

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* 1. Does your agency serve clients in facilities such as nursing homes?

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* 2. Does your agency serve clients in facilities such as assisted living establishments?

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* 3. Does your agency serve clients in independent senior living facilities?

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* 4. If your agency serves clients in such facilities, how many clients do you serve monthly, on average, in those facilities?

  Number of Clients
Nursing Homes
Assisted Living Facilities
Independent Living

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* 5. Have you been informed directly by facility representatives or other reliable 3rd parties of the use of private caregivers by facility residents?

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* 6. Does your agency work with clients that also work with private caregivers?

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* 7. Have you ever experienced an issue working with a private caregiver?

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* 8. Have you lost cases to private caregivers in the last year? If so, how many would you estimate? Please provide the specific setting/facilities to whom you are losing cases.

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* 9. Can you share more information about your experience with private caregivers? Please be as detailed as possible and reference the specific setting in which these experiences occur.

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