How To Choose An Agency

Choosing an agency is like choosing any important partnership in life.  If you don’t feel comfortable talking with them, its probably not the agency for you.  Ultimately, if they are friendly and open, its probably a good sign.  If they are cold, and business like, its probably a bad sign.

Some suggestions;

      • Ask questions. They should be helpful and really take the time to explain information so that you can understand it.  The more open they are the more honest they are.

      • You need to make sure they treat  you like a person and not a number.  They should be friendly and provide you with quality detailed information.  If they dont take the time to give you information or explain it, its probably not an agency you want to be with.

      • They should know what they are talking about and be able to provide you with information to support what they are saying.

      • They should not pressure you into making any decisions or giving them any of your information.

      • They should be able to give you references.


Here is a list of great questions to ask before choosing an agency;

Am I eligible for HCBS Benefits?

Individuals age 65 or older who qualify for Medicaid benefits may be eligible to receive services through Home and Community Based Services (HCBS).  The goal of the HCBS program is to provide long term care services to enable individuals to remain in their homes.

Eligibility criteria includes:

      • Must be age 65 or older (Based on other criteria i.e. physical disability or traumatic brain injury), individuals under the age of 65 may qualify for services)

      • Must be assessed by a qualified case manager and determined to need long-term care services

      • Your countable assets cannot exceed $2000 (a home and vehicle are not included in total)

Things to consider prior to contacting an agency:

Prior to contacting any provider, you must consider what you or your loved one’s care needs are.  Try to determine the needs of the client so that the right caregiver can be matched to the client.

      • Do you need someone who can provide “hands-on” care (i.e. assistance getting in and out of bed, assistance getting into and out of the bath, assistance with a ostomy care, assistance with grooming and bathing needs, etc.)?

      • Do you need a caregiver that speaks a particular language?

      • Is a memory loss diagnosis (i.e. Alzheimer’s, Dementia) a factor or is the client becoming confused or forgetful?

      • Which end of the client’s day is more routine?

      • Is the client a morning or an afternoon person?

      • Can you combine the help required each day into parcels of time?  This will allow you to know how to properly schedule the caregiver’s time.

How long has the agency been serving the community?

Alliance has been operating since January 2004.  During our years of operation, we have continued to remain focused on providing quality care to our clients while extending exceptional customer service.

We serve clients in Johnson, Leavenworth, Wyandotte, Miami, Franklin, and Linn counties in Kansas.  We also serve Platte, Clay, Jackson, Cass, Ray, Lafayette, and Caldwell counties in Missouri.

Alliance is licensed by both the State of Kansas and the State of Missouri as a Medicaid provider.

Do you have an RN to supervise services?

Alliance will have a Registered Nurse assigned to your case.  The RN will conduct an initial assessment of the client and meet with him/her every 60 days to ensure that the caregiver is providing the highest quality service and is performing all the activities stated on the plan of care in a professional manner and to the specifications of the client.

How do you screen your caregivers?

At Alliance, each of our caregivers go through a comprehensive interview process, background check, and reference check to ensure that the caregiver satisfies our requirements and is the right person to provide the care you or your loved one requires.

Prior to the caregiver beginning to provide services, it is helpful to write out the client’s daily and weekly schedule.

      • Can the most labor-intensive activities be placed in the part of the day that matches the client’s energy levels?

      • What are the client’s likes and dislikes with respect to food/diet and activities?

This will help make the transition easier and less stressful.  It will also ensure that the caregiver can begin providing services per the client’s requirements.

Do you cover all employee taxes, Worker’s compensation, and unemployment insurance?

For agency directed cases, Alliance is the employer of all of the caregivers and takes care of all these details.

For self directed cases, Alliance acts as the payroll agent and ensures that all employee taxes are withheld and paid.

What happens if my assigned caregiver does not show up for his/her shift?

The Alliance office staff will begin working right away finding you a replacement caregiver for that day.  We promise to contact you with updates on a consistent basis until your replacement caregiver is identified.

Can I ask for a different caregiver if I am not satisfied with the one I am assigned?

Of course, you can.  Alliance wants you to be comfortable and happy.  We will make every attempt to find you the right caregiver on the first try.  If we do not quite hit that mark, we will do everything we can to find you the right one, no matter how many times it takes.  Matching a caregiver to a client is as much an art as a science.  Clear, constructive feedback is vital.

Does the agency oversee the quality of care clients are receiving in their homes?

Absolutely.  This is why Alliance assigns a nurse to ensure each client is receiving the type of services required by the plan of care and that the quality of care provided exceeds the client’s expectations.

Corrective action is taken any time an issue is identified.  Alliance  office and field staff are dedicated to ensure that each client’s needs are being satisfied.

Can I speak with someone in the office at any time for any reason?

The offices of Alliance are available to answer any questions or address any concerns you may have 24 hours a day, seven days a week, 365 days a year.