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Home Services/Home Nursing Placement

Placement Agency – any person engaged for gain or profit, regardless of the agency tax status, in securing or attempting to secure work for hire for persons seeking work or workers for employers. The term includes a private employment agency and any other entity that places a worker for private hire by a consumer in that consumer's residence to provide home services. The term does not include a person who provides or procures temporary employment in health care facilities, as defined in the Nurse Agency Licensing Act (Section 2.12 of the act). There are two types of placement agencies: Home Nursing Placement Agencies (Ill. Adm. Code 245.212) and Home Services Placement Agencies (Ill. Adm. Code 245.214). A placement agency does not provide ongoing, continuous client support and services management.

A Home Services Placement agency acts as a placement agency for individuals who provide home services for consumers primarily in their residences as employees of the client.

Services may include assistance with activities of daily living, housekeeping, personal laundry, and companionship, which are intended to enable that individual to remain safely and comfortably in their residence. The services are provided by a home service worker, as per 77 Ill. Adm. Code 245.40(c). The home services worker may be a certified nurse aide or home health aide by education, but the scope of services is limited to those listed in 77 Ill. Adm. Code 245.40(c) and do not include medical services.

A Home Service Placement agency must be dually licensed by the Illinois Department of Labor as a Private Employment Agency (PEA).

A Home Nursing Placement agency acts as a placement agency for nurses to perform services in a client’s residence as ordered by the client's physician without any direction, control, or supervision by the home nursing placement agency with respect to performing the skilled nursing services.

Following the placement of the nurse or home service worker with the client, the placement agency shall not control the worker's assignments or duties or assist the client in paying the worker. A placement agency shall not provide ongoing support and administrative management of the client's needs.

  1. The maximum duration of a contract shall be no longer than 12 months.
  2. The placement fee can only be a one-time fee. The agency may allow the client to pay the fee throughout the contract. An ongoing, continuous client service fee beyond the duration of the contract is prohibited.

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