Homecare Guide
Homecare Guide
and Overtime to
Home Care Workers
A Guide for Consumers and their Families
to the Fair Labor Standards Act
Introduction
■■ Who needs this guide............................................................................. 4
■■ Overview................................................................................................ 8
Other resources
■■ Checklists for paying home care workers properly.............................42
■■ Additional information.........................................................................44
Introduction
Who needs this guide?
YOU YOU may be an individual who has a home care worker living
with you or who arranged for a home care worker to live with a
When we refer to “you” in this guide, we mean a consumer who uses
family or household member who needs services.
the services of a home care worker.
We also mean any family member of a consumer who helps manage If this describes you, see the Live-in Direct Hire
those services. Managing the services could include selecting the Checklist on page 42.
worker, setting the worker’s schedule, determining what tasks the
worker should perform and when, paying for the worker’s services, YOU may be an individual who goes to an agency to find a worker
etc. to provide in-home support for yourself or a member of your family
“You” also means any member of the consumer’s household, such as or household. Perhaps you pay the agency for the worker’s services
a domestic partner or other person who lives with the consumer, who with private funds, or perhaps you receive public assistance, such
helps manage the services. as through Medicaid. Perhaps the agency sends a worker who
moves into your home.
We have created checklists to help you keep track of your obligations,
found at the end of this guide. If this describes you, see the Agency Checklist on
page 43.
YOU may be a senior or a person with a disability, or a member of
the consumer’s family or household, who directly hires a worker to YOU may be an individual who receives (or helps a member of
provide in-home support. Perhaps you used a registry or a website your family or household arrange) in-home personal care or other
to find your worker, or perhaps you selected someone you already services through a Medicaid-funded self-directed program. Perhaps
knew, such as a family member. the worker you select lives in your home.
If this describes you, see the Direct Hire Checklist on If this describes you, see the Self-Directed Checklist on
page 42. page 43.
4 5
Who needs this guide?
6 7
Overview
8 9
Who needs to follow
the FLSA rules
When you must pay minimum
wage and overtime
Most home care workers must be paid at least the federal Am I an employer?
minimum wage and overtime. The relevant question is
often who is responsible for making sure these workers If YOU hired the home care worker directly, and no agency
See or other organization is involved, then you are an employer.
are paid according to these FLSA requirements. Whether
minimum
you are responsible for the worker being paid federal YOU must ensure that you are following FLSA rules.
wage and
overtime: minimum wage and overtime depends on whether you are
If you set the worker’s schedule, tell the worker what
page 30 an “employer” as defined by the FLSA.
tasks to do or when to do them, and/or can hire or fire the
worker, you could be an employer under the FLSA. That See
EMPLOYER means YOU must comply with the FLSA even if an agency Direct
provides the worker. Although those facts do not make you Hire
It is necessary to look at many facts about a worker’s job to
an employer for all legal purposes, they do mean you are checklist:
See joint determine who is the worker’s employer under the FLSA.
employ- an employer for purposes of the FLSA. page 42
Although many facts matter, anyone who sets the worker’s
ment: schedule, tells the worker what tasks to do or when to
page 18 do them, and/or can hire or fire the worker could be an
employer of that worker. This is true even if someone else Example: Direct hire
is also an employer (that is, if there’s joint employment).
Knowing whether YOU are an employer is important Diana places an ad on a website offering to work as a personal
because if you are, you are responsible for making sure that care attendant. Olivia, an individual with a disability who needs
your home care worker is paid according to the FLSA rules. personal care services, sees the ad and calls Diana to set up an
interview. Olivia likes Diana, so she hires her. Olivia and Diana
Even if you are not considered an employer for other agree on Diana’s schedule, rate of pay, and job duties.
purposes or under other laws, such as paying taxes or
according to Medicaid, you may still be considered an In this example, Olivia is Diana’s employer. Olivia must follow
employer under the FLSA. This is because courts have the FLSA rules described later in this guide.
defined who is an employer very broadly under this law.
Olivia Diana
12 13
When you must pay minimum
wage and overtime
Agency
Joe
Marcus
14 15
When you must pay minimum
wage and overtime
16 17
Exemption from minimum
wage and overtime rules
Guidance on joint employment situations is available on The worker does not perform any general household
our Home Care website. work that is mostly for members of the household other
than the consumer, such as doing laundry or cooking
www.dol.gov/homecare/joint_employment
meals for the entire household.
18 19
Exemption from minimum
wage and overtime rules
Violet
Brianna
10+90
1 hour per week of
personal care
9 hours per week of
fellowship and
protection
20 21
Employment of family members
as home care workers
If a family (or household) member of the consumer is paid Keep in mind that the U.S. Department of Labor cannot assess or
to provide home care services, whoever is managing the influence determinations about the type or amount of services a plan
services is the family member’s employer under the FLSA. of care authorizes.
See joint
For example, the consumer and a home care agency could
employ-
jointly employ the consumer’s son or father.
ment:
page 18 Example: Paid family care provider
In those circumstances, family members must receive the
minimum wage and overtime pay for all time that is within
Martha is a paid provider of home care services for her brother
the employment relationship. But family care providers
Charles. Charles’s plan of care authorizes him to receive 40
also have a familial relationship with the consumer. Time
hours of personal care services per week. After Martha worked
within the familial relationship is not subject to the FLSA’s
the 40 hours for the week, on a Saturday evening Martha and
See minimum wage and overtime pay requirements. This can
Charles decided to go to a restaurant for dinner and then to a
minimum include time spent providing “natural supports,” or unpaid
movie. While they were out, Martha helped Charles eat his meal
wage and assistance provided by the family member. (Note that
and take his seat in the movie theater.
overtime: these are special circumstances for family or household
page 30 members. Any other home care worker must be paid for all
time spent providing services.) In this example, Martha must be paid according to the FLSA
rules for the 40 hours of paid services she provided. But as long
When a family member is a paid care provider, the as the plan of care would have provided the same 40 paid hours
Department of Labor looks at the plan of care or other regardless of who Charles selected as his paid care provider,
written agreement describing the paid services, because the time Martha spent with Charles at dinner and the movie is
that document shows what time falls under the employment outside the scope of their employment relationship and is not
relationship and what time is instead part of the family required to be paid.
relationship. But the employment relationship is limited
to the paid hours in a plan of care only if the family care
provider is treated in the same way any other worker would
have been treated. Most importantly, the number of paid See Fact Sheet #79F: Paid Family or Household Members
hours cannot have been reduced because the paid care in Certain Medicaid-Funded and Certain Other Publicly
provider is a family or household member of the consumer. Funded Programs Offering Home Care Services Under
the Fair Labor Standards Act (FLSA).
www.dol.gov/whd/homecare/factsheets.htm
22 23
Live-in home care workers
A special FLSA rule applies to home care workers who In determining the number of hours for which a live-in home care
live in the same home as the consumers they work for Example
worker ofyou and your employee can create an agreement
must be paid,
(called “live-in” home care workers). They are entitled regarding the worker’s schedule. It can exclude from work time:
See to receive at least the federal minimum wage for all their
minimum hours worked, but are not required to receive overtime
wage and
pay. This is called the “live-in domestic service employee Sleep time,
overtime:
exemption.” See
page 30
Only consumers and their families and households may hours
Meal breaks, and worked:
claim the live-in domestic service employee exemption.
Agencies or other outside employers of live-in workers page 35
must always pay overtime, even though you are not Other periods of off-duty time when the worker may
required to. either leave or stay at the home for purely personal pursuits
(provided such a personal break is long enough for the
What is a “live-in” home care worker? worker to make effective use of the time).
What is a "live-in home care worker?
You and your live-in home care worker can reach any agreement
regarding paid time that is reasonable given the facts of your situation.
To be a “live-in” home care worker, the employee must
However, if any part of the time that is supposed to be for sleeping,
either live at the consumer’s home full-time (that is, have no
meal breaks, or other periods of free time is interrupted by work, the
other home of their own), or spend at least 120 hours or five
worker must be paid for the time spent working. You and your live-in
consecutive days or nights in the consumer’s home per week.
home care worker should update the agreement whenever there are
significant differences between the unpaid times in the agreement and
A live-in home care worker could be a family member of the the worker’s actual schedule.
consumer or a provider who moved into a consumer’s home as
part of a shared living arrangement.
See Wage and Hour Division Fact Sheet 79B, Live-in
Domestic Service Workers Under the FLSA, for more
Workers who come to a consumer’s home for 24-hour shifts information about live-in home care workers and how
but are not present for at least 120 hours each week or for five they must be paid.
consecutive days or nights are not live-in workers.
www.dol.gov/whd/homecare/factsheets.htm
24 25
Live-in home care workers
See See
Stanley needs home care services, so he calls Local Stanley needs home care services, so he calls a
Live-in Live-in
Home Care Agency (Local), which sends Mary to registry, which gives him a few names of potential
Direct Direct
work for him. Mary moves out of her apartment and workers to interview. Stanley meets Mary and hires
Hire & Hire
into Stanley’s home, and she provides daily personal her. They agree that Mary will move out of her
Agency checklist:
care services to Stanley. Stanley and Mary agree on apartment and into Stanley’s home, and she will
checklists: page 42
her work schedule, and Stanley tells Mary what tasks provide daily personal care services to Stanley there.
pages 42-43
he would like her to perform. Local sets Mary’s pay Stanley and Mary create a written work schedule for
rate at $10 per hour. Mary and agree that Mary’s pay rate will be $10 per
hour.
In this situation, Local is Mary’s employer under
the FLSA and Stanley is Mary’s employer under In this example, because Mary is a live-in home care
the FLSA. Both Local and Stanley are responsible worker whose only employer is Stanley, she must
See See
section for making sure Mary receives at least the federal receive at least the minimum wage, but the FLSA
section
3(m) minimum wage. Only Local is responsible for does not require that she receive overtime pay. 3(m)
credit: making sure that Mary receives overtime pay, credit:
page 30 because Stanley, and only Stanley, can use the Because Mary is a live-in worker, it might be that page 30
live-in domestic service employee exemption. Stanley can count the value of the housing she
receives toward the wages he is required to pay.
Because Mary is a live-in worker, it might be that
Stanley and Local can count the value of the housing
she receives toward the wages he is required to pay.
26 27
How to follow the
FLSA rules
Minimum wage
30 31
Overtime pay
She receives $10 per hour for each of the first 40 hours in the
Example: Overtime calculations
workweek, which is $400. She receives $15 per hour for each of
the 10 hours over 40 in the workweek, because one and a half
Ellen is a certified nursing assistant employed by a home care
times $10 is $15. That equals another $150. So if Ellen receives
agency and consumers who need assistance with medically
$550 total, she has been paid according to the FLSA overtime
related tasks. Her pay rate is $10 per hour. The agency must
pay requirement.
follow the FLSA rules, including paying her overtime, because
agencies cannot claim the companionship services exemption.
The consumers who are her employers must follow the FLSA Workweek
rules, including paying her overtime, because she performs
medically related tasks for them and does not live in their $10 x 40 regular hours = $400
homes. $15 x 10 overtime hours = $150
If this is Ellen’s schedule in a certain workweek:
$550 in this
Day of Time Time Time Time Hours $400 + $150 =
workweek
Week In Out In Out Worked
Monday 6:00am 11:00am 2:00pm 7:00pm 10
Tuesday 6:30am 4:30pm 10
Reminder: The worker only needs to be paid once. So if an agency
Wednesday 6:00am 11:00am 3:30pm 7:00pm 8.5 or fiscal intermediary writes checks to your home care worker that
Thursday 6:00am 11:00am 3:00pm 10:30pm 12.5 include all of the wages owed, you don’t have to pay any additional
Friday 6:30am 3:30pm 9 wages to the employee.
Total 50
32 33
Hours worked
34 35
Recordkeeping
If your home care worker must be paid minimum wage and/ Additional recordkeeping requirements
or overtime, then someone must keep basic employment for live-in home care workers
records. If you have hired a home care worker directly,
See
you must keep the records. If you use an agency or fiscal An employer and a live-in domestic service employee may enter into
hours
worked: intermediary, they may keep the records, as long as you can an agreement regarding the employee’s meal, sleep, and other off-duty
page 35 access the records if you need to. time. If you and your home care worker have one of these agreements,
you must keep a copy of it.
Basic records employers must keep for each employee
include: An employer must also keep accurate records of time actually worked
by the live-in home care worker, to confirm that it matches the
1. Full name; agreement or show how it was different from the agreement. As with
See other records, a home care agency or other employer of your worker
minimum 2. Social security number;
can create and keep these records, as long as you can access them. If
wage and 3. Home address; you are keeping the records yourself, you may assign the employee the
overtime:
4. Hours worked each day and total hours worked each task of creating those records and submitting them to you, but you are
page 30
workweek; responsible for having them.
36 37
Consequences of not
complying with the FLSA
If you are responsible for paying a home care worker at least the federal
minimum wage and overtime and that worker does not receive all wages
Weekly Time Sheet Sample due, you are violating federal law. Your worker can sue you or file a
complaint with the Department of Labor asking the Department to
investigate. If it is found that you haven’t paid the full amount of wages
Employee Information owed under the FLSA, you will have to pay the missing amount—and
Full Name: possibly even double that amount—to your worker.
38 39
Other resources
Checklists for paying home
care workers properly
If YOU hired a home care If YOU hired a home care If YOU hired a home care If YOU hired a home care
worker directly, and that worker worker directly and that worker worker through an agency or worker through a Medicaid-
does not live with you, make lives with you, make sure YOU: non-profit organization: funded, self-directed program:
sure YOU:
Pay the worker the federal You are probably legally You are legally responsible
Pay the worker the federal
minimum wage for all responsible for making for making sure the worker
minimum wage for all
hours worked. sure the worker receives at receives at least the federal
hours worked up to 40 in a
least the federal minimum minimum wage and, if the
week.
Keep basic employment wage and, if the worker worker does not live with
records. does not live with you, you, overtime pay.
Pay overtime pay (one and
overtime pay, although
a half times the employee’s
Count all hours worked. the agency or non-profit If you use a fiscal
regular hourly rate) for any
organization can take care intermediary, make sure
hours over 40 in a week.
Strongly consider having of that obligation for you. the fiscal intermediary
a written agreement about pays the worker properly
Keep basic employment
schedules, breaks, sleep Make sure the agency and records all hours
records.
time, etc. you are using is paying actually worked.
the worker properly
Count all hours worked.
and recording all hours Make sure the fiscal
*In certain cases, you may worked. intermediary, state agency,
or regional center keeps
be able to use the companionship Make sure the agency is basic employment records,
services exemption, meaning you keeping basic employment and that you can access
do not have to pay minimum wage records, and that you can them if you need to.
and overtime. Go to page 19 to *For an explanation of which
access them if you need to.
learn if your worker qualifies. home care workers are “live-in”
employees, go to page 24.
42 43
Additional Information
■■ fact sheets,
■■ frequently asked questions,
■■ webinars,