Apply to Become an Independent Contractor/Host Home Provider
Step 1: Review the Independent Contractor/Host Home Provider Requirements
Step 2: Fill Out Your Initial Application
Step 3: Complete Your Independent Contractor/Host Home Provider Application Packet
Independent Contractor/Host Home Provider Packet
In order to process your application to become an Independent Contractor/Host Home Provider, you must supply the following documents:
- A Completed Application
If you did not fill out the electronic application (Step 2), or if you would simply prefer to fill out a paper copy of the application, please
Download Independent Contractor/Host Home Provider Application
- A Copy of Your Current Motor Vehicle Record
- Signed Background Check Releases
Download Background Screening Authorization
- A Signed Reference Authorization Release
Download Reference Authorization Release
- Your Trade Name
Fax Your Packet
Attention: Quality Living Options
Mail Your Packet
Attention: Quality Living Options
Developmental Disabilities Resource Center
11177 West 8th Avenue
Lakewood, CO 80215
What is an Independent Contractor?
An independent contractor (Independent Contractor/Host Home Provider) is an individual contracted to provide supervision, support, and/or personal care to a person with a developmental disability.
QLO primarily serves people with developmental disabilities, but has provided for others who may also be challenged by mental health issues. The Host Home Model was designed during a period of "deinstitutionalization", when people with disabilities were being encouraged to consider alternatives to living in large institutions that were much like hospitals. Life was lived almost entirely on the grounds of the facility, making contact with the community-at-large infrequent. To achieve the most "normalized" living for those who needed assistance in daily living, the QLO Host Home Program was developed. It has been a significant improvement in the lives of those with special needs.
It is important to point out that an Independent Contractor/Host Home Provider is under contract with QLO. The provider is paid a stipend, which is specified in the contract along with the responsibilities of both QLO and the Provider. Although we expect at least a one-year commitment, contracts are, in fact, open-ended. QLO will closely monitor the care of the client and observe whether the responsibilities stated within the contract are being fulfilled. If there is any concern, the Independent Contractor/Host Home Provider will be presented with the specific problem and a plan of resolution will be developed.
Becoming an Independent Contractor/Host Home Provider means opening your home and your life to many outside influences. By accepting a client into your life, you are also inviting the concern of the individual's family, professional team, friends, and community members.
Therefore it is necessary to remember that you will often be asked to describe your lifestyle, recreational activities, daily routines, family interactions and the like to others who are involved in the consumer's life. It is not the intention of the agency to unnecessarily expose your personal life; however, if issues arise for the client we are obliged to determine the cause, and this may require us to ask about family circumstances, relationships, job situations, or other areas of your life that may tangentially affect the client. While we acknowledge your right to privacy, and have every intention of protecting it, our primary responsibility is for the safety and well-being of the client.
In the same vein, we fully expect that should you experience a significant event of issue in your life that you will inform us in a timeline manner. Examples of this may be a job change, engagement to be married, expecting a child, etc. We also must be made aware of any changes in your household, particularly when someone moves into or out of the home, be it a relative, friend, foster child, or client from another agency. Changes such as at these may affect the client and therefore the viability of the placement, so it is in everyone's best interest for you to notify us when they are anticipated. It is understood that some situations may be personally uncomfortable, such as a divorce or legal involvement, but QLO must know about these, too. It would be impossible to list all of the events that may potentially affect a person in your home, so it must suffice to say that QLO considers disclosure a vital tool in the clinical treatment of the client and full expects the Provider's cooperation in this area.
It states in your contract with QLO that you are expected to provide 24-hour supervision. What exactly does this mean?
Certainly, you do not see the person during the entire time s/he is at day program. Neither are you expected to stay awake all night to monitor the consumer. It does mean, however, that you are accountable for the safety and general welfare of the person at all times. For some individuals, making sure they are safe means being with them or near them, able to hear them at any moment and respond immediately, day or night. For others, your being outside in the yard while the client is inside alone is acceptable. Still others may be able to spend time independently while you run to the store for some milk. In a nutshell, each individual's needs are different and so is the level of supervision. Therefore, supervision levels are determined by assessment and recorded in the Individual Plan developed by the team. The provider is then responsible for maintaining the level of supervision specified in the plan. Remember: A provider should never make a decision about proper supervision without the team's consensus. Rely on your team to help you make sound judgments about supervision and don't make assumptions about a window of unsupervised time based only on past history.
Because QLO is responsible for the safety and well-being of each client under its care, there are factors in the home environment that are of interest to the agency. The general expectation is that the environment be clean, safe, and comfortable.
Therefore, certain conditions may need to be met in order to being or maintain a placement. HUD inspections are done prior to each placement and annually thereafter. All homes must also meet city ordinances. In the development of a placement, every attempt is made to match providers and clients so that neither party must change his or her lifestyle significantly in order to live together comfortably. However, you should bear in mind that once a client lives with you, it is no longer just your home but one you share with another person whose needs must be considered.
- Cleanliness:The cleanliness of your home is a subject that is as important to discuss as it is difficult to assess. Beyond the basics of compliance with HUD inspection, everyone has different opinions about how clean a house should be, and what aspects of cleaning are the most important. Some people can't stand cluttered tabletops but seldom clean the floors. Others leave all sorts of stuff lying around, but vacuum every day. It is impossible for QLO to develop a standard of cleanliness to which every provider must adhere. Therefore any judgment regarding the cleanliness of your home that is not covered in the HUD expectations will be made relative to the welfare of the individual for whom you have taken on the responsibility of care and treatment. Hopefully, care has been taken to match your lifestyle with that of the client, so that compatibility in your housekeeping habits has been achieved already. However, if a client is particularly disturbed by clutter, for example, you will be expected to reduce the clutter so that the client is able to relax in the home environment. Be aware that it is the Program Manager's responsibility to address cleanliness issues with you. It is understood that this may be uncomfortable, but quality of care may necessitate such discussions.
- Safety: Safety is another matter of consideration in determining the appropriateness of the environment to the client's needs. The home should be well maintained, and everything the client uses should be in good working order. Walkways should be unobstructed and suit the person's ability to move about. Sometimes adaptations are needed, such as grab bars, railings, or ramps; if so, they should be installed in a timely manner.
- Comfort: The consumer should be able to enjoy an environment that meets his or her level of comfort. This may mean turning up the heat, turning down the music, or whatever is important to that particular person. While it is not necessarily required by the state, Quality Living Options seldom deviates from the policy of one person to a room. Adults in our society usually have personal space and are not sharing a bedroom with unrelated persons. Our clients have sometimes had to face daunting challenges when sharing space with a variety of persons in more institutional settings. Our policy is one person to one room.
As you already know, you will be paid a stipend in accordance with your contract for the care of the individual that QLO has placed with you. Out of this stipend, you are expected to provide for the individual's basic needs such as food (three balanced meals a day) and shelter.
Medicaid, Medicare, or personal insurance most often covers medical expenses; co-payments can be covered out of the client's personal needs.
Sometimes the individual's day program may ask that you send in a small about of money daily or weekly for a regular outing where meals would be included. You will need to provide basic furniture such as a dresser, bed, and lamp(s). In some cases, the consumer will already own these items. Clients can pay for most of their basic recreational activities, providing they have funds to so: bowling, swimming, movies, and admission to sporting or musical events. You will not need to pay for larger recreational activities. For example, if a client bowls, this would be considered an alloable expense under personal needs money; additionally, you will not need to pay for a client joining a bowling league. Recreational expenses such as admissions to events or supplies for special interests or hobbies would generally be considered the client's responsibility. It should be understood that if the person's wages cannot cover the expense for the items that would enhance his/her quality of life, then you would need to work with the team to explore options and assist the person in acquiring them. Please refer to the Personal Needs Funds and Property Forms for further clarification around allowable and non-allowable expenses for the client.
Please remember that the person with whom you live is striving for the same quality of life that you would desire. Just supplying food is not enough; it should be a source of enjoyment as well as good health. Clothing, which can be purchased with a personal needs funds or wages, should be up-to-date, appropriate to the person's age, and should promote the person's image as a values and accepted community member. Should there be any question as to the quality of material needs being supplied to the client, QLO will inquire into the matter.
Host Home Move Process
Pursuant to CRS 27.10.5, Community Centered Boards are responsible for assuring health and safety of individuals receiving services.
Therefore, it is understood that if the health and safety of an individual receiving services is in jeopardy, this move process may not apply. All necessary actions will be taken to assure the individual's health and welfare.
CCBs and PASAs are committed, to the extent possible, to respecting individual choice and facilitating reasonable and feasible service changes in the best interest of persons receiving services. Changes, however, may be limited by the ability of these agencies to provide alternatives.
The Host Home Model of service is one of the service options offered within the Individual Residential Services and Supports program. Independent Contractor/Host Home Providers are independent contractors (IC) who contract with an Agency (CCB or PASA) to provide Host Home services to an individual(s).
As with all moves requested by individuals and/or guardians all parties must act in the best interest of the individual receiving services. Move requests are not to be taken lightly and it is the responsibility of the CCB to assure that all practical steps have been taken to resolve issues without a move, when appropriate. CCBs should have policies to this effect and must document actions to assure that the move is in the best interest of the person receiving services.
One of the major issues related to the Host Home model of service occurs when Independent Contractor/Host Home Providers move from one agency to another.
While individual providers may have legitimate reasons to move from one agency to another, any such movement cannot be made with the assumption that the person receiving services will automatically move with the Independent Contractor/Host Home Provider. Independent Contractor/Host Home Providers should be aware that if they change agencies, they must do so without the individual going with them. If an Independent Contractor/Host Home Provider wishes to leave the Agency with which it is contracting, that Agency and the CCB must be notified prior to the termination of the contract. The CCB and the Agency will then work with the individual receiving services and/or his/her legal guardian to find another Independent Contractor/Host Home Provider.
It is inappropriate and unethical for any part (Independent Contractor/Host Home Provider, PASA, CCB, Case Manager/Resource Coordinator) to unduly influence individuals, families, advocates or others regarding a move. It is also inappropriate for Agencies to recruit or entertain proposals from Independent Contractor/Host Home Providers without following the established move process. When an Agency is contracted by an individual receiving services from another agency and/or his/her legal guardian, the Agency will refer the individual to the CCB.
When the Agency is contacted by an Independent Contractor/Host Home Provider researching contracting with that Agency, the Agency may entertain an Independent Contractor/Host Home Provider as a potential contractee. The Agency may not, however, discuss contracting with the Independent Contractor/Host Home Provider for an individual served by another Agency. In this case, the Agency will refer the Independent Contractor/Host Home Provider to the Agency with which the Provider currently contracts and to the CCB.
When an individual (and/or his/her legal guardian) chooses to move, processes must be in place to assure that the move is warranted and that it is appropriate for, and in the best interest of, the person receiving services. Moves must never be made for the convenience of the CCB, the PASA, or the Independent Contractor/Host Home Provider/Independent Contractor. Any moves must comply with the established move process.