Information on special care facilities for services providers supporting income or disability assistance clients

Last updated on October 25, 2023

Support for accommodation and care in a special care facility or residence may be available for individuals who need it.

On this page:


User fee support is available for facilities or residences that qualify as either:

  • Residential care
  • Assisted living

If your client is in a location that doesn’t qualify, we can only pay for:

  • Support and shelter allowances
  • Room and board (if eligible)

Your client may also be eligible for:

  • Clothing supplements to purchase necessary clothing if it’s not provided by the location and no alternative resources are available
  • Transportation to residential alcohol and drug facilities for recipients of income and disability assistance
  • Alcohol and drug treatment supplements to pay for alcohol and drug counselling
  • housing supplement while they are temporarily absent from their home

Confirming eligibility

To confirm eligibility for those on income or disability assistance, you must complete the top section of the HR3639 form. Fax it to 1-855-771-8768 before your client’s admittance to a location.  We will:

  • Contact you to confirm your client’s eligibility and any income that would affect user rates
  • Complete the bottom section of the HR3639 form and fax it back to you

To confirm eligibility if your client is not on income or disability assistance:

  • Your client must apply for assistance first
  • Upload a completed HR3319 form:

Eligibility is based on the date their application is submitted.

To confirm eligibility if your client does not have a Social Insurance Number (SIN), you must fax these signed forms to 1-844-371-8896: 

  • HR3319
  • HR3189
  • HR3189A

If your client requires support to apply for assistance, include the reason, such as:

  • No SIN
  • Incapable of completing an application on their own
  • Requires an interpreter
  • Difficulty reading

Admittance and discharge process

You must complete a HR3319 form within 24 hours of admittance and fax it to 1-855-771-8768 when:

  • It’s time to admit your client and set up a user rate
  • Your client is discharged from the location

Admittance

When you’ve sent the HR3319, we will complete the bottom part and fax it back, confirming:

  • If your client is eligible
  • Any user charges
  • The eligibility date
  • Current or pending income deductions

Discharge

The completed form should:

  • Confirm the user rate
  • Include dates of your client’s stay
  • Confirm your client received the benefits they’re entitled to

Invoicing and payment

Once your client is admitted to a location, we will pay the approved user rate on the date of:

  • Admission
  • Eligibility for income assistance

There will be no payments for:

  • The day of discharge
  • In case of death 

Use invoice forms:

Electronic invoices are available through the Service Provider Portal. To request paper invoices:

When completing the invoice

  • Do not include more than 11 client names per invoice
  • Deduct any excess earned income and unearned income from the monthly invoice
    • For example, the facility/residence must deduct $500 from the invoice if your client gets $500 in monthly Canada Pension Plan (CPP) benefits
  • Do not deduct the CPP tax exemption from the invoice
  • Each residence/house has its own Service Provider ID number
    • Contact us to find this number
  • Submit the invoice on the first day of each month after the service starts
    • For example, submit the June invoice on July 1

Submit the invoice

Reporting changes

Contact us at 1-866-866-0800 or fax 1-855-771-8768 if there are any changes to the:

  • Name of the location
  • Payment amounts or methods
  • Location’s owner

Client income and user rates

When your client receives income, it may affect the amount we pay for user rates:

  • One-time income is fully deducted for the month the income was received
  • Ongoing income is fully deducted every month, starting the month the income is first received
  • We treat earned and unearned income differently

Clients 65 and over

Clients who are receiving Old Age Security (OAS)/Guaranteed Income Supplement (GIS) pay their own user fees. However, they’re eligible for assistance for the month:

  • They turn 65
  • After they turn 65

For example, if your client turns 65 in April, they’re eligible for subsidised user fees for April and May. They’re responsible for paying their own user rates starting in June.

We may pay user rates for clients not receiving OAS/GIS. Eligibility is determined monthly. To confirm eligibility, we need:

  • Confirmation of application for both OAS and GIS
  • A current 30-day bank statement
Service Provider Portal

Use this portal to get access to self-service options for the service you provide. It can help speed up data submission and payment processes.