Home and Community Care - Policy Manual

Publicly-subsidized home and community care services provide a range of health care and support services for eligible individuals who have acute, chronic, palliative or rehabilitative health care needs. These services are designed to complement and supplement, but not replace, your efforts to care for yourself with the assistance of your family, friends and community. Home and community care services can assist you on a short-term or long-term basis depending upon your needs.

The range of services includes community nursing, community rehabilitation and home support services, as well as adult day services, assisted living services and long-term care services, including short-stay services.

Home and Community Care Services are intended to:

  • Help you to remain independent and in your own home for as long as possible;
  • Provide care at home when you would otherwise require admission to hospital or would stay longer in hospital;
  • Provide assisted living and long-term care services if you can no longer be supported in your home; and
  • Support you and your family if you are nearing the end of your life, at home, in an assisted living residence or a long-term care home, which includes short-stay services such as hospice care.

Home and Community Care Policy Manual

Table of Contents (PDF, 128KB)

  1. Overview (PDF, 154KB)
  2. Client Access (PDF, 164KB)
  3. Performance Management (PDF, 95KB)
  4. Home Health Services (PDF, 281KB)
  5. Housing and Health Services (PDF, 150KB)
  6. Long-Term Care Services (PDF, 372KB)
  7. Client Rates (PDF, 305KB)
  8. Glossary (PDF, 147KB)

References (PDF, 118KB).

Home and Community Care Policy Manual Updates

This section documents recent changes made to the policies contained in the Home and Community Care Policy Manual.

Effective July 13, 2020

Policy 7, Client Rates – references to Canada Revenue Agency line numbers were updated to reflect current coding scheme, and “income tax return” was replaced by “notice of assessment or re-assessment”, where applicable, to accommodate amendments made to the Continuing Care Fees Regulation.

Effective May 7, 2020

Policy 4.C, Choice in Supports for Independent Living (CSIL) – the minimum hourly rates for CSIL funds were updated with the amounts for April 1, 2019, 2020, and 2021.

Effective January 1, 2020

Policy 7, Client Rates – the monthly rates, and the per diem rate for short-stay services, are updated with 2020 amounts.

Effective November 4, 2019

On November 4, 2019 Part 3 of the Health Care (Consent) and Care Facility (Admission) Act (HCCCFAA) come into force and applies to admission of adults into long-term care homes.

The following chapters/policies were created or had their language amended to reflect the requirements of Part 3 of the HCCCFAA:

  • Policy 6.D.2, Consent to Long-Term Care Home Admission
  • Chapter 6, Long-Term Care Services
  • Chapter 8, Glossary

Effective July 15, 2019

All chapters were revised and changed to reflect new terminology. The term “long-term care” replaces “residential care”, the term “long-term care home” replaces “residential care facility”, and the term “short-stay services” will replace “short-term residential care”.

The following chapters/policies were changed to reflect the new access policy:

  • Policy 2.D, Client Access, Assessment
  • Chapter 6, Long-Term Care Services
    • 6.A, General Description and Definitions
    • 6.C, Long-Term Services, Long-Term Service Needs Determination
    • 6.D, Long-term Services, Access to Services
    • 6.F, Long-Term Care Services, Benefits and Allowable Charges