What are provider "care management" and "package management" fees?
Under Support at Home, the old separate package-management fee has ended. For ongoing services, 10% of each quarterly budget is set aside nationally for care management, which is delivered by a care partner even when you self-manage parts of your care.

Key points
- The former separate package-management fee is no longer the standard model.
- 10% of ongoing quarterly funding supports care management.
- Service prices still matter and should be transparent.
Care management includes understanding your goals, coordinating approved services, reviewing risks, monitoring whether supports remain suitable and helping respond when needs change. For ongoing Support at Home participants, 10% is deducted from the quarterly budget to fund this work.
Providers may still have administration built into the prices of individual services, but they should explain their prices clearly. People on transitioned arrangements may see terminology from the former HCP system in older documents.
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01Guide sectionWhat should I do next?
Ask a provider to show you the care-management allocation, the price of each service and the estimated direct-care hours your budget will purchase.
02Guide sectionHelpful Local Home Help resources
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