Quick answer
Choose a home care agency by asking how it screens, trains and supervises caregivers, how it handles missed shifts and backup, whether caregivers are employees, what it charges (the 2025 median was $34 an hour in Kansas and $33 in Missouri), and what the contract requires. Interview two or three agencies, check references, and meet the caregiver first. (800) 614-8388 and we'll help you find agencies near you.
Questions about caregivers
- How do you screen caregivers? Background checks? References?
- What training do they get, including for dementia?
- Are caregivers your employees, or independent contractors?
- Can we meet the caregiver before care starts?
- Can we ask for a different caregiver?
- How do you keep the same caregivers on a schedule?
Questions about supervision and backup
- Who supervises caregivers, and how often do they visit?
- What happens if a caregiver is sick or late?
- How do caregivers record care and report changes?
- Who do we call after hours?
Questions about cost and contract
- What is the hourly rate? Does it change on nights, weekends or holidays?
- Is there a minimum number of hours per visit or week?
- What are the deposit, billing and cancellation rules?
- Do you work with long-term care insurance, VA or Medicaid programs?
- Is there a care plan in writing?
Check before you sign
- Ask whether the agency holds any state license or certification that applies.
- Ask for references from current clients.
- Ask about insurance and bonding.
- For Medicare home health agencies, look them up on Medicare Care Compare.
Red flags
- Can't explain screening or training clearly.
- Pressure to sign a long contract.
- No backup plan for missed shifts.
- Vague or changing prices.
Want help finding an agency?
We'll introduce you to home care agencies near Kansas City that fit your needs. Free.
Questions families ask
How much does a home care agency charge?
The 2025 median was $34 an hour in Kansas and $33 in Missouri (CareScout Cost of Care Survey 2025). Agencies vary.
Is it better to hire through an agency or privately?
Agencies handle screening, payroll and backup; private hires may cost less but you take on those jobs. See finding a caregiver.
What should a home care contract include?
Rates, minimum hours, billing, cancellation terms and a written care plan.
Can we change caregivers?
Most agencies will. Ask before signing.