Family-Managed Home Care Bookkeeping Services in Ontario
Introduction to Family Managed Home Care Program
What is Family-Managed Home Care (FMHC)?
We offer specialized Family-Managed Home Care bookkeeping services for Ontario families who want full control over their care-related finances. Our goal is to simplify the financial side of caregiving, so you can focus on what matters most providing quality support at home.
Family-Managed Home Care is an innovative model for delivering home care services in Ontario, available through all Home and Community Care Support Services organizations. This program empowers eligible patients and their families by giving them greater control over their care arrangements.
Instead of receiving services directly from contracted providers, patients or their substitute decision-makers such as a spouse or parent receive funding to hire their own care providers or purchase the necessary services. Participants in the program are responsible for managing their care providers and must report back to the Home and Community Care Support Services.
This approach promotes flexibility, personalized care, and independence for individuals who require home care support.
Learn more on the Ontario Health website about Family-Managed Home Care.
What are the responsibilities of the patient or SDM?
Under the Family-Managed Home Care (FMHC) program, patients or their Substitute Decision-Makers (SDMs)—such as a parent, spouse, or legal guardian take on significant responsibilities. These include overseeing both the care and financial aspects of home-based services.
They are responsible for:
Identifying the care needs of the patient and planning when and how services should be delivered
Recruiting, scheduling, and supervising care providers, including setting up contingency plans when needed
Acting as an employer, often for multiple providers, and managing contracts, schedules, and performance
Managing financial operations such as maintaining the SDC bank account, paying service providers, withholding taxes, obtaining insurance, and keeping accurate records
Submitting reports to Home and Community Care Support Services (ontario health at home), ensuring compliance with program guidelines
Our Family-Managed Home Care Bookkeeping (FMHC )Services
We provide simple bookkeeping services for families using Family-Managed Home Care in Ontario.
What’s Included in Our FMHC Bookkeeping Services
Accurate categorization and recording of all FMHC-related transactions
Professional monthly financial reports for Home and Community Care Support Services (ontario health at home)
Audit-ready record keeping and tax-ready documentation
Let us take care of your Family-Managed Home Care bookkeeping so you can focus on your loved ones.
How Our Bookkeeping Keeps You Compliant
“Our reports meet FMHC funding rules, which will make compliance easy so you can focus on caregiving and family-managed home care rules. We make compliance easier so you can focus on caregiving.”
Why Choose Carnation Consulting?
We understand the specific compliance and reporting standards set by Ontario’s healthcare programs. We keep your records clear, complete, and always ready.
Our Team
afrouz baghaki
MBA senior account manager
reza soltanmohammadi
founder
ali morakbati
MSc account manager
Frequently Asked Questions
What types of services are included in Family-Managed Home Care?
FMHC funding can be used to hire Personal Support Workers (PSWs), nurses, occupational therapists, physiotherapists, and other approved healthcare providers. Additionally, you can hire a bookkeeper to assist with FMHC-related reporting. Personal expenses such as rent, groceries, and other non-care-related costs are not covered.
What is the cost of hiring a bookkeeper for FMHC?
There is no additional cost for bookkeeping services, as the expense is included in your FMHC funding.
Is Carnation Consulting eligible to be my Bookkeeper for FMHC?
Yes. Our firm has all the requirements set forth by Ontario Health at Home including but not limited to CPA designation, National Payroll institution membership, Business number and proof of Insurance.
How much financial support is available?
The amount of funding depends on the individual’s care needs and the required hours of support. Ontario Health at Home will assess the situation and determine the appropriate funding based on the evaluation.
Can I employ a family member as a caregiver?
Yes, family members can be paid as caregivers under FMHC, provided they meet the eligibility criteria and are delivering direct care services.
What duties do I have as a family manager?
As a family manager, you are responsible for recruiting, hiring, and training caregivers, managing payroll, submitting documentation, and ensuring compliance with Ontario Health at Home requirements.
Is Family-Managed Home Care available throughout Ontario?
Yes, FMHC is available across Ontario, although funding availability and eligibility criteria may vary depending on the region.
What happens if the care needs change over time?
If care needs increase, families can request a reassessment from Ontario Health at Home to determine if additional funding or services are necessary.