Beginning July 1, 2014, amendments to O. Reg. 386/99, Provision
of Community Services, under the Home Care and Community Services
Act (HCCSA) will come into effect. The changes primarily affect the
provision of personal support and homemaking services under
sections 2.1, 3 and 8 of Reg. 386/99.
Definition of Community Care Access Centre
The definition of "community care access centre" will
Currently, a community care access centre is defined
as an approved agency that provides homemaking, personal support
and professional services but does not include an approved agency
that provides such services to persons with acquired brain
The new definition will state that a community care access
centre is an approved agency that is a community care access
corporation within the meaning of the Community Care Access
Corporations Act, 2001.
The change in definition broadens the meaning of approved agency
such that an approved agency is no longer necessarily a community
care access centre.
Eligibility for Personal Support Services
Section 2.1 of Reg. 386/99, will be expanded to restrict an
approved agency including a CCAC, from providing personal support
services to an individual who is a resident of a long-term care
home under the Long-Term Care Homes Act, 2007.
Maximum Amount of Homemaking and Personal Support Services
What constitutes the maximum amount of homemaking and personal
support services will be re-stated under section 3 of Reg.
Commencing July 1st, an approved agency shall not provide
or arrange for more than 120 hours in the first 30
days, or 90 hours in any subsequent period of homemaking or
personal support services or any combination of these
services, unless extraordinary circumstances exist.
The maximum amount will also apply to the total hours of
homemaking and personal support services or any combination of
services, provided or arranged for by more than one
The changes to the maximum amount will apply only to homemaking
and personal support services provided to a person at his or her
place of residence.
The current restriction of not including school health personal
support services in determining the maximum amount of services will
remain in place.
Exemptions will be added to section 8 of Reg. 386/99, which may
affect the provision of homemaking and personal support
An approved agency, including a CCAC, will be exempt from the
provisions of Reg. 386/99 when providing personal support services
under the following Ministry policies:
The Long-Term Care Supportive Housing Policy.
The policy set out in "Attendant Outreach Services –
Policy Guidelines and Operational Standards".
The policy set out in "Self-Managed Attendant Services in
Ontario – Direct Funding Pilot Project – Policy
An approved agency that is not a CCAC, which provides homemaking
and personal support services to persons with acquired brain
injuries, will be exempt from the provisions of Reg. 386/99.
When a CCAC determines that a person who requires personal
support services should receive these services from an approved
agency that is not a CCAC, the CCAC may refer the person to an
approved agency and the CCAC will be exempted from the Plan
of Service requirements under section 22 of the
When an approved agency that is not a CCAC determines that a
person who requires personal support services should receive these
services from a CCAC, the approved agency may refer the person to a
CCAC and the approved agency will be exempt from the
Plan of Service requirements under section 22 of
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