Articles · Choosing an agency

How to choose a White Card home health agency — and the questions to ask first.

Your White Card is worth lifetime medical care. That makes you a customer every agency wants. Most people in this field do honest work — and the choice of agency still deserves the same care as the claim itself. Here are the seven questions that tell you almost everything.

The seven questions to ask any agency.

  1. Who owns you? A person’s name is an answer. “An investment group” is also an answer — just a different one. Ownership is a fact you are entitled to know. More on why ownership matters →
  2. Will you show me what you bill under my card? The right answer is an unhesitating yes. Every visit billed should be a visit that happened, documented at the time of care.
  3. Who writes my Letter of Medical Necessity, and from what? The LMN sets your care and your hours. Ask whether it is written from recorded clinical data or assembled from memory when the renewal is due. What an LMN is →
  4. What happens when my authorization is due for renewal? You should never learn about a lapse from a cancelled visit. Ask who tracks the date and when the paperwork starts.
  5. Are your nurses local? Ask whether the people in your home live in your community or rotate through it.
  6. Do you take any percentage of my compensation? The answer must be no. Free help exists for the claim itself: the DOL’s Las Vegas Resource Center, (702) 697-0841, charges nothing.
  7. Were you offered anything for this referral? If anyone was paid to send you to an agency, you deserve to know. Paying for patient referrals is prohibited in federal benefit programs, including this one.

How Alara answers them.

  • Ownership: Alara is owned by a nurse in Las Vegas — not founded by one and later sold. That nurse is the Director of Nursing, and a Director of Nursing reviews every start of care.
  • Billing: our standard is in writing — every visit billed is a visit that occurred, documented in the care record at the time of care. Read it →
  • The LMN: drafted from the in-home assessment with the hours grid mapped to accepted conditions, then carried by AlaraOS through signature, authorization, and every renewal — never written from recollection. How your hours are set →
  • Renewals: tracked from day one; the documentation is assembled before it is due.
  • Local nurses: Alara does not use traveling or agency nurses. The clinicians who walk into your home live in Southern Nevada, and you will know them by name.
  • Compensation: we never take a percentage of anyone’s award, and we point you to the free Resource Center for the claim itself.
  • Referral inducements: nothing is offered and nothing is accepted for a referral — not to physicians, not to claimants, not to anyone. A referral to Alara is earned by the answers above or not at all.

Common questions.

Is it safe to switch agencies?

Yes. Your White Card belongs to you, not to any agency. You can change providers, and your covered care continues at no cost to you. A new agency verifies your card and authorization and coordinates the transition.

Who can help me for free?

The Department of Labor’s Las Vegas Resource Center, (702) 697-0841, is the free, provider-neutral office for filing and claim questions. You never pay anyone a percentage of an award for help.

General information, not legal advice. For the claim itself, the Department of Labor’s Las Vegas Resource Center, (702) 697-0841, is free and provider-neutral.

Choosing an agency right now?

Start a case review. A nurse reads your work and your illness together and tells you what your card can open — and you can ask us all seven questions.

Alara helps you understand and reach benefits you may already be entitled to. It does not replace the Department of Labor, your Resource Center, your physician, or any federal agency. Nothing here is legal advice or a coverage or eligibility determination.