What the law gives you.
Provider choice belongs to the patient. The Department of Labor does not assign you to an agency and no agency owns your authorization. You can move your care, and covered care continues at no cost to you.
How the switch works.
- Pick the new agency — and ask it the seven questions. The list →
- Send the referral. The new agency verifies your card, your accepted conditions, and your current authorization. Ours takes two minutes →
- The transition is coordinated — physician order, authorization, and start of care timed so there is no gap. That coordination is the new agency’s job, not yours.
The old agency cannot hold your card, your records, or your authorization hostage. Your medical records are yours by law, and the authorization follows the patient.
Why families switch to Alara.
Permission to switch answers half the question. The other half is whether the next agency will be different from the last one. The reasons families give:
- Nurses you will actually know. Alara does not use traveling or agency nurses — the clinicians in your home live in Southern Nevada, and you stop re-explaining your story to a rotating cast.
- Hours built from evidence, not memory. Your Letter of Medical Necessity and renewal documentation are drafted from recorded clinical data in your care record — so hours that were cut can be re-documented at the next renewal. How hours are set →
- Owned by the nurse accountable for your care — not an investment group — and billing you can verify with the DOL directly.
Common questions.
Will switching restart my authorization?
No — the authorization is tied to you and your plan of care. The new agency coordinates the handoff with your physician and the DOL.
Do I have to tell the old agency why?
No. A simple notice is enough; the new agency can handle the coordination from there.
Sources: U.S. Department of Labor, Home & Residential Health Care brochure (provider choice; DEEOIC does not endorse providers).