The questions that come after you get the card.
Getting the White Card is one milestone. Living with the program is everything that comes after it: care hours, family caregivers, new conditions, physician paperwork, authorizations, billing, switching agencies, and knowing what to ask when something does not make sense. This is where we answer those questions.
Can I switch White Card home health agencies?
Your card belongs to you. See what changes, what stays the same, and what to check before you move your care.
Read the switching guide → Care hoursWhat if the authorized hours are not enough?
Understand who documents the need, who authorizes the hours, and what evidence matters when your condition changes.
Read the hours guide → Family caregiversCan a daughter, son, or spouse be paid for care?
Learn when family caregiving may fit into authorized care, and what screening, training, employment, and supervision requirements still apply.
Read the family-caregiver guide → Accepted conditionsWhat if the accepted illness caused another problem?
See how consequential conditions work, what medical connection has to be shown, and what changes if DOL accepts the additional condition.
Read the consequential-condition guide → BillingWho gets billed for White Card home health?
See how authorized care is billed to the Department of Labor, what the family should expect, and how to verify what was billed under the card.
Read the billing guide → Choosing an agencyWhat should I ask before choosing a provider?
Use a practical provider-selection checklist: licensure, DOL experience, clinical oversight, continuity, billing integrity, and who is accountable when something changes.
Read the choosing-an-agency guide →We want you to understand the program, not just the visit on the calendar.
Alara Home Care is a Nevada-licensed, nurse-owned home health agency serving Clark and Nye Counties, including Pahrump. White Card care sits inside a larger federal program, and families should not have to learn that program by accident. We explain how the pieces fit together, help you understand what documentation and authorization mean, and handle the home-health work that belongs to Alara: clinical assessment, physician communication, documentation, applicable authorization work, and billing for the care we provide. DOL still decides eligibility, accepted conditions, and authorization. You can verify our credentials, read why families consider Alara for White Card care, or send a referral through our physician guide.
Five questions families ask most.
Can I switch White Card home health agencies?
Yes. Your White Card belongs to you, not to a home health agency. A new provider can verify your card and authorization and coordinate the transition so care can continue under the Department of Labor program.
How are White Card home health hours decided?
The treating physician documents medical necessity, including the type and amount of care needed, and the Department of Labor authorizes the covered services. If needs change, the clinical record and physician documentation should reflect that change.
Can a family member be paid to provide White Card care?
In some EEOICPA home-care arrangements, an eligible family member may be hired and paid by the home health agency to provide authorized care after required screening, training, and supervision. Eligibility depends on the patient, authorization, and agency requirements.
What is a consequential condition under EEOICPA?
A consequential condition is a new condition caused or aggravated by an accepted EEOICPA condition or its treatment. If the Department of Labor accepts the relationship, the additional condition can be added to the White Card for covered medical care.
How does White Card home health billing work?
For authorized care tied to accepted conditions, the enrolled provider bills the Department of Labor directly. Covered White Card services do not require the patient to pay copays or deductibles.