Very few supportive care programs have worker certification standards. Four-fifths of the study states license home health agencies, and there is little variation in approaches to licensure. Provider approval is more common for supportive care providers who are not regulated by licensure. A number of other standards for home care, such as bills of client rights, accreditation, codes of ethics, and criminal record checks, are used less frequently. Monitoring of home care .
Monitoring is the act of checking that standards are met.
States employ several mechanisms to monitor the quality of home care in both home health and supportive care programs. Worker supervision is almost universally required, but the specific requirements for supervision vary considerably. Medicaid home health program requirements are the most consistent, largely because Medicaid follows the Medicare Conditions of Participation. A few supportive care programs pattern supervision requirements after home health programs. Supervisory home-visits, required by all home health programs, are also used by many supportive care programs.