PHI Matching Services Project

The PHI Matching Service Registries Project tracks the development of nonprofit matching services registries across the country. We identified 33 nonprofit registries operating across 23 states. These intermediaries connect consumers looking for providers of home care or personal assistance services with an available pool of workers—helping to “match” the two individuals based on needs, preferences, and availability.

Contact Us

Please send us your comments and suggestions on this project. We particularly welcome any new information on matching service registries in your state. We expect to be adding additional fields of information on each matching service registry in the next few months.

Send comments and inquiries to Abby Marquand at amarquand@phinational.org.

This project is funded with support from the National Institute on Disability and Rehabilitation Research (Grant No. H133B130034) through the Community Living Policy Center.

About the Project

Personal assistance and home care services are evolving. Consumers are increasingly receiving these services through self-directed programs where consumers or their families hire and supervise caregivers directly. The absence of a traditional home care agency can pose challenges for consumers and workers seeking to locate one another.

Several states and organizations are experimenting with solutions that more efficiently connect consumers with workers. One approach is a “matching service registry.” This labor market intermediary creates a platform for matching supply and demand by allowing consumers to tap into an up-to-date registry of available workers, and workers to signal their availability for employment.

The goals of this project are to:

  • Document and track matching service registries across the states
  • Highlight learnings from these efforts
  • Encourage policies that improve and support infrastructure for self-direction

What Matching Services Do

Matching service registries typically gather detailed information about the consumer’s needs and preferences and the worker’s availability, skills, and preferences. Consumers and workers must each initiate their side of the transaction.

When a consumer contacts the registry with a request for a worker, the matching itself is done in one of two ways: either the consumer performs their own electronic searches of the worker database using one or more searchable criteria (e.g., zip code or availability by day of week/time of day), or connects with trained staff who in turn conduct the database searches and report the search results back to the consumer.

Matching services also may connect users to additional services such as: worker screening and orientation, access to consumer and worker training, and recruitment and outreach to potential workers.

What We Are Finding

Matching service registries are a growing phenomenon but are still limited. The configuration of a registry (e.g., funding sources, geographic area served, requirements for registration, etc.) varies greatly according to the needs and preferences of both registry operators and the populations served. Each configuration poses unique advantages and challenges. Generally, nonprofit matching service registries offset much of their expenses through public funding and grants and are thus able to provide a low cost service to connect workers and consumers.

Total # of Registries The PHI Matching Services Project has identified 30 nonprofit registries in 23 states.
Statewide vs. Regional

19 registries are statewide
11 registries serve a region within a state

  • 6 regional registries are located in CA
  • The remaining 6 regional registries are located in ID, IL, MN, OH, and PA
Funding Sources

26 registries rely primarily on public funds to operate
3 registries rely on foundation grants to operate
1 registry is run by volunteers

Respite Services

3 matching service registries offer respite services

Centers for Independent Living

10 registries are run by Centers for Independent Living

Shared Platforms

12 registries share online platforms

  • 5 registries in CA share the QuickMatch platform
  • 7 registries (AZ, CT, MA, NH, NJ, RI, VT) share the Rewarding Work, Inc. platform
State Registry Name Region Maintained by Eligibility Consumer Count Provider Count
Arizona Rewarding Work Respite Services Statewide Arizona Caregiver Coalition and Rewarding Work Resources, Inc. Small monthly fee for all consumers. 138 431
  This state funded registry provides respite services exclusively. Both consumers and agencies are able to hire workers from the registry. Listings include both independent providers and agencies. Consumers pay a small registration fee and registration for providers is free of charge. There are not eligibility restrictions for consumers; however, providers must complete state-required training before they are listed. Consumers can perform listing searches based on a variety of criteria. Once a match is made, it is up to the consumer and worker to update their respective profiles. The service automatically sends email reminders to perform updates. Once a worker submits his or her application, they are immediately added to the registry. Background checks and training are not required for the workers.
Arkansas Arkansas Direct Care Services Registry Statewide Arkansas Department of Human Services, Division of Aging and Adult Services Free for all consumers. - 669
  This state funded registry is open to any consumer. Workers are searchable based on a variety of criteria. The registry is free for providers and consumers. There are no training requirements or background checks required. New consumers must sign an agreement, acknowledging their responsibilities as an employer. Once a match is made, it is the responsibility of the consumer to report this information back to the registry.
California Alameda County QuickMatch Alameda County Center for Independent Living Berkeley, Community Resources for Indpendent Living (CRIL) Free for all consumers. 154 29
  This grant-funded registry is open to any consumer. Workers are searchable based on a comprehensive list of characteristics. Each worker’s profile also includes an audio recording of the worker introducing himself or herself. Currently, the registry is free for providers and consumers. While the online platform is open to anyone, personnel at Access to Independence often assist individuals without internet access over the phone and in person. Once a consumer attempts to contact a worker, staff are notified. Staff follows up with a phone call to the consumer to see if they were able to establish a match. Once a successful match is made, staff updates consumer and worker profiles accordingly.
California Central Coast Center for Independent Living QuickMatch Santa Cruz County, Monterery County Central Coast Center for Independent Living Free for all consumers. 5 9
  This grant-funded registry is open to any consumer. Workers are searchable based on a comprehensive list of characteristics. Each worker’s profile also includes an audio recording of the worker introducing himself or herself. Currently, the registry is free for providers and consumers. While the online platform is open to anyone, staff at Access to Independence often assist individuals without internet access over the phone and in person. Once a consumer attempts to contact a worker, staff are notified. Staff follows up with a phone call to the consumer to see if they were able to establish a match. Once a successful match is made, staff updates consumer and worker profiles accordingly. Access to Independence staff accompany clients during interviews with potential workers upon request.
California Marin Center for Independent Living QuickMatch Marin County Marin Center for Independent Living Free for all consumers. 167 130
  This grant-funded registry is open to any consumer. Workers are searchable based on a comprehensive list of characteristics. Each worker’s profile also includes an audio recording of the worker introducing himself or herself. There is a small fee for providers and consumers to use the registry. Workers are required to have three years of experience and at least three references before they are listed. Background checks are not required, but consumers are encouraged to ask workers to provide them. The registry is updated once a week by staff at the Marin Center for Independent Living. Once a consumer attempts to contact a worker, MCIL staff are notified. Staff follows up with a phone call to the consumer to see if they were able to establish a match. Once a successful match is made, MCIL staff updates consumer and worker profiles accordingly.
California Access to Independence San Diego County Access to Independence Free for all consumers. 21 22
  This grant-funded registry is open to any consumer. Workers are searchable based on a comprehensive list of characteristics. Each worker’s profile also includes an audio recording of the worker introducing himself or herself. Currently, the registry is free for providers and consumers. While the online platform is open to anyone, staff at Access to Independence often assist individuals without internet access over the phone and in person. Once a consumer attempts to contact a worker, staff are notified. Staff follows up with a phone call to the consumer to see if they were able to establish a match. Once a successful match is made, staff updates consumer and worker profiles accordingly. Access to Independence staff accompany clients during interviews with potential workers upon request.
California IHSS Consortium QuickMatch San Francisco County IHSS Consortium Free for all consumers. 29 60
  This grant-funded registry is open to any consumer. Workers are searchable based on a comprehensive list of characteristics. Each worker’s profile also includes an audio recording of the worker introducing himself or herself. Currently, the registry is free for providers and consumers. Workers are required to complete a mandatory 70 hours of training for reimbursement by California’s IHSS program. IHSS providers are indicated with a small badge on their profile pictures. There is an additional required two day training for workers on the responsibilities of serving as an independent provider. In accordance with IHSS regulations, background checks are required. Once the worker completes all mandatory training, they are added to the registry within two days. Once a consumer attempts to contact a worker, IHSS Consortium staff are notified. Staff follows up with a phone call to the consumer to see if they were able to establish a match. Once a successful match is made, staff updates consumer and worker profiles accordingly.
Connecticut Rewarding Work Resources Statewide Connecticut Department of Disability Services and Rewarding Work Resources, Inc. Free for individuals receiving services from CT Dept of Developmental Services (DDS), small fee for private pay consumers 1856 1026
  Both consumers and agencies are able to hire workers from the registry. Listings include both independent providers and agencies. Consumers pay a small registration fee and registration for providers is free of charge. There are not eligibility restrictions for consumers or workers. Consumers can perform listing searches based on a variety of criteria. Once a match is made, it is up to the consumer and worker to update their respective profiles. The service automatically sends reminders to perform updates. Once a worker submits his or her application, they are immediately added to the registry. Background checks and training are not required for the workers.
Florida Florida Developmental Disabilities Resources - Provider Search Statewide Delmarva Foundation, the State of Florida Agency for Health Care Administration, and the Agency for Persons with Disabilities Free for all consumers - -
  This statewide registry assists consumers with finding agency and independent homecare providers as well as other useful services such as adult dental, life skills development, and others. Users can search by location and service type. Results are sorted alphabetically. Each home care provider profile includes ratings produced by the Delmarva Foundation as part of the Provider Discovery Review process. The registry is free for consumers and providers. Listings are developed automatically based on Medicaid claims data.
Idaho DAC Personal Assistant Services (Under Construction) Statewide Disability Action Center Free for all consumers 72 90
  This registry is still in development is not yet accessible. Medicaid consumers will be able to use the state funded registry managed by the Disability Action Center to communicate with registry coordinators to find a personal care worker that meets their needs. In order to be matched to a consumer, direct care workers must fill out an application, be interviewed by the Registry, and undergo a background check. Hired direct care workers will also go through an orientation and will be required to attend a training twice a year to maintain employment through the registry. The registry will also provide training resources for consumers and act as the employer of record by handling wages, workers compensation, and unemployment insurance.
Illinois Advocates for Access Center for Independent Living Northwest Idaho (Moscow, Coeur D'Alene, Lewiston)  Advocates for Action Free for all consumers 80 114
  This registry is open to Medicaid, Medicare, and some private-pay consumers. It is funded by the Illinois Department of Human Services and managed by Advocates for Access Center for Independent Living. A Personal Assistant Coordinator creates matches according to the county of the consumer’s residence as well as the consumer needs and requirements. In order for a provider to be included in the registry, they must first complete an application process that includes an interview, training, and background check. Additional training is available on an ongoing basis for providers on specialized topics. Consumers receive training on the hiring process and their responsibilities as employer.
Illinois Lake County Center for Independent Living Lake County, McHenry County Lake County Center for Independent Living Free for all consumers 30 49
  Consumers can use the state funded Registry managed by the Center for Independent Living to communicate with Registry coordinators to find a personal care worker that meets their needs. In order to be matched to a consumer, direct care workers must fill out an application and complete an orientation which includes an introduction to independent living philosophy and an overview of disabilities. The Registry also provides continual training opportunities for direct care workers through the SEIU and offers free skill training in personal assistant management for consumers.
Maine Alpha One Attendant Services Statewide Alpha One Free for all consumers - -
  This registry is open to all consumers. It enables prospective personal assistants to list their information. Consumers can search all listings, or to specify a county to narrow the search. This registry is publically funded through Alpha One, a Center for Independent Living supported by public grants.
Massachusetts The Massachusetts PCA Directory Statewide PCA Workforce Council and Rewarding Work Resources, Inc. Free for MassHealth PCA consumers, small fee for private pay consumers 12148 7430
  This state funded registry is open to all consumers and agencies. It offers both long term and respite services. Worker listings include both independent providers and workers employed agencies. Registration is free of charge for consumers enrolled in MassHealth. There is a small subscription fee for all other consumers and agencies. Registration for independent providers is free of charge. There are not eligibility restrictions for consumers or workers. Once a worker submits his or her application, they are immediately added to the registry. Consumers can perform listing searches based on a variety of criteria. Once a match is made, it is up to the consumer and worker to update their respective profiles. The service automatically sends reminders to perform updates. Background checks and training are not required for the workers.
Minnesota DSP Match Minneapolis/St. Paul Metro Area Independence Partners Free for all consumers 32 -
  This registry was started with a foundation grant. This service is self-monitored and consumer focused: consumers post job descriptions that include their specific needs. Workers can browse these descriptions based on zip code. Once a match is made, it is up to the consumer’s responsibility to remove the listing.
New Hampshire New Hampshire ProviderLink Directory Statewide New Hampshire Lifespan Coalition and Rewarding Work Resources, Inc. Small monthly fee for all consumers. 128 127
  This state funded registry is open to all consumers. Both consumers and agencies are able to hire workers from the registry. Listings include both independent providers and agencies. Consumers pay a small registration fee and registration for providers is free of charge. There are not eligibility restrictions for consumers; however, providers must undergo a registry check by the Bureau of Elderly and Adult Services & Children family and Youth Services. Consumers can perform listing searches based on a variety of criteria. Once a match is made, it is up to the consumer and worker to update their respective profiles. The service automatically sends reminders to perform updates. Once a worker submits his or her application, they are immediately added to the registry. Background checks and training are not required for the workers.
New Hampshire NH Granite State Independent Living Statewide Granite State Center for Independent Living Free for all consumers. - -
  Listings are organized by county. The registry is only open to Granite State Independent Living Home Care customers.
New Jersey Rewarding Work Resources Statewide New Jersey Division of Disability Services and Rewarding Work Resources, Inc. Small fee for all consumers 989 276
  This state funded registry is open to all consumers and agencies. Worker listings include both independent providers and workers employed agencies. There is a small subscription fee for all other consumers and agencies. Registration for providers is free of charge. There are not eligibility restrictions for consumers or workers. Once a worker submits his or her application, he or she is immediately added to the registry. Consumers can perform listing searches based on a variety of criteria. Once a match is made, it is up to the consumer and worker to update their respective profiles. The service automatically sends reminders to perform updates.
New Mexico New Mexico Caregivers Coalition Caregiver Registry Statewide New Mexico Direct Caregivers Coalition Free for all consumers. - 14
  This registry is free for all consumers. Searches can be made by location and skill level. Independent and agency providers can be listed on the website, but agencies must pay a small fee. The registry does not require background checks, but consumers are encouraged to request them.
North Dakota North Dakota Personal Assistance Registry Statewide Minot State University Free for all consumers. - -
  This registry is free for both consumers and for workers. It began as a pilot project ran by Minot State University in the Grand Forks region. However, it recently began transition to a statewide system. Consumers are able to perform searches based on worker availability, skills, and location. Background checks for workers are not required, but consumers are encouraged to request them.
Ohio Community Care Registry Franklin County Franklin County Office on Aging Free for private paying consumers. 60 45
  This registry was established by funding for the Franklin County Office on Aging passed by the counties general election in 2012. Private paying consumers communicate with the Registry coordinator to find a direct care worker that meets their needs. Providers must have letters of recommendation, pass a background check, and attend a workshop before they are matched to a consumer.
Ohio Ohio Home Care Program Directory Statewide Ohio Deparmtent of Job and Family Services Free for all consumers. 13500 11000
  Medicaid consumers can use the Ohio Department of Job and Family Services managed Registry to actively search online for a direct care worker that meets their needs. Providers that are listed with the Medicaid agency are automatically added to the directory list. Since all providers are registered under Medicaid, direct care workers have completed a background check, training, and testing and certification before being listed on the Registry for consumers to contact.
Oregon State of Oregon’s Home Care Commission Registry Statewide Oregon Home Care Commission Free for all consumers. 1954 17032
  Private and public consumers – including individuals with developmental disabilities and mental illness -- can use the state-funded registry at no cost. In addition to standard search features, consumers and providers can also post on the electronic bulletin board to advertise their specific needs. Providers are screened for certification and must undergo a background check. The registry has an ongoing volunteer professional development training program. The registry also manages fiscal elements of employment such as payroll, workers compensation, and health insurance.
Pennsylvania Tri-County Patriots for Independent Living Direct Care Workers' Registry  Washington, Fayette, and Greene Counties Tri-County Patriots for Independent Living Free for all consumers. - 400
  Private and public consumers can use the grant-funded registry at no cost. Consumers can search for workers with the assistance of TRIPIL staff based on criteria such as experience with Alzheimer’s, certifications, etc. Before providers are listed, they are screened for certification, undergo a background check, and attend a two-week interactive training. During training, workers learn the skills they need to help consumers with disabilities maintain control of their lives while living in the communities of their choice. Moreover, the registry allows providers get paid competitive wages and to eventually qualify for affordable health benefits.
Rhode Island Rewarding Work Resources Statewide Rhode Island Department of Human Services and Rewarding Work Resources, Inc. Free for consumers in the following programs: PersonalChoice, Respite, or PASS, small fee for private pay consumers 1309 758
  This state funded registry is open to all consumers and agencies. Worker listings include both independent providers and workers employed by agencies. Registration is free for consumers enrolled in PersonalChoice, Respite or PASS. There is a small subscription fee for all other consumers and agencies. Registration for providers is free of charge. There are not eligibility restrictions for consumers or workers. Once a worker submits his or her application, they are immediately added to the registry. Consumers can perform listing searches based on a variety of criteria. Once a match is made, it is up to the consumer and worker to update their respective profiles. The service automatically sends reminders to perform updates. Background checks and training are not required for the workers.
South Carolina South Carolina Personal Care Worker Listing Update Statewide South Carolina Department of Health and Human services, and the Lieutenant Governor's Office on Aging Free for all consumers. - 285
  A consumer can use this state funded registry managed by the South Carolina Lieutenant Governor's Office on Aging to actively search for a personal care worker that meets their needs. In order to be matched to a consumer, workers must fill out an application and verify that they are willing to undergo a background check. Consumers have multiple resources to assist them in the hiring process, including a posted model contract for direct care workers.
Texas Attendant Network Austin, Dallas/Fort Worth, El Paso, Houston, San Antonio Volunteer Free for all consumers, but donation encouraged. - 158
  Consumers can use the Registry to actively search online for a direct care worker that meets their needs. Providers can set up a profile in order to be added to the provider database or can directly reach out to consumers that have created an online profile requesting a direct care worker.
Vermont Rewarding Work Resources Statewide Vermont Department of Disabilities, Aging and Independent Living, and Rewarding Work Resources, Inc. Free for all consumers 2756 412
  This state funded registry is open to all consumers and agencies. Worker listings include both independent providers and workers employed by agencies. Registration for providers is free of charge. There are not eligibility restrictions for consumers or workers. Once a worker submits his or her application, they are immediately added to the registry. Consumers can perform listing searches based on a variety of criteria. Once a match is made, it is up to the consumer and worker to update their respective profiles. The service automatically sends reminders to perform updates. Background checks and training are not required for the workers.
Washington Washington State Home Care Referral Registry Statewide State of Washington Department of Social and Health Services, Aging and Long-Term Support Administration   Free for all consumers. - -
  Medicaid consumers can use the state-funded registry managed by WA’s Department of Social and Health Services to locate local registry offices. Registry staff then provide consumers with a list of workers in the area. Providers must undergo a background check, obtain a fingerprint clearance card, and complete 70 hours of training before they are included in the registry. The Registry also provides consumers resources on how to hire and supervise direct care workers.
West Virginia In-Home Care Worker Registry Statewide West Virginia Bureau of Senior Services Free for all consumers. - -
  This registry was established by House Bill 4062 on March 10, 2012. The registry’s roll out will occur in two phases. During the first phase, the registry lists Medicaid-certified homecare agencies free of charge. Consumers can search for these agencies based on their home county. Providers must undergo a criminal background check, a check through the West Virginia Adult Abuse Registry, and complete various training requirements before they are listed. During the pending second phase, independent providers will be able to advertise their services. Agencies and consumers will have to pay a registration fee during the second phase.

CLASS Plan

Building Infrastructure to Support CLASS: The Potential of Matching Service Registries-- Explores the potential of registries for building needed infrastructure and identifies key design issues for their development.

Reauthorization of the Older Americans Act (OAA)

The upcoming reauthorization of the OAA presents an important opportunity to improve and modernize the information and assistance networks maintained by the country’s aging services network. Matching service registries can play a significant role in building a 21st century infrastructure for self-direction.

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