A 4-page file (a 3-page notice plus 1 instructions page) that tells a current client the new non-medical home care rates and the date they start, with an office copy page for your records.

For a USA home care agency to send before the change. You get one editable Word file, plus 1 agency instructions page to remove before use.

What’s included

1. Page 1: the letter, with the effective date, the current and new primary rate, and why rates are changing
2. Page 2: a current-to-new rate table by service, a short example of the impact, and an optional client or representative acknowledgment
3. Page 3: Agency Use Only office copy (not sent to the client): delivery record, acknowledgment received, and an office checklist
4. Agency instructions page, to remove before use

Add your logo and name

1. Open the Word file and replace the Agency Logo box with your logo.
2. Replace Agency Name in the letterhead and on the rate-detail page.
3. Replace the address, phone, email, and website.
4. Delete the instructions page, save, and send pages 1 and 2 to the client; keep page 3 for the office.

Editable template for your agency to adapt. Not legal advice, not a license to operate, and not HIPAA software. Match the notice period to your state rules and to your service agreement before you send it.