When New York State passed legislation to create a wage-and-benefit floor for home care aides in New York City, home care agencies struggled with the new costs. This brief looks at the Quality Incentive Vital Access Provider Pool (QIVAPP), which was created to provide additional funds to “high-road” licensed agencies that were investing in their home care aides through measures such as providing additional training and offering comprehensive health coverage.
Through setting standards, QIVAPP established a floor for sound employer practices.
QIVAPP did not further job quality strategies such as offering quality training, full-time work, on-the-job support, and greater career opportunities.
Despite its limitations, QIVAPP still provides a promising model for a state to invest in quality employers.