Home Care Association of America is trusted and reliable home care provider in your area or learn more about private pay home care. Home care choices can be difficult. The Home Care Association of America is here to help. Private duty home care companies provide home care aides, companion care, homemaker services and may provide nursing services in the client's home or place of residence. Members of the HCAOA employ trained caregivers and assume all responsibility for the payroll and all related taxes - this is never passed off to the customer.