Hi. We have been using the same registry / agency for our live in aide, who has been with us for near 5 years. We have been paying $20.00 a day since we hired her. The agency does not perform any other service but referred us to our aide in 2010 and reliably provides a fill in when she periodically needs to take off. About twice a year they do a personnel survey by mail. Beyond that we take care of everything else, payroll serivce, workmens comp plan, etc. I have been wondering if this is legally acceptable to continue billing the client indefinitely for this service?? Recently I met with an elder care attorney who without me questioning this issue mentioned that it appears this should not go on indefinitely. She said I should investigate further. I am not sure who I can get an objective answer from. We live in New York state. Mom has many expenses and that 20.00 a day in addition to payroll, has become an expense I would really like to confirm is still legitimate. Anyone in similar situation?