Youth and disability care. You provide the support, we keep the figures.
For outpatient youth care, family homes, day activities and supported living, from freelancer to 25 people. Contracts with municipalities and care offices, new requirements for governance and accountability, and staff under the cao: Alvelion handles the accounting around it.
Request an introductory meetingWhat does an employee cost in youth care? Work it outWhat matters in youth and disability care?
Almost all your money comes from the government: from municipalities for youth care and Wmo support, from the care office for the Wlz, or through a personal budget. Contracts, referrals and accountability come with that.
At the Chamber of Commerce you are usually registered under SBI code 88991 (outpatient youth care, including orthopedagogues and family therapists), 87991 (residential youth care, including family homes), 88103 (support for people with a disability, including day activities) or 87201 (residential care for people with an intellectual disability). Psychologists have their own code.
According to Statistics Netherlands, on 1 October 2026 there were 7,025 businesses in outpatient youth care and 9,265 in support for people with a disability. Both more than twice as many as in 2021. More than 92% are one-person businesses. If you build a team, you face new requirements for governance and money. That is where we help.
Where things go wrong in youth and disability care
Do you recognise one of these situations? Then your accounting needs attention.
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Growing without an internal supervisor
Since 1 January 2026, a youth care provider with more than ten youth care workers and residential care, or more than 25 without, must have an internal supervisor. If you pass ten, you have six months. According to the government, this costs a medium-sized provider on average €13,300 once and €5,300 a year.
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Youth care money not kept apart
From 1 January 2027, a youth care provider with staff must keep youth care financially separate from other activities. Every payment must be traceable to its source and destination. A solo practitioner is excluded. The NZa will take over supervision.
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Care without a valid referral
Do you start with a client before the referral or decision is in place, or does it expire without you noticing? Then your claim is not paid. That money often never comes back, while you have already paid the wages.
With your accounting in order, you know per municipality and per funder what you earn, what is still outstanding and what you need to account for.
Your own contract or subcontractor
Your own contract
Your own contract with a municipality or care office?
You are the main contractor. You take part in the procurement, claim yourself and carry the accountability. A municipality may not award a tender on lowest price alone. New Wlz providers get a lower rate at several care offices, and sometimes a contract only if they fill a gap in the region.
Subcontractor
Working for a contracted provider?
The main contractor holds the contract and outsources care to you. You have less procurement work, but also less margin and often one large client. For VAT it must be clear that you carry out care yourself and are not lending staff.
Foundation or BV? In youth care a BV may make a profit and still be exempt from VAT. We set out the choices for you.
How Alvelion handles the figures of your care business
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Getting to know you and setting up
We look at which municipalities, care offices and personal budget holders you work with. We set up your accounting accordingly, with youth care money and Wlz money kept apart from the rest.
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Keeping up to date
Claims, payments and costs are processed continuously. You see per municipality and per funder what you have claimed and what is still outstanding.
Every month
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Payroll and tax returns
Payslips under the youth care or disability care cao, the pension return, your tax returns and the annual accountability report go out on time.
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Looking ahead
A new location, a family home or a team of more than ten? We work out in advance what it costs and which requirements come with it.
You work with one dedicated contact who knows your business, not a changing team or a general helpdesk.
Where Alvelion helps your care business
Claims and payments
Keeping track of claims per municipality and care office, following up rejections and seeing what is still outstanding.
Go to credit managementStaff on the payroll
Payslips and payroll tax returns for support workers, family home parents and youth care workers, including the pension return.
Go to payroll administrationMoney for the wages
You provide care first and are paid later. A cash flow forecast shows whether you can pay next month's wages.
Go to cash flow forecastGovernance and structure
Foundation or BV, an internal supervisor and a clear division of financial responsibilities. We set up the structure properly.
Go to structure and controlAnnual accounts and accountability
Your annual accounts and the public annual accountability report, including under the new rules for youth care from 2027.
Go to annual accountsFinancing a building
A building for a family home or residential facility? We help with the financing application and the figures the bank wants to see.
Go to financingCaos and calculators
What does an employee cost in your care business?
Work out what an employee costs you under the youth care cao or the disability care cao, including pension and holiday pay. Are you a freelancer and is your profit growing? Then compare sole proprietorship and BV with the 2026 rates.
Go to the youth care caoIf you provide care with public money, you must be able to account for every euro. That is what we set up your accounting for.
Your care business and your figures with one team
Knows the rules in youth and disability care
Youth Act, Wlz and Wmo, the internal supervisor, the annual accountability report and the VAT exemption: we know the rules that apply to your care.
Wages straight into your figures
Payroll and bookkeeping run side by side. That way you see every month what a support worker really costs you.
One contact
Bookkeeping, payroll and advice with the same dedicated team.
Frequently asked questions
No, there is no admission licence for youth care. You must notify that you are starting before you provide the first youth care. You also need a quality system, a complaints procedure and an annual quality report. If you provide Wlz care in disability care and someone else works for you, you do need an admission licence.
In youth care since 1 January 2026, if you provide residential youth care with more than ten youth care workers, or non-residential care with more than 25. Supervision and management may not lie with the same person. In disability care with Wlz care, an internal supervisory body of at least three people applies with more than ten care professionals. For a medium-sized youth care provider, the government estimates the costs at an average of €13,300 once and €5,300 a year, excluding the supervisors' fees.
Youth care is exempt from VAT, even if you make a profit. In disability care, care for clients with a Wlz assessment or a Wmo decision is exempt, as are day activities under conditions. If you also sell training or coaching to schools or businesses without a basis in the Youth Act, VAT may apply to that. Then keep that revenue separate.
That depends on what you want to do with the profit. In youth care, a BV may make a profit and the care stays exempt from VAT. The youth care cao also applies to a small provider that is not yet a legal entity. The disability care cao applies to a legal entity, such as a BV or foundation. The government wants to cap profit distribution in care and youth care. That act is not yet in force. We set out the consequences for you side by side.
On 1 January 2027 a separate regulation for the public annual accountability report under the Youth Act starts. There will be templates by legal form and size, from micro to large. Supervision and requests for extension move from the IGJ to the NZa. A solo practitioner is excluded, but a partnership in which one partner provides all the care is not. At the same time, new rules for financial management apply.
That is not a given. The care offices published their procurement policy for 2027 to 2029 on 1 June 2026. At several care offices, new providers get a lower rate than existing ones. Some only contract a new provider if it fills a gap in the region or demonstrably adds something. If you do not yet have a contract, first work out what a lower rate means.
Youth care is covered by the youth care cao. It is generally binding until 31 December 2027. Disability care is covered by the disability care cao, generally binding until 31 December 2026. Whether there will be a new one from 2027 was not yet known at the end of October 2026. For social work there is the social work cao. The pension runs through PFZW. If you do not have a legal entity, have it checked whether PFZW is compulsory for you.
Yes, if they are genuinely self-employed. In August 2026 the district court ruled on a self-employed care worker in disability care who received €45 an hour, against €19.18 in the cao. No employment: he could send a substitute, had other clients and only followed the care plan and professional rules. That he did the same work as employees made no difference. Every situation is assessed separately.
Knowledge for your trade
All articles on youth and disability careReady to grow your care business further?
Tell us how your business runs now. We deliberately work with a limited number of clients. That is why we first look together at whether we are a good fit. You'll hear back within one working day.
Request an introductory meeting