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The service voucher is one way of organising health and social services under the responsibility of a wellbeing services county. The rulebook is a document by which the wellbeing services county sets out the criteria for approving service providers, as referred to in section 5 of the Act on Service Vouchers in Healthcare and Social Welfare. In the Wellbeing Services County of Vantaa and Kerava, the service voucher process is managed through the electronic Palse.fi system.
Applications to become a service voucher provider are made via the electronic service voucher system on the Palse.fi website. The wellbeing services county approves the service providers covered by the service voucher system as required by the Act on Service Vouchers in Healthcare and Social Welfare.
The review of the service providers’ certificates required by the Act on the Contractor’s Obligations and Liability when Work is Contracted Out is primarily carried out electronically and automatically. In addition, the application must be accompanied by the attachments listed in the rulebooks. The service provider undertakes to comply with the requirements of the general and service-specific parts of the rulebook.
Before applying to become a service provider, you should carefully read the general part of the rulebook and its attachments, as well as the service-specific part. Compliance with the requirements of the rulebooks will be checked during the approval process.
The wellbeing services county will make a decision on the approval or rejection of the service provider within three (3) months of the date the wellbeing services county receives the required documentation. If the missing/incomplete attachments have not been submitted within 30 days of the wellbeing services county’s request and the service provider has not requested an extension, the application to become a service voucher provider will be rejected.
If you have any questions regarding your application to become a service voucher provider, you can contact the shared e-mail address of Quality Control laadunvalvonta@vakehyva.fi
The Wellbeing Services County of Vantaa and Kerava uses the service voucher to purchase physiotherapy, occupational therapy and speech therapy in accordance with the rulebook, which can be provided to clients whose functional capacity can be influenced by means of therapy, as assessed by the therapists of the wellbeing services county.
Physiotherapy is part of medical rehabilitation. Physiotherapy services are primarily purchased for chronically ill, disabled and impaired clients and veterans whose functional capacity is significantly impaired or at risk of becoming significantly impaired.
Occupational therapy is medical rehabilitation that aims to enable the client to participate in daily activities and recreational activities in a meaningful way despite the limitations of the disability or illness.
Speech therapy is medical rehabilitation that aims to prevent, alleviate and eliminate communication impairments and related problems of contact, interaction and development. These impairments may occur in the areas of language, speech, voice, eating, swallowing, hearing, reading and writing. The goal of speech therapy is to enable the client to function and communicate in the best possible way in everyday life.
Physiotherapy, occupational therapy and speech therapy are purchased in the form of in-patient, out-patient and remote visits. The wellbeing services county determines in the service voucher the number of visits and the duration of the therapy, which can be 45, 60 or 90 minutes. The service provider must have the capacity to offer all of the aforementioned therapy durations for the types of visits it offers.
The therapist providing the therapy sets and monitors concrete, everyday goals for the therapy period together with the client and their family or loved ones. These goals must be in line with the plan drawn up by the wellbeing services county.
The medical rehabilitation therapies service voucher and its attachments are available at palse.fi.
Personal assistance covers those activities of daily/ordinary life that a person would carry out on their own but is unable to do so because of a disability or illness. Personal assistance promotes the disabled person’s own choices, self-determination, inclusion and a life of their own choosing. The disabled person decides where, how and when to be assisted in these activities and guides and directs the work of the assistant. The assistant is not a carer or an expert in relation to the client.
Personal assistance is a permanent and recurring form of assistance, the amount and purpose of which may vary according to the individual situation of the client. Personal assistance is not a substitute for home care, home nursing or other healthcare services. Personal assistance is not subject to an excess paid by the client; the value of the service voucher covers the full cost of the service provider.
The personal assistance service voucher rulebook and its attachments are available at palse.fi.
Home care is a service that ensures that a person can carry out the activities of daily living in their home and living environment.
Home care includes the following, according to the individual needs of the client:
Home care is provided to persons who need it on the grounds that their functional capacity has been reduced due to old age, illness, disability or other similar reasons. In addition, home care is provided to persons who need it on the basis of their particular family or life situation. Home care is provided according to the person’s needs, irrespective of the time of day. The home care service voucher rulebook and its attachments are available at palse.fi.
The home services for families with children are goal-oriented, systematic and fixed-term support for parenting and coping in everyday life, carried out together with the family and cooperation partners. The main objective is to strengthen the family’s own resources.
The home services are provided on the basis of a cause that reduces functional capacity or a specific family or life situation. The causes that reduce functional capacity include illness, childbirth, disability or similar, such as exhaustion.
The rulebook for the service voucher for family home services for families with children and its attachments are available at palse.fi.
The service voucher for informal carer’s day off at home is aimed at contracted informal carers or families in a similar situation in the Wellbeing Services County of Vantaa and Kerava.
Contracted informal carers have two carer’s allowance groups: in groups one and two, the number of statutory days off for informal carers is two or three per month.
The clients of the service voucher for informal carer’s day off at home are informal care families who have chosen an at-home service purchased with a service voucher as an alternative to informal carer’s leave.
The rulebook for the service voucher for informal carer’s day off at home and its attachments are available at palse.fi.
Wigs can be purchased as a medical rehabilitation assistive device when the client has extensive hair loss due to a (skin) condition on a permanent basis or, for example, temporary extensive hair loss due to illness or treatments. The need for a wig is assessed by health services, taking into account the national criteria for the provision of assistive devices.
The wig service includes a wig according to the client’s needs (as specified in the service voucher), chosen together with the client. In addition, the service includes the fitting of the wig, guidance in its use and, if necessary, the shaping of the wig base to the correct size (also for standard models), as well as shaping and cutting. The service provider is responsible for ensuring that the wig is suitable for the client.
The rulebook for the service voucher for wig service and its attachments are available at palse.fi.
24-hour service housing means housing service according to the Social Welfare Act (1301/2014) (previously intensive service housing), which is organized in the housing units, where the personnel is on site around the clock and the client gets care and assistance from the personnel without delay and regardless time of day also for his/hers sudden needs. Clients in 24-hour service housing are generally older persons, who based on a service need assessment need services described in this rule book.
Service voucher for 24-hour service housing for the elderly consists of two products; 24-hour service housing for the elderly and short term 24-hour service housing for Swedish speaking clients. The service producer can apply to become a service voucher producer either for both products or only for one. The service products have their own definitions in the palse.fi system, but same rule book is applied for them.
The renewed service voucher for the 24-hour service housing was introduced 1.5.2026.