Agency with Choice

for Self-Directing Families Across Maryland

There is Another Option…

For self-directing participants and families that want to stay in control and keep their family and non-family staff, Agency With Choice helps you remain in self-direction.

You keep:

  • Employer authority
  • Budget authority
  • Choice of staff
  • Control over daily life

We serve as the DDA provider vendor, helping your staff earn higher wages and access the benefits and protections that come with formal employment.

We Are Your Non-Traditional DDA Provider

We don’t operate like a traditional provider, and that’s intentional.

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We Support — We Don’t Take Over

We come alongside you without stepping into your role. You continue choosing staff, setting schedules, and directing services. We support what you are already doing, not
change it.

 

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Built Around Self-Direction

Everything we do strengthens self-direction. You maintain employer and budget authority while we support the structure behind the scenes. You stay in control, with
added support where needed.

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A Structure That Works for Families

Our approach reflects how families actually manage care — flexible, responsive, and centered around your needs. Services are built around your routines and decisions, not
a rigid system.

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Focused on Staffing Stability and Continuity

We help you keep the family and non-family staff you trust. With higher wages and formal employment protections, we create a more stable and consistent support system.

How We Support You

We offer flexible support options designed to meet you where you are, while keeping
you in control.

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Agency with Choice

For Personal Supports, Community Development, and Ongoing Job Supports

Stay in self-direction while we support the structure behind your services. This model allows staff to earn higher wages, helping you retain the people you trust.

Learn more

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DayVentures

Small-Group Community-Based Day Support

A flexible alternative to traditional day programs. DayVentures offers small-group, community-based experiences.

Learn more

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FastTrack to Work

From Looking to Working

A structured, hands-on pathway from paid internships to permanent employment.

Learn more

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Assistive Technology

Smart Supports That Work in the Background

Technology that promotes independence and safety. From reminders and remote monitoring to smart home tools that support daily living.

Learn more

Not sure where to start?

Let’s talk through your options

Now Supporting Families Across Maryland

Elevate Spectrum continues to support families seeking alternatives to the traditional DDA service models. We understand the responsibility that comes with staying in control of your loved one’s services. As more families look for options to maintain consistency and stability, we are expanding to support families across Maryland.

Agency with Choice gives you a path forward — allowing you to stay in control, keep your staff, and continue building support in a way that works for your loved one.

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Hear from our participants