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Elevate SpectrumAgency With Choice

Agency With Choice by Elevate Spectrum

More choice in who provides your support.

Bring someone you already trust, find an experienced DSP, or combine both.

A young man and his support professional talking together at an outdoor market

What is Agency With Choice?

Agency With Choice brings together the flexibility of Self-Directed Services and the support of a DDA-certified provider.

You choose the people. You help shape the support. Elevate helps make it work.

Your support shouldn't depend on whoever is available.

The right support is personal. It depends on trust, consistency, personality, culture, experience, and understanding what matters to the individual.

Agency With Choice gives families more say in who becomes part of that support team.

An adult man reading the weekly schedule at a community center and choosing an activity for himself

Build your team your way.

Start with the people you already trust. Find someone new. Or do both.

An adult brother and sister folding laundry together in a sunlit hallway at home

Bring Your Family-as-Staff

Someone you already trust may be able to become a paid member of your support team.

Parents, siblings, relatives, and other eligible trusted caregivers can provide approved supports while becoming employees of Elevate Spectrum.

Eligible Family-as-Staff earn $30+/hour depending on service.

Explore Family-as-Staff
A young man reading a Maryland transit map at a bus stop while a support professional looks where he points

Find an Experienced DSP

Need someone new?

Browse vetted, trained Direct Support Professionals and find people whose experience, availability, interests, and location may fit your needs.

Agency With Choice DSPs earn $30+/hour depending on service.

Meet Some of Our DSPs
Family-as-StaffElevate DSPsYour team

You don't have to choose one or the other. Many families build teams that include both Family-as-Staff and professional DSPs.

$30+/HOUR

Valuing the people doing the work.

Eligible Family-as-Staff and Direct Support Professionals earn $30+/hour depending on the service provided.

Competitive compensation can help families maintain stronger, more consistent support relationships.

Support for everyday life.

  • Personal Supports

    Support with daily routines, independence, personal needs, and life at home and in the community.

  • Community Development

    Building skills, relationships, confidence, and meaningful participation in community life.

  • Employment Supports

    Helping people succeed at work and build greater independence through employment.

A Family Liaison listening to a mother and her adult son at their kitchen table

Your Family Liaison

One person who knows your journey.

You shouldn't have to explain your family's story every time you need help. Your dedicated Family Liaison becomes a consistent point of contact throughout your Agency With Choice experience.

  • Getting Started

    Understand your options and next steps.

  • Family-as-Staff

    Guidance through hiring and onboarding.

  • DSP Matching

    Help identifying professionals who may fit your needs.

  • Ongoing Support

    Someone to contact when questions or changes arise.

A simpler path to the right support.

  1. 01

    Let's talk

    Tell us about your current supports, goals, and what you're looking for.

  2. 02

    Build your team

    Bring your Family-as-Staff, find a DSP, or combine both.

  3. 03

    Get everyone ready

    Elevate guides employment, onboarding, training, and service setup.

  4. 04

    Begin support

    Your team gets started and your Family Liaison remains available along the way.

Schedule a Conversation

A different way to work with a provider.

Comparison of a traditional provider model and Agency With Choice
Traditional provider modelAgency With Choice
Provider typically assigns available staffYou have greater choice in building your team
Family members may not be staffBring eligible Family-as-Staff
Staffing based primarily on provider availabilityFind DSPs based on fit, experience, and availability
Standard provider relationshipDedicated Family Liaison
Provider-directed staffingGreater family and participant involvement
One staffing sourceCombine Family-as-Staff + DSPs

Meet Maya

Two adult women walking and talking together along a small-town waterfront shopping street on Maryland's Eastern Shore

Meet Maya

Finding someone who fits her life—not just her schedule.

Maya lives in Cambridge, Maryland. She enjoys music, trying new places to eat, browsing local shops, and getting out for community events.

Her family needed more than someone who could simply cover the hours. They wanted a dependable DSP who would get to know Maya, respect their household, and help her stay active in the community.

Through Agency With Choice, they explored experienced DSPs and found someone whose personality, availability, and interests felt like a good fit.

The right hours matter. The right person matters more.

Schedule a Conversation

One Agency With Choice provider. All of Maryland.

Whether you're in Baltimore, Frederick, Southern Maryland, Western Maryland, the Eastern Shore, or somewhere in between, Elevate Spectrum serves families across all 24 Maryland counties.

Agency With Choice may be worth exploring if…

  • You already have someone you trust providing support.
  • You're looking for a more consistent DSP.
  • You want more say in who supports you.
  • You'd like to combine family and professional staff.
  • You're exploring Self-Directed Services.
  • You want a provider to help manage employment and compliance responsibilities.
Schedule a Conversation

Common questions about Agency With Choice.

View All FAQs

Build the team that works for your life.

Start with someone you already trust. Find an experienced DSP. Or bring both together. We'll help you understand your options and decide what makes sense for your family.

Schedule a Conversation with a Family Liaison