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Elevate SpectrumAgency With Choice

FAMILY-AS-STAFF

The person you trust most can be on the team.

Bring a parent, sibling, or trusted caregiver on as paid staff.

Schedule a ConversationHow Agency With Choice Works
An older brother carrying a backpack helping his younger brother, who uses a motorized wheelchair, board a paratransit van on its motorized lift

Who can you bring?

Eligibility follows Maryland DDA rules.

  • Parents

    Many parents already provide supports beyond ordinary parental care.

  • Siblings & relatives

    Brothers, sisters, aunts, uncles, cousins, and grandparents.

  • Trusted caregivers

    A neighbor, family friend, or someone who already knows your loved one.

$30+/HR

Paid fairly for the care you already give.

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

Services family members can provide.

  • Personal Supports
  • Community Development Services
  • Supported Employment

You lead. We handle the rest.

Your family

  • Choose who joins the team
  • Set the schedule that fits your life
  • Guide day-to-day support

Elevate Spectrum

  • Hiring, onboarding, and background checks
  • Payroll, taxes, and benefits administration
  • Training, documentation, and DDA compliance
A family liaison sitting with a father and his adult son in their living room, talking as equals

A Family Liaison walks with you.

  • Walks you through eligibility
  • Handles paperwork with you
  • Stays available after day one

How it works.

  1. 01

    Tell us who you'd like to bring

    Share your goals and who you have in mind.

  2. 02

    We check eligibility

    Your Family Liaison confirms DDA requirements.

  3. 03

    We hire and onboard

    Background checks, training, and paperwork — handled.

  4. 04

    Support begins

    Your family member starts, and gets paid $30+/hour.

What families gain.

  • More consistency

    No revolving door of unfamiliar staff.

  • More trust

    Support from someone who already knows your loved one.

  • More flexibility

    A schedule built around your family's real life.

  • Fair pay

    $30+/hour for the care already being given.

Meet Jordan

A young Hispanic man and his aunt walking side by side into a movie theater at a Maryland mall in the evening

Meet Jordan

Family support that fits around real life.

Jordan lives in Baltimore, Maryland. He enjoys horseback riding, bowling, and everything Baltimore Ravens!

During the day, Jordan attends Elevate's DayVentures program. In the evenings, his aunt comes home from her full-time job as an accountant and takes over his evening routine—spending time with him, helping him get ready for bed, and providing the familiar support he relies on at home.

Through Family-as-Staff, his aunt can have a formal, paid role in the support she already provides while continuing her own career.

Schedule a Conversation

Already Self-Directing?

Keep your team. Hand off the employer paperwork.

  • Your current staff can stay with you
  • We become the employer of record
  • No more payroll, taxes, or timesheets to manage

Family and a DSP? Both works.

Many families cover some hours with a relative and the rest with an experienced Direct Support Professional.

Meet Some of Our DSPs
An adult man reaching for an item on a grocery shelf while his sister reads the shopping list with a Black support professional beside her

Available across Maryland.

Supporting families in all 24 counties.

Questions families ask.

Let's bring your family onto the team.

Schedule a Conversation