Northern VirginiaFour counties and two independent cities, from our Sterling office
Home care & paid family caregiver support
Care for your family.
Support for you.
Find a trusted caregiver for someone you love—or explore whether you can be paid for the care you already provide in Northern Virginia.
For the care you already give
Already Caring for a Family Member? You May Be Able to Get Paid.
Virginia Medicaid may allow eligible family members, including parents of qualifying children with disabilities, to provide approved personal care as paid caregivers.
First Choice Home Care can help you understand whether this option may apply to your family and guide you through the agency-directed process.
Check Eligibility Learn About Paid Family CaregivingScreening does not guarantee Medicaid eligibility or service authorization. First Choice does not make the final authorization decision.
Compassionate care,
close to home.
We connect families with skilled, compassionate home care and help eligible relatives explore support for the care they already provide.
Northern Virginia
Caregiver matchingThe right experience, personality, and support needs
Licensed careMedical and non-medical support under one roof
How can we help?
A clear path for every kind of caregiver.
Whether you need care, provide care for a relative, or want to build a career in home care, First Choice can help you take the next step.
For families
Find care for a loved one
Explore skilled nursing, therapy, personal care, companionship, dementia care, and other in-home services.
View home care services For family caregiversExplore paid family caregiving
See whether a Virginia Medicaid program may support an eligible relative for approved care provided at home.
Learn about eligibility For care professionalsJoin our caregiver network
Apply to provide meaningful in-home support to children, adults, seniors, and families across Northern Virginia.
Apply to be a caregiverOur health services
The support you need,
in the place you know best.
Care can be short-term or ongoing, clinical or everyday. We bring the right services together around your loved one’s needs.
Skilled Nursing
Licensed nurses bring clinical care, education, and monitoring into the comfort and familiarity of home.
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Speech Therapy
In-home speech-language therapy helps children and adults communicate, eat, and swallow more safely and confidently.
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Physical Therapy
Personalized rehabilitation at home helps restore movement, reduce pain, improve balance, and build confidence in daily activity.
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Occupational Therapy
Occupational therapy helps people regain the practical skills and confidence needed for meaningful everyday life.
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Personal Care
Respectful help with personal routines makes it possible to remain safer, more comfortable, and more independent at home.
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Companion Care
Consistent companionship and practical support help reduce isolation and keep everyday life connected and engaging.
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Dementia & Alzheimer’s Care
Specialized support helps people living with memory loss remain safe, comfortable, and connected to familiar routines at home.
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Medical Social Services
Medical social workers help patients and families navigate the emotional, practical, and financial challenges that can accompany illness and treatment.
View serviceFive steps toward paid family caregiving
For professional home care, we assess your needs, match a caregiver, support your care plan, and follow up as needs change. For paid family caregiving, here is how to begin.
1
Check Eligibility
Complete a short screening or speak with a Care Navigator.
2
Review Medicaid
Review your plan, waiver, and any personal-care hours already approved.
3
Assess Care Needs
The assessment and care plan identify needs, subject to authorization.
4
Prepare Together
Eligible caregivers complete employment requirements, training, and visit verification setup.
5
Begin Authorized Care
Begin approved services with ongoing support for the care plan.
Care for every stage
of life at home.
We support children with special needs, adults living with disabilities, seniors, and people recovering from illness, injury, or surgery. If a relative already provides care, we can also help your family explore paid caregiver options.
Talk with our care team
Client testimonials
Care families remember.
“I received excellent attention, and the team kept me informed every step of the way.”
“First Choice has been organized, professional, and genuinely helpful to our family.”
“My family and I are grateful for the care and personal attention the staff provided.”
Good home care brings safety, comfort, and companionship together—so your loved one can live as fully as possible in familiar surroundings.
Let’s find the right care path.
Tell us whether you need care at home, want to explore paid family caregiving, or are ready to join our caregiver team.