Start with your contact details
Use the form below for your professional contact information, organization, and service area. It does not ask for a patient’s name, health details, identifiers, or records.
For clinical and community partners
Help a family find their next step.
Connect families with personal care, established home-health services, and guidance on paid family caregiving through Virginia Medicaid.
When to connect
A practical handoff for families who need care at home.
A conversation may be useful when a child or adult needs hands-on help with bathing, dressing, toileting, eating, transfers, or mobility—and the family needs guidance on arranging that care.
For paid parent caregiving, the child must need extraordinary personal care beyond what is normally expected at the same age. A diagnosis, supervision need, or referral alone does not establish eligibility.
Arrange the handoff first
Call to confirm the appropriate secure referral method and any required consent before sharing protected information. Do not send clinical details through this form or ordinary email.
Clarify the next steps
First Choice can review service fit and the family’s coverage questions, explain the assessment and authorization process, and discuss caregiver onboarding when applicable.
Agree on follow-up
Tell our team your preferred contact method. When you connect, ask for the Care Navigator handling the referral and agree on a follow-up time. Call 571-325-2340 to check on a request.
A connection across disciplines
For the people families already trust.
We welcome referral conversations from professionals and community partners across Northern Virginia.
- Pediatricians and developmental pediatriciansFamilies asking how to sustain hands-on daily care at home after an evaluation or as their child’s needs change.
- Neurology practicesChildren or adults whose neurological or physical needs may require help with personal-care activities.
- ABA providersFamilies who may need personal-care support alongside their existing behavioral services. A diagnosis or therapy schedule alone does not establish eligibility.
- Occupational, physical, speech, and feeding therapy practicesFamilies describing substantial hands-on help with self-care, eating, transfers, or mobility between therapy visits.
- Hospital and health-system social workersFamilies preparing for care at home or needing a clearer connection between discharge planning and ongoing personal care.
- Managed-care coordinatorsMembers exploring agency-directed personal care, including families with an existing authorization who want to start or transfer services.
- Community services boards and support coordinatorsFamilies navigating waiver services who need help understanding caregiver requirements and the next assessment or authorization step.
- Special-education advocates and disability organizationsParents looking for personal-care support beyond the educational services and accommodations their child receives.
A family can start in their own words.
The preliminary eligibility check asks for broad care needs and contact details. It does not guarantee Medicaid approval or service authorization.