Keep Your Care in the Family
We help Colorado families hire their own loved ones, including spouses, adult children, and friends, as paid caregivers. No strangers. No scheduling gaps. Just the care you trust, with the pay you deserve

Find the Right Path for Your Family
We simplify Colorado Medicaid. Choose the program below that matches your relationship and your loved one’s needs.

In-Home Support Services (IHSS)
Care for your spouse or aging parent on your own terms. We handle the nurse oversight, the liability, and the payroll—you keep your loved one safe at home.

Pediatric Family Care
Your child’s care is full-time work. Turn your “Extraordinary Care” (like G-tubes or complex behavioral support) into a professional income—no nursing degree required.

Community First Choice (CFC)
No waitlists. No complex waivers. Just reliable payment for helping a neighbor, friend, or relative with daily needs like bathing, dressing, and meal prep.
How It Works: 3 Simple Steps
We strip away the bureaucracy so you can focus on the care.
1. The Eligibility Check
It starts with a conversation. We verify your loved one’s Medicaid enrollment (Health First Colorado) and help identify which program fits your needs.
- We handle the puzzle.
2. The Family Hire
You tell us who you want to hire. Whether it’s a spouse, adult child, or trusted neighbor, we onboard them as an official W-2 employee.
- You choose the caregiver. We become the employer.
3. The Support System
Your family caregiver receives official training from our Registered Nurses—empowering them to perform skilled tasks legally and safely. Then, we handle the timesheets and taxes.
- You get paid. No headaches.
You Do the Hardest Work. You Should Keep the Funding.
Caregiving is a labor of love that never clocks out. You are the one doing the lifting, the worrying, and the caring—not the agency.
We believe the Medicaid funding is meant for the care, not for corporate offices. That is why we structure our agency to ensure the lion’s share of the financial support goes exactly where it belongs: to you.
See the difference respect makes.
2026 Pay Transparency $19 – $24.00+ / hour Rates vary by County, Service Type (IHSS/CFC), and Experience.
Don’t guess. Calculate. We don’t just pay a flat rate. We pay for experience.
Locally Owned, Family Focused
Caregivers First Choice (CFC) is a family caregiver agency in Colorado dedicated to the In-Home Support Services (IHSS) program. We view you as the expert on your loved one’s care.
Why Families Choose Us
- We Value Your Expertise: You know your loved one better than anyone else. We respect that. Our role isn’t to take over; it is to empower you with the tools, nurse delegation, and payroll support you need to provide care on your terms.
- Radical Transparency: You do the hardest work, so you deserve to know exactly how you are compensated. We publish our Base Wage Rates openly, adjusted for both the service provided and local county mandates. No hidden math. No secrets.
- Medicaid Specialists: Led by a team with deep expertise in Colorado Medicaid waivers and Community First Choice, we navigate the complex rules for you. We fight to ensure your family receives every benefit and dollar of funding available.

Stay Ahead of the System
Medicaid rules change fast. We break down HCPF updates, wage trends, and policy shifts so your family is never caught off guard.
CDASS vs. Agency-Based Community First Choice: Which is Right for You?
Do you want to hire a family member? You don’t have to use CDASS. Learn how the Agency-Based Community First Choice model handles the “employer burden” for you.
The Zero-Gap Switch: How to Move Your IHSS Care to a Higher-Paying Agency (Without Missing a Check)
Don’t let fear keep you underpaid. Learn the 4-step “Zero-Gap” process to switch your IHSS or CFC care to Caregivers First Choice without missing a single paycheck.
The New Medicaid “Soft Caps” Are Coming: Why Your Hourly Rate Matters Now More Than Ever
In November 2025, the Department of Health Care Policy and Financing (HCPF) released a critical memo regarding the future of Home and Community-Based Services (HCBS) in Colorado. To ensure the sustainability of the Medicaid program, the state is implementing Annual…
Coming to Denver & The Front Range in 2026
We are currently preparing for our licensure from the Colorado Department of Public Health & Environment (CDPHE).


