How Clairo works

More choice doesn't have to mean more work.

You stay involved in who provides care. We carry the administration behind it.

Clairo is a Maryland DDA provider agency. That means the employment, payroll, training, billing, and compliance for services we deliver sit with us — while families and participants stay at the center of building the care team.

The process

Six steps, and we do most of the lifting.

Every family moves at a different speed. Nothing here has to happen all at once.

1

Start with a conversation

Tell us about the participant, current services, the care team, and what isn't working. No forms first — a conversation.

About 30 minutes
2

Review services and authorizations

We look at the participant's plan, approved services, and authorizations to see which services Clairo may be able to deliver.

With your CCS as needed
3

Build the care team

Decide together who should be providing support — including caregivers the participant already knows and qualified family or friends where permitted.

You stay in the decisions
4

Onboard caregivers

Applications, background checks, required training, and account setup. Clairo runs the process and keeps everyone updated.

About a week
5

Coordinate the transition

We work with the participant, family, and coordinator so services and schedules move over without gaps.

At your pace
6

Start services

Care begins. Daily notes, schedules, and records live in one app so the whole team stays connected.

Ongoing support

Bringing your caregiver

What happens to the people already providing care.

This is the question families ask first. In many cases a caregiver the participant already trusts can apply to work through Clairo and keep providing support.

Your caregiver applies as a Clairo employee
We run background checks, training, and onboarding
Clairo becomes the employer of record for services we deliver
Qualified family and friends may be eligible where DDA rules permit

Subject to service requirements, caregiver qualifications, onboarding, DDA rules, and the participant's individual circumstances.

What Clairo handles

Applications and background checks
Required training and certifications
Payroll, taxes, and pay schedules
Timekeeping and EVV
Billing to Medicaid
Compliance and documentation
Ongoing coordinator support

Where are you starting from?

The first step looks a little different depending on your model.

Coming from traditional services?

We start with who you want on the care team.

Most of the conversation is about caregiver choice, retention, and whether someone the participant already knows could take on the role.

Traditional services →

Currently self-directing?

We start with your services and authorizations.

We look at which services Clairo may be able to deliver, and what could stay self-directed — then talk through the trade-offs honestly.

Self-Directed Services →

Let's talk

Ready to see what the first step looks like?

Tell us where you're starting from and we'll map out the process for your family's situation.

No pressure. Just a conversation about your options.

Talk to Clairo