888-487-0280

Client Login

Our Care Process

Free Assessment

888-487-0280

Client Login

Supporting the heroes
who fight every day.

Making family-provided care more sustainable.

The Little Heroes First Program helps parents and guardians become trained, paid caregivers for children with disabilities or chronic medical needs through qualifying Medicaid programs and other eligible funding sources.

Schedule a Free Assessment

Schedule a Free Assessment

Recognizing the Care You Already Provide

Recognizing the Care You Already Provide

When a child faces a serious medical condition or disability, families often step into the caregiver role without hesitation. Parents learn routines, manage appointments, handle daily support needs, and provide constant supervision, all while trying to keep life as normal as possible.

The Little Heroes First Program was created for families already carrying that responsibility. Our goal is to provide structure, training, and professional support so that the care happening at home can become sustainable for the long term.


A woman and a young boy sitting on the floor with a ukulele.

A Program Built
Around Your Child

A Program Built
Around Your Child

The hero in this story is your child. They are the one fighting through challenges most people will never fully understand, and they deserve consistent care from someone who knows them best.

In many cases, state Medicaid programs and other insurance programs allow a parent or family member to serve as a paid caregiver. Total Care Connections helps families determine whether those options are available and guides them through the steps required to become a professional caregiver.


What the Program Provides

What the Program Provides

The Little Heroes First Program provides structured guidance so families can move from informal caregiving to a supported, professional role when eligible programs allow.

Eligibility Review and Program Navigation

We help determine whether your child may qualify for state Medicaid programs or other insurance-funded caregiver options and guide you through the required steps.

Training and Credentialing

We provide required caregiver training, certification support, and assistance with background checks and onboarding documentation.

Employment and Administrative Support

We employ you as your child’s caregiver when eligible and manage payroll, compliance requirements, and ongoing documentation so the process remains organized and stable.

Pay and Benefits Support

For families who qualify, compensation is based on authorized care hours and may include access to health insurance, retirement plans, paid leave options, and other employee benefits depending on eligibility and employment status.

How It Works

1

Eligibility Review

We begin by learning about your child’s care needs and determining whether state Medicaid programs or other funding sources may apply.

1

Eligibility Review

We begin by learning about your child’s care needs and determining whether state Medicaid programs or other funding sources may apply.

2

Training and Credentialing

If eligible, we guide you through required training, certifications, and onboarding steps.

2

Training and Credentialing

If eligible, we guide you through required training, certifications, and onboarding steps.

3

Care Begins at Home

You provide approved caregiving services in the home, based on your child’s authorized care plan.

3

Care Begins at Home

You provide approved caregiving services in the home, based on your child’s authorized care plan.

4

We Support the Ongoing Process

We manage compliance, payroll, documentation, and continued support so the program stays stable over time.

4

We Support the Ongoing Process

We manage compliance, payroll, documentation, and continued support so the program stays stable over time.

Woman and child on a bike path. The woman is leaning toward the child who is sitting on a bike.

A Clear Path Forward for Extraordinary Families

A Clear Path Forward for Extraordinary Families

Parents of medically complex children do not need more paperwork, confusion, or uncertainty. They need a stable system that supports what they are already doing every day.

The Little Heroes First Program exists to strengthen the family caregiver role and make it possible for parents to continue caring for their child without sacrificing financial stability or professional support.

Programs Vary by State

Programs Vary by State

The specific programs and pathways available to family caregivers depend on where you live. Select your location for details on eligibility, state programs, and how to get started.

The specific programs and pathways available to family caregivers depend on where you live. Select your location for details on eligibility, state programs, and how to get started.

Phoenix

Learn about the Licensed Health Aide (LHA) Program through DDD and other pediatric pathways

Learn more

Tucson

Learn about the Licensed Health Aide (LHA) Program through DDD and other pediatric pathways

Learn more

Colorado (Colorado Springs)

Learn about the Parent CNA Program, CHCBS, IHSS, and other pediatric pathways in Colorado

Learn more

Let’s talk about making your care sustainable

If you are navigating the complexities of pediatric home care, you don't have to do it alone. Our team is here to explain how these programs work and help you determine the best path forward for your family.

Schedule a Free Assessment

Or Call

888-487-0280

Let’s talk about making your care sustainable

If you are navigating the complexities of pediatric home care, you don't have to do it alone. Our team is here to explain how these programs work and help you determine the best path forward for your family.

Schedule a Free Assessment

Or Call

888-487-0280

Let’s talk about making your care sustainable

If you are navigating the complexities of pediatric home care, you don't have to do it alone. Our team is here to explain how these programs work and help you determine the best path forward for your family.

Schedule a Free Assessment

Or Call

888-487-0280

Let’s talk about making your care sustainable

If you are navigating the complexities of pediatric home care, you don't have to do it alone. Our team is here to explain how these programs work and help you determine the best path forward for your family.

Schedule a Free Assessment

Or Call

888-487-0280

Let’s talk about making your care sustainable

If you are navigating the complexities of pediatric home care, you don't have to do it alone. Our team is here to explain how these programs work and help you determine the best path forward for your family.

Schedule a Free Assessment

Or Call

888-487-0280

Trusted by Families, Every Day

Care that puts
people first

"We could not carry out our family’s daily life without the support and confidence we have in the care our son receives."

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Tania Y., Mother of a Veteran |

Google

"After trying three other agencies with numerous problems, Total Care was the best decision we made"

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Leslie W., Family Member |

Google

"Her confidence in caregiving takes away my fears. Just her presence gives me strength."

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Donna L., Client |

Google

"The office staff is phenomenal, always flexible, and on top of my sister’s care."

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Laura G., Sister of Client |

Google

"We could not carry out our family’s daily life without the support and confidence we have in the care our son receives."

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Tania Y., Mother of a Veteran |

Google

"After trying three other agencies with numerous problems, Total Care was the best decision we made"

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Leslie W., Family Member |

Google

"Her confidence in caregiving takes away my fears. Just her presence gives me strength."

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Donna L., Client |

Google

"The office staff is phenomenal, always flexible, and on top of my sister’s care."

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Laura G., Sister of Client |

Google

"We could not carry out our family’s daily life without the support and confidence we have in the care our son receives."

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Tania Y., Mother of a Veteran |

Google

"After trying three other agencies with numerous problems, Total Care was the best decision we made"

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Leslie W., Family Member |

Google

"Her confidence in caregiving takes away my fears. Just her presence gives me strength."

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Donna L., Client |

Google

"The office staff is phenomenal, always flexible, and on top of my sister’s care."

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Laura G., Sister of Client |

Google

"We could not carry out our family’s daily life without the support and confidence we have in the care our son receives."

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Tania Y., Mother of a Veteran |

Google

"After trying three other agencies with numerous problems, Total Care was the best decision we made"

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Leslie W., Family Member |

Google

"Her confidence in caregiving takes away my fears. Just her presence gives me strength."

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Donna L., Client |

Google

"The office staff is phenomenal, always flexible, and on top of my sister’s care."

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Laura G., Sister of Client |

Google

"We could not carry out our family’s daily life without the support and confidence we have in the care our son receives."

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Tania Y., Mother of a Veteran |

Google

"After trying three other agencies with numerous problems, Total Care was the best decision we made"

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Leslie W., Family Member |

Google

"Her confidence in caregiving takes away my fears. Just her presence gives me strength."

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Donna L., Client |

Google

"The office staff is phenomenal, always flexible, and on top of my sister’s care."

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Laura G., Sister of Client |

Google

"We could not carry out our family’s daily life without the support and confidence we have in the care our son receives."

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Tania Y., Mother of a Veteran |

Google

"After trying three other agencies with numerous problems, Total Care was the best decision we made"

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Leslie W., Family Member |

Google

"Her confidence in caregiving takes away my fears. Just her presence gives me strength."

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Donna L., Client |

Google

"The office staff is phenomenal, always flexible, and on top of my sister’s care."

Little Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care ConnectionsLittle Heroes First: Paid Parent Caregiver Program | Total Care Connections

Laura G., Sister of Client |

Google

The kinds of support we provide

From daily routines to specialized needs, care is shaped around what’s required at home.

Bathing
Toileting
Mobility
Nutrition
Exercise
Sundowning
Laundry
Meal Prep
Errands
Organizing
24-Hour Care
Evening Routine
Mail Help
G-Tube Care
Wound Care
Insulin
Adult Nursing
Training Provided
Bathing
Toileting
Mobility
Nutrition
Exercise
Sundowning
Laundry
Meal Prep
Errands
Organizing
24-Hour Care
Evening Routine
Mail Help
G-Tube Care
Wound Care
Insulin
Adult Nursing
Training Provided
Bathing
Toileting
Mobility
Nutrition
Exercise
Sundowning
Laundry
Meal Prep
Errands
Organizing
24-Hour Care
Evening Routine
Mail Help
G-Tube Care
Wound Care
Insulin
Adult Nursing
Training Provided
Bathing
Toileting
Mobility
Nutrition
Exercise
Sundowning
Laundry
Meal Prep
Errands
Organizing
24-Hour Care
Evening Routine
Mail Help
G-Tube Care
Wound Care
Insulin
Adult Nursing
Training Provided
Dressing
Incontinence
Transfers
Hydration
Fall Safety
UTI Prevention
Housekeeping
Grocery Runs
Companionship
Respite Care
Bedside Care
Calendar Help
Bill Reminders
Tracheostomy
Ostomy Care
Skilled Nursing
Care Planning
Case Manager Support
Dressing
Incontinence
Transfers
Hydration
Fall Safety
UTI Prevention
Housekeeping
Grocery Runs
Companionship
Respite Care
Bedside Care
Calendar Help
Bill Reminders
Tracheostomy
Ostomy Care
Skilled Nursing
Care Planning
Case Manager Support
Dressing
Incontinence
Transfers
Hydration
Fall Safety
UTI Prevention
Housekeeping
Grocery Runs
Companionship
Respite Care
Bedside Care
Calendar Help
Bill Reminders
Tracheostomy
Ostomy Care
Skilled Nursing
Care Planning
Case Manager Support
Dressing
Incontinence
Transfers
Hydration
Fall Safety
UTI Prevention
Housekeeping
Grocery Runs
Companionship
Respite Care
Bedside Care
Calendar Help
Bill Reminders
Tracheostomy
Ostomy Care
Skilled Nursing
Care Planning
Case Manager Support
Grooming
Hygiene
Feeding
Medication
Dementia
Independence
Cooking
Transportation
Hobbies
Live-In Care
Morning Routine
Therapy Reminders
Vital Signs
Ventilator
Catheter Care
Pediatric Care
RN Oversight
Grooming
Hygiene
Feeding
Medication
Dementia
Independence
Cooking
Transportation
Hobbies
Live-In Care
Morning Routine
Therapy Reminders
Vital Signs
Ventilator
Catheter Care
Pediatric Care
RN Oversight
Grooming
Hygiene
Feeding
Medication
Dementia
Independence
Cooking
Transportation
Hobbies
Live-In Care
Morning Routine
Therapy Reminders
Vital Signs
Ventilator
Catheter Care
Pediatric Care
RN Oversight
Grooming
Hygiene
Feeding
Medication
Dementia
Independence
Cooking
Transportation
Hobbies
Live-In Care
Morning Routine
Therapy Reminders
Vital Signs
Ventilator
Catheter Care
Pediatric Care
RN Oversight
Bathing
Toileting
Mobility
Nutrition
Exercise
Sundowning
Laundry
Meal Prep
Errands
Organizing
24-Hour Care
Evening Routine
Mail Help
G-Tube Care
Wound Care
Insulin
Adult Nursing
Training Provided
Bathing
Toileting
Mobility
Nutrition
Exercise
Sundowning
Laundry
Meal Prep
Errands
Organizing
24-Hour Care
Evening Routine
Mail Help
G-Tube Care
Wound Care
Insulin
Adult Nursing
Training Provided
Bathing
Toileting
Mobility
Nutrition
Exercise
Sundowning
Laundry
Meal Prep
Errands
Organizing
24-Hour Care
Evening Routine
Mail Help
G-Tube Care
Wound Care
Insulin
Adult Nursing
Training Provided
Bathing
Toileting
Mobility
Nutrition
Exercise
Sundowning
Laundry
Meal Prep
Errands
Organizing
24-Hour Care
Evening Routine
Mail Help
G-Tube Care
Wound Care
Insulin
Adult Nursing
Training Provided
Dressing
Incontinence
Transfers
Hydration
Fall Safety
UTI Prevention
Housekeeping
Grocery Runs
Companionship
Respite Care
Bedside Care
Calendar Help
Bill Reminders
Tracheostomy
Ostomy Care
Skilled Nursing
Care Planning
Case Manager Support
Dressing
Incontinence
Transfers
Hydration
Fall Safety
UTI Prevention
Housekeeping
Grocery Runs
Companionship
Respite Care
Bedside Care
Calendar Help
Bill Reminders
Tracheostomy
Ostomy Care
Skilled Nursing
Care Planning
Case Manager Support
Dressing
Incontinence
Transfers
Hydration
Fall Safety
UTI Prevention
Housekeeping
Grocery Runs
Companionship
Respite Care
Bedside Care
Calendar Help
Bill Reminders
Tracheostomy
Ostomy Care
Skilled Nursing
Care Planning
Case Manager Support
Dressing
Incontinence
Transfers
Hydration
Fall Safety
UTI Prevention
Housekeeping
Grocery Runs
Companionship
Respite Care
Bedside Care
Calendar Help
Bill Reminders
Tracheostomy
Ostomy Care
Skilled Nursing
Care Planning
Case Manager Support
Grooming
Hygiene
Feeding
Medication
Dementia
Independence
Cooking
Transportation
Hobbies
Live-In Care
Morning Routine
Therapy Reminders
Vital Signs
Ventilator
Catheter Care
Pediatric Care
RN Oversight
Grooming
Hygiene
Feeding
Medication
Dementia
Independence
Cooking
Transportation
Hobbies
Live-In Care
Morning Routine
Therapy Reminders
Vital Signs
Ventilator
Catheter Care
Pediatric Care
RN Oversight
Grooming
Hygiene
Feeding
Medication
Dementia
Independence
Cooking
Transportation
Hobbies
Live-In Care
Morning Routine
Therapy Reminders
Vital Signs
Ventilator
Catheter Care
Pediatric Care
RN Oversight
Grooming
Hygiene
Feeding
Medication
Dementia
Independence
Cooking
Transportation
Hobbies
Live-In Care
Morning Routine
Therapy Reminders
Vital Signs
Ventilator
Catheter Care
Pediatric Care
RN Oversight

About Us

Leadership

Giving Back

Contact

ALTCS (Arizona)

Licensed Health Aid Program (Arizona)

Family First Program (Colorado)

Parent CNA Program (Colorado)

© 2026 Total Care Connections

Privacy Policy

About Us

Leadership

Giving Back

Contact

ALTCS (Arizona)

Licensed Health Aid Program (Arizona)

Family First Program (Colorado)

Parent CNA Program (Colorado)

© 2026 Total Care Connections

Privacy Policy

About Us

Leadership

Giving Back

Contact

ALTCS (Arizona)

Licensed Health Aid Program (Arizona)

Family First Program (Colorado)

Parent CNA Program (Colorado)

© 2026 Total Care Connections

Privacy Policy