Family-Managed Home Care
Support for Families. Care for Loved Ones.
What is FMHC? — Ontario's Self-Directed Home Care Option
Family-Managed Home Care (FMHC) is a program offered by Ontario Health atHome that gives families more flexibility in arranging care. Instead of services being scheduled through the system, eligible families receive funding and can choose their own care providers.
This allows families to access funded support while maintaining flexibility in how care is arranged at home.
The Opportunity and the Challenge
FMHC can be life-changing for families who need more flexibility in arranging care. It allows families to:
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choose caregivers who fit their loved one’s needs and values
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arrange care around their own schedules and routines
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access funded support instead of paying entirely out of pocket
With that flexibility comes responsibility. Families must manage funding and oversee care delivery in line with Ontario Health atHome’s requirements, which can feel overwhelming while supporting a loved one.
Who Qualifies for FMHC
Family-Managed Home Care is not available to everyone, but for those who qualify, it can provide meaningful flexibility in arranging care.
Families may be eligible when:
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a child has complex medical needs
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an adult is living with an acquired brain injury
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a child is being home-schooled
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or when a situation falls under extraordinary circumstances
Eligibility is determined by Ontario Health atHome.
Our role is to help families understand their options and support care delivery once FMHC funding is in place.
How Daily Home Care Supports Families
Once FMHC funding is approved, families can choose how care is arranged and delivered. We support families by helping turn funding approval into dependable, day-to-day care.
Our role may include:
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Services We Provide Under FMHC
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Under Family-Managed Home Care, families can choose the types of support that best meet their loved one’s needs. We provide a range of non-medical home care services that may be arranged through FMHC funding, including:
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Personal Care
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Companion Care
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Dementia Care
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Respite Care
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Palliative Support
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Post-hospital Support
Services are arranged in collaboration with families to ensure care remains consistent, appropriate, and aligned with program expectations.
Getting Started with FMHC
Beginning care through Family-Managed Home Care typically involves a few steps coordinated with Ontario Health atHome.
1. Assessment and eligibility
Ontario Health atHome determines eligibility for FMHC through assessment and approval.
2. Funding authorization
Once approved, FMHC funding is authorized for eligible care services, which are coordinated and billed according to program requirements.
3. Care begins
We work with families to coordinate caregivers and begin services based on their needs and schedule.
If you are exploring Family-Managed Home Care or have already been approved, we can help you arrange care with clarity and confidence.
Ready to Explore FMHC?
Call Us: 905-227-5354
Request Information: Contact Form
FMHC is not available for every family — but for those who qualify, it can provide meaningful flexibility in arranging care. Contact us today to start the conversation about FMHC and how we can support your family.