With Alto, families can hire respite workers, behavioural aides, community aides, and more. Alto can directly bill FSCD for your services. There are no extra fees and no weekly or monthly minimums, all families pay is the hourly rate of their caregiver. Families are also able to choose their own caregiver from Alto, so they get reliable care from someone that fits their family, at an hourly rate that works for them. A credit card is required to keep on file, but Alto can also directly bill FSCD or take e transfer for payment. Alto has worked with families using FSCD, PDD, and more.