diff --git a/python/sglang/srt/mem_cache/memory_pool_host.py b/python/sglang/srt/mem_cache/memory_pool_host.py
index cab5f5ae2..079dc0a64 100644
--- a/python/sglang/srt/mem_cache/memory_pool_host.py
+++ b/python/sglang/srt/mem_cache/memory_pool_host.py
@@ -466,6 +466,9 @@ class MHATokenToKVPoolHost(HostKVCache):
             return self.kv_buffer[:, :, index : index + self.page_size, :, :].flatten()
         elif self.layout == "page_first":
             return self.kv_buffer[:, index : index + self.page_size, :, :, :].flatten()
+        elif self.layout == "page_first_direct":
+            real_index = index // self.page_size
+            return self.kv_buffer[:, real_index : real_index + 1, :, :, :, :].flatten()
         else:
             raise ValueError(f"Unsupported layout: {self.layout}")
 
@@ -494,6 +497,13 @@ class MHATokenToKVPoolHost(HostKVCache):
                     2, self.page_size, self.layer_num, self.head_num, self.head_dim
                 )
             )
+        elif self.layout == "page_first_direct":
+            real_index = index // self.page_size
+            self.kv_buffer[:, real_index : real_index + 1, :, :, :, :] = (
+                data_page.reshape(
+                    2, 1, self.layer_num, self.page_size, self.head_num, self.head_dim
+                )
+            )
         else:
             raise ValueError(f"Unsupported layout: {self.layout}")
 
@@ -731,6 +741,9 @@ class MLATokenToKVPoolHost(HostKVCache):
             return self.kv_buffer[:, index : index + self.page_size, :, :].flatten()
         elif self.layout == "page_first":
             return self.kv_buffer[index : index + self.page_size, :, :, :].flatten()
+        elif self.layout == "page_first_direct":
+            real_index = index // self.page_size
+            return self.kv_buffer[real_index : real_index + 1, :, :, :, :].flatten()
         else:
             raise ValueError(f"Unsupported layout: {self.layout}")
 
@@ -762,6 +775,15 @@ class MLATokenToKVPoolHost(HostKVCache):
                 1,
                 self.kv_lora_rank + self.qk_rope_head_dim,
             )
+        elif self.layout == "page_first_direct":
+            real_index = index // self.page_size
+            self.kv_buffer[real_index : real_index + 1, :, :, :, :] = data_page.reshape(
+                1,
+                self.layer_num,
+                self.page_size,
+                1,
+                self.kv_lora_rank + self.qk_rope_head_dim,
+            )
         else:
             raise ValueError(f"Unsupported layout: {self.layout}")
 
diff --git a/test/srt/hicache/test_hicache_storage_file_backend.py b/test/srt/hicache/test_hicache_storage_file_backend.py
index fc8a0e25d..e257fbc27 100644
--- a/test/srt/hicache/test_hicache_storage_file_backend.py
+++ b/test/srt/hicache/test_hicache_storage_file_backend.py
@@ -238,6 +238,19 @@ class TestHiCacheStorageLayerFirstDirectIO(HiCacheStorageBaseMixin, CustomTestCa
         return server_args, {}
 
 
+class TestHiCacheStoragePageFirstDirectIO(HiCacheStorageBaseMixin, CustomTestCase):
+    """Page first direct tests for HiCache Storage functionality"""
+
+    @classmethod
+    def _get_additional_server_args_and_env(cls):
+        """Get additional server arguments specific to configuration - override in subclasses"""
+        server_args = {
+            "--hicache-mem-layout": "page_first_direct",
+            "--hicache-io-backend": "direct",
+        }
+        return server_args, {}
+
+
 class TestHiCacheStoragePageFirstLayout(HiCacheStorageBaseMixin, CustomTestCase):
     """Page first layout tests for HiCache Storage functionality"""