diff --git a/python/sglang/srt/mem_cache/memory_pool_host.py b/python/sglang/srt/mem_cache/memory_pool_host.py
index 60db37da6..f8c456c19 100644
--- a/python/sglang/srt/mem_cache/memory_pool_host.py
+++ b/python/sglang/srt/mem_cache/memory_pool_host.py
@@ -17,6 +17,7 @@ if not (_is_npu or _is_xpu):
         transfer_kv_all_layer,
         transfer_kv_all_layer_direct_lf_pf,
         transfer_kv_all_layer_lf_pf,
+        transfer_kv_all_layer_lf_ph,
         transfer_kv_all_layer_mla,
         transfer_kv_all_layer_mla_lf_pf,
         transfer_kv_direct,
@@ -25,6 +26,7 @@ if not (_is_npu or _is_xpu):
         transfer_kv_per_layer_mla,
         transfer_kv_per_layer_mla_pf_lf,
         transfer_kv_per_layer_pf_lf,
+        transfer_kv_per_layer_ph_lf,
     )
 if _is_npu:
     from sgl_kernel_npu.kvcacheio import TransferDirection, transfer_kv_dim_exchange
@@ -238,6 +240,15 @@ class MHATokenToKVPoolHost(HostKVCache):
                 self.head_num,
                 self.head_dim,
             )
+        elif self.layout == "page_head":
+            dims = (
+                2,
+                self.page_num,
+                self.head_num,
+                self.page_size,
+                self.layer_num,
+                self.head_dim,
+            )
         else:
             raise ValueError(f"Unsupported layout: {self.layout}")
         self.token_stride_size = self.head_num * self.head_dim * self.dtype.itemsize
@@ -292,6 +303,20 @@ class MHATokenToKVPoolHost(HostKVCache):
                     item_size=self.token_stride_size,
                     src_layout_dim=self.layout_dim,
                 )
+            elif self.layout == "page_head":
+                transfer_kv_per_layer_ph_lf(
+                    src_k=self.k_buffer,
+                    dst_k=device_pool.k_buffer[layer_id],
+                    src_v=self.v_buffer,
+                    dst_v=device_pool.v_buffer[layer_id],
+                    src_indices=host_indices,
+                    dst_indices=device_indices,
+                    layer_id=layer_id,
+                    item_size=self.token_stride_size,
+                    src_layout_dim=self.layout_dim,
+                    page_size=self.page_size,
+                    head_num=self.head_num,
+                )
             else:
                 raise ValueError(f"Unsupported layout: {self.layout}")
         elif io_backend == "direct":
@@ -366,6 +391,20 @@ class MHATokenToKVPoolHost(HostKVCache):
                     dst_layout_dim=self.layout_dim,
                     num_layers=self.layer_num,
                 )
+            elif self.layout == "page_head":
+                transfer_kv_all_layer_lf_ph(
+                    src_k_layers=device_pool.k_data_ptrs,
+                    dst_k=self.k_buffer,
+                    src_v_layers=device_pool.v_data_ptrs,
+                    dst_v=self.v_buffer,
+                    src_indices=device_indices,
+                    dst_indices=host_indices,
+                    item_size=self.token_stride_size,
+                    dst_layout_dim=self.layout_dim,
+                    num_layers=self.layer_num,
+                    page_size=self.page_size,
+                    head_num=self.head_num,
+                )
             else:
                 raise ValueError(f"Unsupported layout: {self.layout}")
         elif io_backend == "direct":
@@ -409,7 +448,7 @@ class MHATokenToKVPoolHost(HostKVCache):
             data_page = self.kv_buffer[:, :, index : index + self.page_size, :, :]
         elif self.layout == "page_first":
             data_page = self.kv_buffer[:, index : index + self.page_size, :, :, :]
-        elif self.layout == "page_first_direct":
+        elif self.layout in ["page_first_direct", "page_head"]:
             real_index = index // self.page_size
             data_page = self.kv_buffer[:, real_index : real_index + 1, :, :, :, :]
         else:
@@ -450,6 +489,13 @@ class MHATokenToKVPoolHost(HostKVCache):
                     2, 1, self.layer_num, self.page_size, self.head_num, self.head_dim
                 )
             )
+        elif self.layout == "page_head":
+            real_index = index // self.page_size
+            self.kv_buffer[:, real_index : real_index + 1, :, :, :, :] = (
+                data_page.reshape(
+                    2, 1, self.head_num, self.page_size, self.layer_num, self.head_dim
+                )
+            )
         else:
             raise ValueError(f"Unsupported layout: {self.layout}")
 
@@ -490,7 +536,7 @@ class MHATokenToKVPoolHost(HostKVCache):
                 self.dtype.itemsize * self.page_size * self.head_num * self.head_dim
             )
             element_size_list = [element_size] * len(ptr_list)
-        elif self.layout in ["page_first", "page_first_direct"]:
+        elif self.layout in ["page_first", "page_first_direct", "page_head"]:
             for index in range(0, len(indices), self.page_size):
                 k_ptr = (
                     kv_buffer_data_ptr
diff --git a/python/sglang/srt/mem_cache/storage/mooncake_store/mooncake_store.py b/python/sglang/srt/mem_cache/storage/mooncake_store/mooncake_store.py
index c52794a0f..040afee32 100644
--- a/python/sglang/srt/mem_cache/storage/mooncake_store/mooncake_store.py
+++ b/python/sglang/srt/mem_cache/storage/mooncake_store/mooncake_store.py
@@ -265,6 +265,7 @@ class MooncakeStore(HiCacheStorage):
         assert self.mem_pool_host.layout in [
             "page_first",
             "page_first_direct",
+            "page_head",
         ], "mooncake store storage backend only support page first or page first direct layout"
         buffer = self.mem_pool_host.kv_buffer
         try:
diff --git a/python/sglang/srt/server_args.py b/python/sglang/srt/server_args.py
index 53ffaae64..b6fd815f8 100644
--- a/python/sglang/srt/server_args.py
+++ b/python/sglang/srt/server_args.py
@@ -3074,6 +3074,7 @@ class ServerArgs:
                 "page_first",
                 "page_first_direct",
                 "page_first_kv_split",
+                "page_head",
             ],
             default=ServerArgs.hicache_mem_layout,
             help="The layout of host memory pool for hierarchical cache.",