How Do I Get Paid to be a Family Caregiver?

Medicaid Self-Direction Programs

If the person you care for has a disability or chronic condition and is eligible for Medicaid, they may qualify for financial assistance that can be used to purchase necessary home and community-based services and supports, including payment to the family caregiver or to pay for respite. Such programs are sometimes known as cash & counseling, consumer or self-directed programs, or other names selected by the state. Every state but South Dakota has Medicaid programs that allow for self-directed services.

Most often these services will be provided through a Medicaid Waiver offered by your state, but they may be offered through other Medicaid state plan options.  In order to be paid to be your loved one's caregiver, some states may require you to become a certified Medicaid provider or meet other state requirements. The care recipient must meet income and other eligibility requirements set by the state. For more information, contact Applied Self Direction. This organization maintains a list of State Self-Direction programs. You can also contact your State Medicaid Director.

Aging and Disability Resource Center (ADRC)/No Wrong Door System

Visit your local Aging and Disability Resource Center (ADRC)/No Wrong Door System to see what long term services and supports, including paying a family caregiver to provide care, might be available in your state, regardless of your age or disability. To find a local ADRC, visit the Eldercare Locator at eldercare.acl.gov or call 1-800 677-1116.

This site can also help you find your local Area Agency on Aging to find respite and additional caregiver supports provided through the Family Caregiver Support Program, if the person you are caring for is over age 60 or has Alzheimer’s Disease and is of any age;  if you are a grandparent age 55 or older caring for a child; or if you are a parent or other relative caregiver age 55 or older caring for an adult child with a disability.

Veterans Services

If the person you care for is a veteran, you may be eligible for Veteran Directed Care Program, Veterans Pensions, and/or the Aid and Attendance benefit, all of which have the potential to provide some financial and other supports. Find the VA pension management center that serves you

Veterans and their caregivers may be eligible for the Program of Comprehensive Assistance for Family Caregivers. In addition to respite, mental health services, travel expenses, and access to health care insurance for family caregivers, the program offers caregiver stipends.  Call the VA Caregiver Support line at 1-855-260-3274 or visit www.caregiver.va.gov.   See the ARCH Fact Sheet, Nine Steps to Respite for Military and Veteran Caregivers.

County Veterans Service Officers also provide assistance in obtaining veterans benefits and answer questions regarding rules and regulations concerning veterans and survivors of veterans. National Association of County Veteran Service Officers (NACVSO) has an online locator that will direct you to your County Veteran Service Office or the Department of Veteran Affairs.

Structured Family Caregiving

A number of states have been approved by the Centers for Medicare and Medicaid Services to offer Structured Family Caregiving where the family caregiver can be paid and receive additional supports. To qualify, the individual needing care must be eligible for Medicaid, need 24-hour care and supervision, and require help from a caregiver with one or more daily personal care needs, (i.e. bathing, dressing, walking, transferring, eating, and toileting).  As of 10/2022, seven states offer this Medicaid benefit for older adults, adults with physical disabilities, and their family caregivers: Connecticut, Georgia, Indiana, Louisiana, Missouri, North Carolina, and South Dakota. Check with your State Medicaid agency to see if your state offers this program or something similar, such as Adult Foster Care. For more information, see Medicaid Structured Family Caregiving: Enabling Family Members to Make Caregiving Their Primary Focus from the National Academy for State Health Policy.

Adult Foster Care in the Homes of Family Members

The following states allow relatives as paid foster care providers: Connecticut, Louisiana, Indiana, Massachusetts, Ohio, Rhode Island, and Texas. In most states, spouses are excluded from being paid. Regulations may require formal training for family caregivers; 24/7 availability of a backup caregiver; periodic safety inspections; and licensing fees. Read more at Paying for Senior Care: Adult Foster Care it How it Works, Financial Assistance and Payment Options.

Supplemental Security Income (SSI) for Children (En español)

SSI provides monthly cash payments to help meet the basic needs of children who have a physical or mental disability or who are blind. If you care for a child or teenager with a disability, and have limited income and savings or other resources, your child may be eligible for SSI. Visit the Social Security Administration for more information.

Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI) for Adults

Social Security pays disability benefits through two programs: 1)The Supplemental Security Income (SSI) program; and  2) The Social Security Disability Insurance (SSDI) program.

SSI provides monthly payments to adults who have income and resources below specific financial limits, and who meet just one of the following criteria:

• They are age 65 or older
• They are blind.
• They have a medical condition that keeps them from working, which is expected to last one year or result in death.

For more information, see the brochure on Supplemental Security Income (SSI)

SSDI medical requirements are the same as for the SSI program, but you need to meet other work and financial requirements. See Disability Benefits on the Social Security Administration website for information about both the SSI and SSDI programs. (En español)

Temporary Assistance for Needy Families

Grandparent and other relative caregivers who are not part of the child welfare system may be eligible for financial assistance through Temporary Assistance for Needy Families (TANF) federal block grant funds. "Child only" grants to children in the care of their relative are provided per month and and are ongoing until the child becomes an adult or the relative is no longer raising them. Grant eligibility typically only considers the income and assets of the child, not the caregiver, so most children with relatives should receive this support. Read more in this fact sheet from Generations United.

Paid Caregiver Program Locator

This tool was created and is maintained by the American Elder Care Research Organization.

Family and Medical Leave Act and Paid Leave Programs

If you work for an employer with more than 50 employees, you may be eligible for up to 12 weeks of unpaid leave to provide care while you protect your job.  For more information, see Department of Labor Fact Sheet.  Thirteen states—California, Colorado, Connecticut, Delaware, Maine, Massachusetts, Maryland, Minnesota, New Jersey, New York, Oregon, Rhode Island, and Washington—and the District of Columbia have enacted laws that provide paid family leave for employees who need time off to care for family members who are ill or have a disability, or for a new child.

Helpful Articles

• American Council on Aging (Feb. 28, 2022). How to Receive Financial Compensation via Medicaid to Provide Care for a Loved One
• Next Avenue (Aug 5, 2020) Where Family Caregivers Can Get Financial Assistance,
  Advice about state and local programs, some created due to the pandemic by Margie Zable Fisher
• Consumer Reports (Jan 2018). How to Get Compensation When Caring for Aging Parents
  Five ways to offset the cost and loss of income.
• United Hospital Fund, by Carole Levine.  Can You Get Paid to Take Care of Your Mom?
• The Caregiver Space.  See the article Can I get paid to be a family caregiver?
• Agingcare.com. See the article  “How Can I Get Paid for Taking Care of My Elderly Parents?”  
• AARP Caregiver Resource Center.  Can I get Paid as a Caregiver?