Become a paid caregiver through a state Medicaid program

If someone with a disability already receives Medicaid, their state may allow a family member or friend to become a paid caregiver.

Many states call this a consumer-directed personal assistance program. Each state has different requirements and rules. And the amount the program pays you to care for a family member varies by state. Contact your state’s Medicaid office for more information.

Caring for a family member who is not eligible for Medicaid

Long-term care insurance

Some long-term care insurance policies allow family members to get paid as caregivers. Contact your insurance agent and ask for a written confirmation of benefits.

Paid family leave

Some states require employers to offer family leave programs and some programs pay you to care for a family member. The eligibility requirements, the amount you will receive to provide care, and how long you can take off work varies by state. To learn more, contact your state labor office.

Local Area Agencies on Aging

If your state does not offer a paid family leave program, an Area Agency on Aging (AAA) may be able to help with:

• Counseling and care referrals
• Day care programs for older adults
• Meal deliveries
• Learn more about AAAs and search for resources in your area by entering your zip code or city and state.

Veterans programs

There are two programs available for veterans:

• The Veteran-Directed Home and Community-Based Services program offers veterans a flexible budget. With the help of a counselor, veterans may be able to hire a family member to help with daily living and activities.
• Aid and Attendance Benefits program provides monthly payments in addition to a monthly VA pension for qualified veterans and survivors. These benefits help cover the costs of a caregiver, who may be a family member. Find the VA pension management center in your area to see if you qualify.