Paid family caregiver programs by state

The Department of Veterans Affairs offers a monthly stipend to eligible primary family caregivers through its family caregiver assistance program. State care programs have their own services, family payment conditions and application routes. Look up your state below, then ask the linked office what applies to your situation.

Official sources

Which state do you want to look up?

State or federal programs A state selection also keeps the two federal VA routes visible. No personal or health details are needed.

All 53 reference rows are shown. This table does not decide whether anyone can be paid.

Not published means we did not verify that field in the linked official sources. It does not establish that a program or family payment is unavailable.

Ask the program to confirm the current route, authorized services and whether your relationship can be paid. This reference does not decide eligibility or payment.

We recheck these sources every quarter. Return before arranging paid care or when a program changes.

What do the official programs publish?

State or federal program	Program name	What it pays for	Family payment conditions	How to ask or apply	Official source
Alabama	Program name Personal Choices	What it pays for An allotted budget for personal care and items that sustain or improve health, for enrolled clients.	Family payment conditions Not published	How to ask or apply Contact Alabama AGE-LINE at 1-800-243-5463 about Personal Choices enrollment.	Alabama Department of Senior Services; Alabama Department of Senior Services
Alaska	Program name Consumer-Directed Personal Care Services	What it pays for Help with bathing, dressing, eating, shopping, laundry and light housework through PCS agencies.	Family payment conditions Not published	How to ask or apply Read the state PCS page and its PCA-08 application instructions.	Alaska Department of Health
Arizona	Program name Self Directed Attendant Care through ALTCS	What it pays for Member-directed delivery of attendant care, personal care and homemaker services. Most ALTCS members must live in their own home.	Family payment conditions Family, friends and neighbors may be hired. SDAC excludes a spouse, a parent of a minor child and, in most cases, a legal guardian. A spouse must use the separate agency employment route.	How to ask or apply Ask the ALTCS case manager about member-directed options.	Arizona Health Care Cost Containment System; Arizona Health Care Cost Containment System
Arkansas	Program name IndependentChoices and ARChoices self-direction	What it pays for A personal-assistance allowance. Participants manage workers and can use part of the allowance for other care and independence items.	Family payment conditions Friends or family can provide paid care. A spouse or anyone legally responsible for the participant, such as a guardian, cannot be paid under IndependentChoices.	How to ask or apply The state FAQ directs new self-direction applicants to PPL at 1-800-256-2913 for assessment and enrollment.	Arkansas Department of Human Services; Arkansas Department of Human Services; Arkansas Department of Human Services
California	Program name In-Home Supportive Services	What it pays for In-home assistance with county-authorized services and monthly hours after an individual assessment.	Family payment conditions After eligibility is established, a friend or relative may provide care. The provider must complete all required enrollment steps before starting work.	How to ask or apply Submit an IHSS application to the county IHSS office through the state program page.	California Department of Social Services; California Department of Social Services
Colorado	Program name Consumer-Directed Attendant Support Services under Community First Choice	What it pays for Personal care, homemaker and health maintenance services managed by the member.	Family payment conditions Family members, friends or others may be paid caregivers, with restrictions. Confirm the relationship and service conditions with the case management agency.	How to ask or apply Current Health First Colorado members should contact their local case management agency. Others can use the state Medicaid application route.	Colorado Department of Health Care Policy and Financing
Connecticut	Program name Adult Family Living in the PCA waiver program. Published PCA ages are 18 through 64.	What it pays for Personal care, homemaker, chore, attendant services and meal preparation from a primary caregiver in the same home.	Family payment conditions The primary caregiver may be a relative who is not a legally liable relative. Confirm the specific relationship with DSS.	How to ask or apply Call the PCA program at 1-800-445-5394 and select option 4 for a referral.	Connecticut Department of Social Services
Delaware	Program name Attendant Services Program	What it pays for Help with dressing, bathing, moving around, meals, household tasks, communication and getting to work.	Family payment conditions Not published	How to ask or apply Contact the Delaware ADRC at 1-800-223-9074 to discuss available in-home services.	Delaware Health and Social Services
Washington, DC	Program name Services My Way under the EPD Waiver	What it pays for Participant-directed personal assistance for EPD Waiver participants living in their natural home.	Family payment conditions Not published	How to ask or apply If enrolled in the EPD Waiver, ask the assigned case manager to add Services My Way to the person-centered service plan.	District of Columbia Department of Health Care Finance; District of Columbia Department of Health Care Finance
Florida	Program name Long-Term Care Participant Direction Option	What it pays for Approved plan-of-care adult companion, attendant, homemaker, nursing or personal care services, for approved hours at home.	Family payment conditions A qualified family member may be hired. The person acting as the participant representative cannot also be a paid direct service worker.	How to ask or apply Ask the Long-Term Care health plan about PDO and its trained case manager assessment and enrollment process.	Florida Agency for Health Care Administration; Florida Agency for Health Care Administration
Georgia	Program name Structured Family Caregiving through Medicaid waiver programs	What it pays for Necessary care and support for a waiver member from a live-in family caregiver working with the SFC provider health coach.	Family payment conditions Some Medicaid waiver programs can pay a live-in family caregiver through Structured Family Caregiving. Services vary by location.	How to ask or apply Call 1-866-552-4464, option 2, and ask an ADRC counselor about local program options.	Georgia Department of Human Services Division of Aging Services; Georgia Department of Community Health
Hawaii	Program name QUEST Integration home and community-based services	What it pays for Home and community-based services through QUEST Integration health plans, according to assessed care needs.	Family payment conditions Not published	How to ask or apply Use the Med-QUEST community partner list for help applying for Medicaid.	Hawaii Department of Human Services Med-QUEST Division; Hawaii Department of Human Services Med-QUEST Division
Idaho	Program name My Voice, My Choice for DD Waiver members. The separate Family Personal Care Services program has ended.	What it pays for An individual Medicaid budget for approved services and supports, with staff hired and managed by the member.	Family payment conditions Not published	How to ask or apply Follow the state self-direction page to its Developmental Disability Services application information.	Idaho Department of Health and Welfare; Idaho Department of Health and Welfare
Illinois	Program name Community Care Program In-Home Services	What it pays for Housekeeping, meals, laundry, errands and personal care such as dressing, bathing and grooming.	Family payment conditions A participating provider may hire a spouse or another relative who meets qualifications, passes a background check, completes 24 hours of pre-service training and accepts supervision. Not every provider does.	How to ask or apply Discuss provider options with the Care Coordination Unit. Use the state service locator or Senior HelpLine to find a provider.	Illinois Department on Aging
Indiana	Program name Structured Family Caregiving under PathWays or Health and Wellness	What it pays for Daily care and support from a caregiver living in the same home, with provider training and oversight.	Family payment conditions The live-in caregiver may be a family member or a nonfamily member. The provider must train the caregiver and confirm qualifications.	How to ask or apply PathWays members should contact their health plan about assessment and a service coordinator for home support.	Indiana Family and Social Services Administration; Indiana Family and Social Services Administration
Iowa	Program name Consumer Choices Option	What it pays for Approved Medicaid funding to hire workers or purchase specified goods and services under eligible HCBS waivers. An approved financial management services provider is required. A support broker is optional.	Family payment conditions The CCO handbook includes hiring family or friends for personal assistance. Confirm the worker and approved-service rules with the case manager.	How to ask or apply Ask the case manager about CCO. If eligible and choosing this option, the case manager helps with enrollment.	Iowa Department of Health and Human Services; Iowa Department of Health and Human Services
Kansas	Program name Not published	What it pays for Not published	Family payment conditions Not published	How to ask or apply Not published	Kansas Department of Health and Environment
Kentucky	Program name Participant-Directed Services through the ABI, ABI LTC, HCB, Michelle P. or SCL Medicaid waivers.	What it pays for Non-medical, non-residential services authorized through the participant's Medicaid waiver.	Family payment conditions Certain family members may be employees. Employees must be adults and submit to a criminal background check. A PDS representative cannot be a paid employee.	How to ask or apply Ask your waiver case manager about enrolling in PDS and the rules for your proposed worker.	Kentucky Cabinet for Health and Family Services
Louisiana	Program name Community Choices Waiver Self-Direction option for CCW participants.	What it pays for Authorized Personal Assistance Services to support safety and independence at home.	Family payment conditions A spouse needs OAAS approval under extraordinary-care criteria. The participant, the participant's employer and the responsible representative cannot be the employee. Worker requirements also apply.	How to ask or apply If you already participate in CCW, ask your support coordinator about the self-direction option and enrollment.	Louisiana Department of Health
Maine	Program name Self-Directed Services for people receiving Section 18, 20 or 29 waiver services.	What it pays for Authorized home support, community membership, individual-directed goods and services, assistive technology and home accessibility adaptations.	Family payment conditions Family or friends may be workers if they pass a background check and complete training. Your authorized representative cannot also be your support worker.	How to ask or apply Contact your case manager to discuss self-directed services under your waiver.	Maine Department of Health and Human Services
Maryland	Program name Community First Choice Program.	What it pays for Possible services include personal assistance, home-delivered meals, accessibility adaptations, assistive technology, nurse monitoring and supports planning.	Family payment conditions Not published	How to ask or apply Call Maryland Access Point at 844-627-5465 or Community First Choice at 410-767-1739 to ask about applying.	Maryland Department of Health
Massachusetts	Program name MassHealth Personal Care Attendant program for people with permanent or chronic disabilities.	What it pays for Personal care attendant assistance with activities of daily living.	Family payment conditions The consumer-employer's spouse, parent or foster parent when the consumer is a minor, or surrogate cannot be hired. Ask the PCM agency about other relatives and worker requirements.	How to ask or apply Contact a Personal Care Management agency in your area for program information or enrollment.	MassHealth; Personal Care Attendant Workforce Council
Michigan	Program name Home Help through Medicaid Fee for Service, subject to an in-home assessment.	What it pays for Authorized assistance with daily living, light housework, laundry, meals, food and medication shopping, and other assessed covered tasks.	Family payment conditions An adult family member or friend may be chosen. A spouse, parent caring for a minor, or person receiving Home Help cannot be the caregiver. CHAMPS approval and a background check are required before payment.	How to ask or apply Request Home Help through the Adult Services unit at your local county MDHHS office. Referrals can be made by phone, mail, fax or in person.	Michigan Department of Health and Human Services
Minnesota	Program name Community First Services and Supports.	What it pays for Assistance with daily living and authorized goods, services and personal emergency response systems.	Family payment conditions Family members can serve as CFSS workers. Confirm worker qualifications and service-plan approval through the program.	How to ask or apply Request an assessment from your county or tribal nation if under 65, or if 65 or older without an MCO. People 65 or older with an MCO should contact their MCO.	Minnesota Department of Human Services
Mississippi	Program name Not published	What it pays for Not published	Family payment conditions Not published	How to ask or apply Contact the Medicaid Contact Center to request an application, or use the official Access MS link. This is general Medicaid application guidance.	Mississippi Division of Medicaid
Missouri	Program name Personal Care Assistance Consumer Directed Services, State Plan model.	What it pays for Authorized assistance with daily living and instrumental daily living for people with physical disabilities who meet program requirements.	Family payment conditions A family member may be the attendant, except the participant's spouse or legal guardian. The participant must be able to direct their own care.	How to ask or apply Use the official Online HCBS Referral Form. If online submission is unavailable, follow the manual's paper-referral and email instructions.	Missouri Department of Health and Senior Services; Missouri Department of Health and Senior Services
Montana	Program name Community First Choice Services and Personal Care Services, with agency-based or self-directed service options.	What it pays for Authorized bathing, dressing, grooming, toileting, eating, medication assistance, mobility, exercise and medical escort. Other services depend on the program and assessed needs.	Family payment conditions Not published	How to ask or apply Contact a regional program officer using the official page for referral information and program questions.	Montana Department of Public Health and Human Services
Nebraska	Program name Medicaid Personal Assistance Services.	What it pays for Assessed assistance with daily living, such as bathing or dressing, for a person with a chronic medical condition or disability.	Family payment conditions A family member may be paid if qualified and not legally responsible for you. A spouse or the parent or guardian of a minor child cannot be the paid provider.	How to ask or apply Follow the official iServe link and ask about a Personal Assistance Services assessment.	Nebraska Department of Health and Human Services
Nevada	Program name Personal Care Services, with agency and self-directed service models.	What it pays for Assessed daily-living assistance, light housekeeping, laundry, essential shopping and meal preparation. Prior authorization is required.	Family payment conditions Not published	How to ask or apply For an initial PCS request, call Nevada Medicaid's fiscal agent at 800-525-2395, option 1 then option 4.	Nevada Medicaid
New Hampshire	Program name Not published	What it pays for Not published	Family payment conditions Not published	How to ask or apply Not published	Office link only. Source access blocked
New Jersey	Program name Personal Preference Program for NJ FamilyCare members approved for PCA services.	What it pays for Approved personal-care tasks, including bathing, dressing, meal preparation and light housekeeping.	Family payment conditions Relatives, friends or neighbors may be hired within PPP guidelines. Ask the MCO about qualifications and any restrictions for your proposed worker.	How to ask or apply If enrolled in a NJ FamilyCare MCO, contact your MCO to request a PCA assessment for PPP enrollment.	New Jersey Department of Human Services
New Mexico	Program name New MexiCare, a state aging-department program subject to its eligibility requirements.	What it pays for Financial assistance and training for caregivers helping with daily activities because of physical or cognitive limitations.	Family payment conditions The program describes financial assistance for caregivers helping friends or family members. Eligibility and approval must be confirmed by program staff.	How to ask or apply Follow the official New Application instructions. The application requires registering an account with a valid email address.	New Mexico Aging and Long-Term Services Department
New York	Program name Consumer Directed Personal Assistance Program for eligible Medicaid members.	What it pays for Authorized personal-care, home-health-aide or nursing services for people meeting program requirements.	Family payment conditions A friend or family member may be the assistant, except a spouse, designated representative or parent of a consumer under 21.	How to ask or apply Contact your managed-care plan or Local Department of Social Services about assessment and CDPAP requirements. Existing participants must work with the statewide fiscal intermediary.	New York State Department of Health
North Carolina	Program name Community Alternatives Program for Disabled Adults, with consumer-directed services as an available service model.	What it pays for Authorized home aide, adult day health, equipment and modifications, meal preparation and delivery, respite and other services under the assessed plan.	Family payment conditions Not published	How to ask or apply Contact the CAP/DA case management entity in the applicant's county to request a referral.	NC Medicaid
North Dakota	Program name Family Paid Caregiver Pilot Program	What it pays for Extraordinary care beyond typical legally responsible family care, for people enrolled in one of the specifically listed Medicaid waivers.	Family payment conditions Legally responsible family members may receive payment for qualifying extraordinary care. This pilot is limited to its listed waivers and available funding.	How to ask or apply Use the Family Paid Caregiver Portal linked by HHS. Applications depend on program review and available funding.	North Dakota Health and Human Services
Ohio	Program name PASSPORT Participant Direction	What it pays for Choices Home Care Attendant Service or Consumer-Directed Personal Care Service, within the PASSPORT waiver.	Family payment conditions Qualified adult family members may be hired. Certification and background checks apply. A spouse or legally designated relative requires case-manager review under the specified rules.	How to ask or apply If applying for or enrolled in PASSPORT, contact the case manager or the PASSPORT administrative agency for your county.	Ohio Department of Aging
Oklahoma	Program name Consumer Directed Personal Assistance Services and Supports (CDPASS)	What it pays for Self-directed personal care for active ADvantage or Medically Fragile Waiver members, within approved service-plan hours and wage limits.	Family payment conditions The ADvantage CDPASS orientation permits some family employees. Spouses, guardians, people holding powers of attorney and authorized representatives are excluded, with only exceptional spouse exceptions. Background checks apply. Confirm Medically Fragile Waiver rules with the program.	How to ask or apply Contact your case manager or the CDPASS office using the official orientation instructions.	Oklahoma Human Services; Oklahoma Human Services
Oregon	Program name Independent Choices Program	What it pays for A monthly cash benefit to hire, manage and pay in-home workers through Medicaid LTSS.	Family payment conditions The Independent Choices Program permits hiring a spouse or other family member. Medicaid LTSS participation and program rules apply.	How to ask or apply For older adults and people with physical disabilities, contact an Area Agency on Aging or Aging and People with Disabilities office about Medicaid LTSS.	Oregon Department of Human Services
Pennsylvania	Program name Community HealthChoices	What it pays for CHC coordinates health care coverage for qualified participants. Ask which in-home services your plan covers.	Family payment conditions Not published	How to ask or apply Read the CHC enrollment information and the linked COMPASS application route.	Pennsylvania Department of Human Services
Rhode Island	Program name Personal Choice Program	What it pays for Personal care, homemaker and chore services, self-directed goods and services, and supports within Medicaid LTSS.	Family payment conditions Not published	How to ask or apply Contact the Personal Choice office or a community partner agency listed on the official program page for program and enrollment instructions.	Rhode Island Executive Office of Health and Human Services
South Carolina	Program name Community Choices (CC) Waiver	What it pays for Assistive services at home as an alternative to nursing home residence, for qualified waiver participants.	Family payment conditions Not published	How to ask or apply Use the official waiver overview chart to read the Community Choices application instructions.	South Carolina Department of Health and Human Services; South Carolina Department of Health and Human Services
South Dakota	Program name Assistive Daily Living Services (ADLS) Waiver for individuals with quadriplegia	What it pays for ADLS personal attendant services, including daily personal care. Meal preparation and housekeeping are conditional on no other family member at home being able to provide them.	Family payment conditions Under the ADLS waiver, family or friends may be paid for personal attendant services if they meet all attendant qualifications. This is not a statement about every South Dakota waiver.	How to ask or apply Not published	South Dakota Department of Social Services
Tennessee	Program name CHOICES and other TennCare LTSS waivers, provider agency family caregiver route	What it pays for Qualified provider-agency HCBS services within the benefits available in the enrolled person's person-centered plan.	Family payment conditions Family or household members must meet normal employment qualifications. Court-appointed guardians or conservators need explicit court-order permission. This guidance excludes consumer-directed workers and notes pending implementing rules.	How to ask or apply For long-term care, TennCare members can contact their health plan. People without TennCare can contact their local Area Agency on Aging and Disability.	TennCare; TennCare
Texas	Program name Consumer Directed Services (CDS), STAR+PLUS and STAR+PLUS HCBS	What it pays for Personal assistance and CFC personal assistance or habilitation through the CDS option, when available in the member's program and authorized plan.	Family payment conditions For personal assistance, a qualified relative or legal guardian may provide care except a legally responsible individual. A spouse cannot be a paid PAS provider.	How to ask or apply Discuss the CDS option and its enrollment steps with your MCO service coordinator using the official handbook.	Texas Health and Human Services; Texas Health and Human Services
Utah	Program name Aging Waiver	What it pays for Assessed services can include personal attendant services and respite care. The waiver serves a limited number of people.	Family payment conditions Not published	How to ask or apply Not published	Utah Department of Health and Human Services
Vermont	Program name Choices for Care	What it pays for A package of long-term services and supports for eligible adults, available at home or in other chosen settings. Confirm the authorized care plan with the program.	Family payment conditions Not published	How to ask or apply Contact the Department of Vermont Health Access for an application or financial eligibility questions using the official Choices for Care brochure.	Vermont Department of Disabilities, Aging and Independent Living; Vermont Department of Disabilities, Aging and Independent Living
Virginia	Program name Commonwealth Coordinated Care Plus (CCC Plus) Waiver	What it pays for Personal care and respite through agency-directed or consumer-directed models, according to the approved waiver services.	Family payment conditions For a parent or legal guardian of a minor, or a spouse, DMAS describes extraordinary personal care subject to age, hour and aide-qualification rules. IADLs and general supervision are excluded. Paid LRI care removes respite availability. Confirm the applicable scope with DMAS.	How to ask or apply Ask local social services for an LTSS screening and the Medicaid application steps. The screening and Medicaid determinations are separate program requirements.	Virginia Department of Medical Assistance Services; Virginia Department of Medical Assistance Services
Washington	Program name Apple Health Medicaid LTSS, Individual Providers through Consumer Direct Care Network Washington	What it pays for Assistance with daily personal care and household tasks in the person's home, within Medicaid LTSS services.	Family payment conditions Family members may become paid caregivers when the care recipient qualifies for Medicaid LTSS. This program does not pay a spouse to care for the other spouse. Check family caregiver qualifications with the program.	How to ask or apply Use the official DSHS instructions to apply to Consumer Direct Care Network Washington as an Individual Provider.	Washington State Department of Social and Health Services
West Virginia	Program name Aged and Disabled Waiver (ADW), including Personal Options	What it pays for Personal attendant help with daily personal care and meals, through agency services or the Personal Options model.	Family payment conditions Under Personal Options, the person hires their own staff. A spouse or legal guardian cannot be that staff member. Ask the program which other relatives can be paid and qualified.	How to ask or apply Read the ADW application instructions for the MNER form. A listed medical professional must complete, sign and submit the request.	West Virginia Bureau of Senior Services
Wisconsin	Program name IRIS (Include, Respect, I Self-Direct)	What it pays for Examples in the IRIS overview include transportation and supportive home care. Ask which services can be approved in your plan.	Family payment conditions A family member, friend or other qualified person may be hired. Workers should have a background check and be approved before being paid.	How to ask or apply Contact your local aging and disability resource center or Tribal aging and disability resource specialist.	Wisconsin Department of Health Services; Wisconsin Department of Health Services
Wyoming	Program name Community Choices Waiver (CCW)	What it pays for Not published	Family payment conditions Not published	How to ask or apply Follow the official CCW steps. Contact the regional Benefits and Eligibility Specialist, select a case management agency and complete the application and required assessment.	Wyoming Department of Health
Federal VA. Veteran Directed Care	Program name Veteran Directed Care	What it pays for A participant-managed service budget for home and community supports.	Family payment conditions A family member or neighbor might be hired. VA must confirm community-care eligibility, clinical criteria and local availability.	How to ask or apply Ask your VA social worker about the program and local availability.	U.S. Department of Veterans Affairs
Federal VA. PCAFC	Program name Program of Comprehensive Assistance for Family Caregivers (PCAFC)	What it pays for Eligible primary family caregivers may receive a monthly stipend.	Family payment conditions The stipend route concerns eligible primary family caregivers. VA assesses the caregiver and Veteran through a joint application.	How to ask or apply The caregiver and Veteran apply jointly. Online, mail and in-person routes are available.	U.S. Department of Veterans Affairs

Download the source reference as CSV or JSON. These files contain program information only.

How does this reference work?

1
What it does
Find official state care programs, family payment conditions and application routes. Read two federal VA routes and ask the office about your situation.
2
How it decides
Keep every state and DC row, plus two federal VA routes. Show the published program, services, family payment conditions and application route. A state filter also retains the federal routes. Unknown fields stay Not published and link the office.
3
Your answers
The state filter stays in this page's memory. It does not save or share your selection. Leaving the page resets the filter. Anonymous counts contain no state selection or personal details.
4
What it is based on
It uses only the linked official state Medicaid or aging agency sources and VA caregiver guidance. We recheck these sources every quarter. Return before arranging paid care. We recheck each official source at least once a year and update this page when one changes.
5
What it doesn't do
This reference does not determine eligibility, approve a family caregiver, authorize a service, set a wage or replace the program's current instructions. Program conditions can differ within a state. It covers the United States. This is general information, not legal, medical or financial advice.

What else should you know?

Can any relative receive payment?

The table retains each source's relationship restrictions and other conditions. Permission in one program does not establish permission in another. Ask the linked program whether your relationship and the authorized service can be paid.

Does Not published mean no program exists?

No. It means we did not verify that field in the linked official sources. It is an evidence gap. The office link remains so you can ask the program directly.

How do I start an application?

Use the application or contact route in your state's row. The two federal VA rows have separate routes. Ask the office to confirm current instructions before arranging paid care.

Does this reference decide eligibility?

No. It compares published program information only. It does not estimate eligibility, authorize services, calculate pay or choose a care arrangement for your family.

What happens to my state selection?

The filter changes this page only. It does not save the selection, put it in a link or send it to our server. Print includes the visible rows and the method.

This tool is general information, not legal advice. Plan Before You Die isn't connected with Medicare or the U.S. government. Something wrong here? Tell us.

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