The Quick Answer:  Taking care of a loved one is a full-time job — emotionally, physically, and yes, financially. The good news? In many states, family caregivers can get paid for the support they provide. The exact amount varies depending on your state, the program, and your loved one’s care needs — but there are real options that can offer meaningful financial relief.

Below, we’ll walk you through how caregiver pay works, who qualifies, and how to apply — so you’re not figuring it all out alone. Here are a few potential paths to explore:”

  • Medicaid waiver programs: The most common source of payment for family caregivers via a certified, licensed agency
  • Veterans benefits: Available for eligible veterans and their families
  • State-specific caregiver programs: Varies by zip code and local resources
  • Self-directed services: Through Medicaid funds that allow care recipients to hire family members

The amount you can earn depends on your state’s Medicaid program, the care recipient’s needs, and your eligibility for specific government programs. Most paid family caregivers work on a limited basis, providing personal care and assistance with daily activities for their family memeber.

Understanding Family Caregiver Employment Programs

What Makes Family Caregiving Different

Unlike professional caregiving services, family caregiving traditionally involves informal caregivers who provide unpaid support. However, structured family caregiving programs now recognize that family members deserve compensation for their dedicated care work.

The key difference between informal caregivers and paid caregivers lies in formal recognition through community-based services. When a family member becomes a paid family caregiver, they often need to:

  • Meet specific eligibility requirements
  • Complete an application process
  • Provide documented caregiving services
  • Work within approved caregiver programs

Types of Payment Programs Available

Medicaid Waiver Programs: These are the most widespread option for family caregiver compensation. Medicaid waiver programs allow Medicaid recipients to use their benefits to pay family members for caregiving services.

State Family Caregiver Initiatives: Many states offer unique programs supporting family caregiving. Team Select Home Care offer helpful advice and support for these programs

Veterans Administration Benefits: Eligible veterans can access specialized programs that compensate family caregivers, including the housebound pension benefit for veterans requiring daily care. 

  • TRICARE
  • ECHO
  • EHHC
  • Community Care Network
  • Spina Bifida Health Care Benefits
  • Child of Women Vietnam Veterans Health Care Benefits
  • CHMPVA

Who Qualifies as a Family Caregiver

Most programs define family caregivers as:

  • Adult children providing care to parents
  • Parents caring for their medically fragile children
  • Spouses caring for partners (with some restrictions)
  • Other relatives in primary caregiver roles
  • Family members assisting with daily tasks and personal care

The care recipient typically must have documented needs related to physical disability, cognitive impairment, or other qualifying conditions that require ongoing assistance.

An infographic by Team Select that outlines programs to get paid for caregiving

Medicaid and State Programs for Family Caregivers

How Medicaid Waiver Programs Work

Medicaid waiver programs represent the largest source of financial assistance for family caregivers. Here’s how they typically function:

The Basic Process:

  • Assessment – The patient undergoes evaluation to determine care needs
  • Approval – If eligible, they receive approval for community-based services
  • Care Plan: A care plan is developed by a Medicaid licensed agency, like Team Select Home Care
  • Payment Setup – The Medicaid recipient can then sign up with an agency like Team Select Home Care to be their agency of choice
  • Employment Opportunity: The family member becomes a paid employee of the licensed agency receiving daily or weekly paychecks

State-by-State Variations in Family Caregiver Pay

Payment rates and available services vary significantly across states. Most Medicaid waiver programs offer:

  • Hourly rates: Depends on case and experience level
  • Weekly limits: Usually 20-40 hours maximum per week
  • Monthly caps: Varying based on the care recipient’s assessed needs

Some states offer enhanced benefits:

  • Respite care funding for temporary relief
  • Supplemental services like support groups and training
  • Additional financial assistance for caregiving costs

Application Process and Eligibility Requirements

Step-by-Step Application:

  • Contact Social Services: Reach out to social services or a Team Select Home Care Agency near you 
  • Complete Assessment: Schedule evaluation for the care recipient
  • Begin Services: Start providing documented care with oversight by an approved agency like Team Select Home Care

Common Eligibility Criteria:

  • Care recipient must qualify for Medicaid
  • Family member must pass background checks
  • Care needs must meet program thresholds
  • Some programs require caregiver training completion

The eligibility requirements ensure that Medicaid funds support genuine care needs while maintaining program integrity.

Veterans Benefits and Alternative Payment Sources

State-Specific Programs Beyond Medicaid, many states fund additional caregiver programs:

  • Emergency caregiver compensation for crisis situations
  • Supplemental payments for specialized care needs
  • Family caregiver alliance partnerships offering resources and support

Private Pay Options: Some families use:

  • Long-term care insurance benefits
  • Personal savings designated for family caregiver compensation
  • Informal family agreements for shared caregiving costs

Supplemental Support Programs

Support Groups and Training: Many areas offer free resources including:

  • Family caregiver alliance support groups
  • Training programs for new family caregivers
  • Educational workshops on available services

Respite Care Programs: These provide temporary relief, allowing family caregivers to:

  • Take breaks from intensive caregiving duties
  • Maintain their own health and employment
  • Access professional backup when needed

The combination of direct payment and supplemental services creates a comprehensive support system for family caregivers and care recipients alike.

An infographic by Team Select explaining paid family caregiving support options

Getting Started and Professional Support Options

Steps to Begin Receiving Payment as a Family Caregiver

Step One: Contact Team Select Home Care and schedule an assessment. Every individual may qualify for their unique hours based on a nursing assessment. Final hours are determined by the insurance provider based on the nursing assessment and MD approval.

 

Step Two: Enroll in school. If you qualify, our team will help you choose the right CNA or LNA school to fit your schedule and lifestyle!   Team Select offers in-house programs and partners with third-party schools to meet your needs. 

 

Step Three: Orientation. Regarding your employment with Team Select Home Care, you will need to complete your orientation and complete a short list of items required for employment. 

This includes the below: 

  • CPR certification  
  • Valid license (if applicable)
  • I-9 documentation  
  • Team Select Home Care onboarding paperwork  
  • TB testing

 

Step Four: Schedule your Start of Care and begin with Team Select Home Care!

 

When Professional Care Might Be the Better Choice

While family caregiving works well for many situations, consider professional caregiving services when:

  • Care needs exceed family capacity – Complex medical conditions requiring specialized skills
  • Family caregiver burnout – When the physical and emotional demands become overwhelming
  • 24/7 care requirements – Situations needing round-the-clock supervision
  • Multiple care recipients – When caring for more than one older relative

Professional services can also complement family caregiving, providing:

  • Skilled nursing for medical needs
  • Personal care services during work hours
  • Specialized support for conditions like Alzheimer’s disease
  • Backup care ensuring continuous coverage

Elderly woman and her caregiver happily form a heart shape with their hands

Finding Trusted Home Care Partners

When family caregiving alone isn’t sufficient, experienced home care providers can offer:

Comprehensive Care Solutions:

Since 2008, our team at Team Select Home Care has been dedicated to helping families navigate the complexities of long-term care. With a mission to change lives for the better, we provide compassionate adult and pediatric private duty nursing, personal care services, and family caregiving programs across multiple states—including Arizona, Colorado, Missouri, California, Texas, Illinois, Indiana, Florida, Washington, Pennsylvania, New Hampshire, and North Carolina.

We understand that every family’s situation is unique. Whether you’re looking to maximize compensation through family caregiver programs or need professional support to supplement your care, our experienced team is here to guide you. With Team Select, you’ll always have a trusted partner making sure you’re making the best decisions for your loved one—and your family. Contact us today!

 

author avatar
Bill Sczepanski Vice President of Government Relations
Hi there! I bring a powerhouse of experience when it comes to building strong government relations and crafting multi-state strategies that push corporate goals forward—politically, strategically, and operationally. I’ve spent my career championing organizations across legislative and regulatory landscapes, restoring critical partnerships with SNFs, ALFs, and ILFs, and making sure our voice is heard where it matters most. Whether it's delivering real-time political intelligence, advocating before government bodies, or leading transformational initiatives, I thrive at the intersection of policy, business, and innovation. I’m passionate about using data and analytics to boost brand visibility, drive deeper engagement, and create standout experiences for customers and employees alike. On top of that, I’m all about action—directing tech modernization projects, leading turnarounds, building strategic hiring and training programs—and making sure everything ties back to real, measurable success. Adaptable, energized, and always ready to dive into any environment, I’m here to help organizations not just navigate change, but lead it.