Structured Family Caregiving (SFC) lets family members get paid to care for loved ones at home — funded by Medicaid. See what your state pays and how to enroll free.
Click any state to see pay levels, waiver programs, and enrollment steps.
| State & Program | Pay Range | Top Rate | Status | |
|---|---|---|---|---|
🌽 Indiana Structured Family Caregiving (SFC) |
$432–$750+/week $22,464–$41,600+/year |
$750/week | Active — Strong Program | |
🍑 Georgia SOURCE (Service Options Using Resources in a Commu... |
$1,200–$1,800/month $14,400–$21,600/year |
$1,800/month | Active | |
🌲 North Carolina CAP/DA Consumer Direction & Innovations Waiver |
$13–$15/hr $27,000–$44,000/year |
~$15/hr | Active | |
🦞 Massachusetts Adult Foster Care (AFC) — Massachusetts SFC Equiva... |
$1,600–$2,200/month $19,200–$26,400/year |
$2,200/month | Active — Strong Program | |
🌴 South Carolina Community Choices Waiver / Medicaid Personal Care |
$11–$13/hr $22,000–$35,000/year |
~$13/hr | Limited | |
🏒 Ohio PASSPORT Waiver — My Life My Choice (Consumer Dire... |
$14–$17/hr $29,000–$40,000/year |
~$17/hr | Active | |
🌴 California In-Home Supportive Services (IHSS) |
$17–$22/hr $35,000–$65,000+/year |
$22+/hr (SF Bay Area) | Active — Top Program | |
🗽 New York Consumer Directed Personal Assistance Program (CDP... |
$18–$22/hr $37,000–$65,000+/year |
$22/hr (NYC area) | Active — Top Program | |
🏔️ Washington CDWA Individual Provider (IP) Program |
$19–$24/hr $39,000–$70,000+/year |
$24+/hr | Active — Top Wages | |
🏙️ Illinois Community Care Program (CCP) — Not Traditional SFC |
$20–$30/hr $41,600–$87,360/year |
$30/hr (OT approved) | Active — 2026 Spouse Update | |
⭐ Texas Consumer Directed Services (CDS) Option |
$12–$16/hr $24,000–$40,000/year |
~$16/hr | Active | |
🔔 Pennsylvania OBRA / Independence Waiver / Consumer Direction |
$14–$17/hr $29,000–$44,000/year |
~$17/hr | Active | |
💙 Virginia CCC Plus Waiver — Consumer Direction |
$14–$17/hr $29,000–$44,000/year |
~$17/hr | Active | |
🌨️ Minnesota Consumer Directed Community Supports (CDCS) |
Budget-based (~$18–$22/hr equivalent) $37,000–$55,000 (budget dependent)/year |
Budget-based | Active — Budget Model | |
🌲 Oregon Oregon K Plan / Home Care Workers Program |
$18–$21/hr $37,000–$62,000+/year |
$21+/hr | Active — Union Wages |
Rates as of 2025. Actual pay depends on care level assessment, MCO, and agency reimbursement rates. Contact Paid.care to confirm current rates in your state.
The state doesn't pay family caregivers directly. Here's how it actually works.
For a Level 3 Indiana SFC case, the state reimburses Paid.care $130/day. Paid.care passes $107/day directly to the family caregiver — one of the highest pass-through rates in the country. That's $750/week, or $39,000/year, for care you're already providing.
SFC is a Medicaid-funded program that pays family members, friends, and housemates to provide daily personal care for an elderly or disabled person living at home. The state reimburses a licensed SFC agency, which then pays the family caregiver as an employee. The caregiver receives W-2 wages and builds work history.
In most states, you must live in the same home as the care recipient. In Indiana, you can be any family member, friend, or housemate who cohabits with the care recipient — including spouses, adult children, siblings, parents, or close family friends.
It varies by state and care level. In Indiana, SFC pays $432–$750+/week. Massachusetts pays $1,600–$2,200/month. California IHSS pays $17–$22/hour. Washington pays $19–$24/hour. The pay is set by the state reimbursement rate, the agency's pass-through policy, and the care level assessment.
No — each state has its own program name, rules, and pay rates. Indiana calls it 'Structured Family Caregiving.' Georgia calls it 'SOURCE.' Massachusetts calls it 'Adult Foster Care.' California has IHSS. New York has CDPAP. The concept is the same — Medicaid pays family caregivers — but the specifics vary significantly.
Contact a licensed SFC agency like Paid.care at (812) 247-6017. Enrollment is free — the agency checks Medicaid eligibility, initiates the waiver application (if required), schedules the level-of-care assessment, and handles all paperwork. Most families receive their first paycheck within 30–90 days.
In most states, SFC caregivers receive 1099-NEC income, not W-2 wages. Under IRS Notice 2014-7, HCBS Medicaid waiver payments to family caregivers living with the care recipient may be fully excludable from federal gross income — one of the most significant and often overlooked benefits of SFC. California IHSS is an exception (W-2). Always confirm with a tax professional. Learn more at IRS.gov →
Free enrollment. Paid.care handles every step — from Medicaid eligibility check to first paycheck.
Complete guide to Medicaid-funded family caregiver pay programs in all 15 participating states. Click any state for detailed pay levels, waivers, and enrollment information.
| State & Program | Pay Range | Annual Est. | Status | |
|---|---|---|---|---|
🌽 Indiana Structured Family Caregiving (SFC) |
$432–$750+/week $22,464–$41,600+/year |
$750/week | Active — Strong Program | |
🍑 Georgia SOURCE (Service Options Using Resources in a Commu... |
$1,200–$1,800/month $14,400–$21,600/year |
$1,800/month | Active | |
🌲 North Carolina CAP/DA Consumer Direction & Innovations Waiver |
$13–$15/hr $27,000–$44,000/year |
~$15/hr | Active | |
🦞 Massachusetts Adult Foster Care (AFC) — Massachusetts SFC Equiva... |
$1,600–$2,200/month $19,200–$26,400/year |
$2,200/month | Active — Strong Program | |
🌴 South Carolina Community Choices Waiver / Medicaid Personal Care |
$11–$13/hr $22,000–$35,000/year |
~$13/hr | Limited | |
🏒 Ohio PASSPORT Waiver — My Life My Choice (Consumer Dire... |
$14–$17/hr $29,000–$40,000/year |
~$17/hr | Active | |
🌴 California In-Home Supportive Services (IHSS) |
$17–$22/hr $35,000–$65,000+/year |
$22+/hr (SF Bay Area) | Active — Top Program | |
🗽 New York Consumer Directed Personal Assistance Program (CDP... |
$18–$22/hr $37,000–$65,000+/year |
$22/hr (NYC area) | Active — Top Program | |
🏔️ Washington CDWA Individual Provider (IP) Program |
$19–$24/hr $39,000–$70,000+/year |
$24+/hr | Active — Top Wages | |
🏙️ Illinois Community Care Program (CCP) — Not Traditional SFC |
$20–$30/hr $41,600–$87,360/year |
$30/hr (OT approved) | Active — 2026 Spouse Update | |
⭐ Texas Consumer Directed Services (CDS) Option |
$12–$16/hr $24,000–$40,000/year |
~$16/hr | Active | |
🔔 Pennsylvania OBRA / Independence Waiver / Consumer Direction |
$14–$17/hr $29,000–$44,000/year |
~$17/hr | Active | |
💙 Virginia CCC Plus Waiver — Consumer Direction |
$14–$17/hr $29,000–$44,000/year |
~$17/hr | Active | |
🌨️ Minnesota Consumer Directed Community Supports (CDCS) |
Budget-based (~$18–$22/hr equivalent) $37,000–$55,000 (budget dependent)/year |
Budget-based | Active — Budget Model | |
🌲 Oregon Oregon K Plan / Home Care Workers Program |
$18–$21/hr $37,000–$62,000+/year |
$21+/hr | Active — Union Wages | |
🎰 Nevada HCBS Medicaid Waivers — Consumer Direction | $15–$18/hr $31,000–$50,000+/year | ~$18/hr | Active |
Rates as of 2025. Click any state for detailed information.
From Medicaid eligibility to first paycheck — a clear explanation of how the SFC system works and how family caregivers get paid.
The state Medicaid program does not pay family caregivers directly. Instead, it reimburses licensed SFC agencies (like Paid.care) at a daily or hourly rate for each enrolled SFC client. The agency then employs the family caregiver and pays them wages from that reimbursement.
This structure exists because Medicaid requires licensed provider oversight — someone responsible for compliance, care planning, documentation, and quality assurance. The agency fills that role while the family caregiver does the actual hands-on caregiving.
In Indiana, Paid.care passes up to $107/day (82% of the state's $130/day Level 3 reimbursement) directly to the family caregiver — one of the most transparent and caregiver-favorable pass-through structures in the country.
Your pay rate is set by a level-of-care assessment — not hours worked. An MCO care manager or state assessor evaluates how many Activities of Daily Living (ADLs) your loved one needs help with:
The more ADLs your loved one needs help with, the higher the care level assigned — and the higher your weekly pay. Thorough documentation of all care needs is critical for a fair assessment. Paid.care helps families prepare for their MCO assessment to ensure every need is properly documented.
Paid.care handles the entire enrollment process — eligibility check, waiver application, assessment prep, training, and paperwork. Free for all families.
Fill out the form and a Paid.care coordinator will contact you within 1 business day. No cost. No commitment.
Complete this form and we'll call you within 1 business day to start your SFC eligibility review.
Indiana Structured Family Caregiving pays family members $432–$750+/week to care for Medicaid-eligible loved ones at home. Level 1: $432/wk, Level 2: $560/wk, Level 3: $750/wk. Free enrollment at Paid.care.
Structured Family Caregiving (SFC)
The state reimburses agencies like Paid.care approximately $130/day for a Level 3 case. Paid.care passes up to $107/day directly to the family caregiver — one of the highest caregiver-to-reimbursement ratios in the country.
The state reimburses licensed SFC agencies like Paid.care a daily rate. The agency then pays the family caregiver a portion of that reimbursement as their wage.
The agency (like Paid.care) handles employer responsibilities: payroll taxes, W-2s, training, background checks, supervision, documentation, compliance with Medicaid standards, care plan management, and liability insurance. The remaining spread covers these real operational costs. Paid.care is transparent about its rates and aims to pass the maximum allowable portion to family caregivers.
The care recipient must be enrolled in one of these programs for the family caregiver to receive pay.
Any family member, friend, or housemate who lives in the same home as the care recipient. This includes spouses, adult children, siblings, parents, grandchildren, nieces, nephews, and close family friends who share the household. The caregiver cannot be the legal guardian paid solely for guardianship duties.
Must be enrolled in Indiana Medicaid and approved for one of the qualifying HCBS Waivers (Pathways, H&W, or Family Supports). Must need assistance with Activities of Daily Living (ADLs) such as bathing, dressing, eating, mobility, toileting, and medication management.
SFC training through a licensed agency (like Paid.care) takes approximately 6–8 hours and covers personal care, safety, documentation, and your role as an SFC caregiver. No HHA certification required.
These managed care organizations administer Medicaid and SFC programs in Indiana. Your specific MCE depends on your enrollment.
Free enrollment. Paid.care handles every step of the Indiana SFC enrollment process.
Georgia SOURCE program pays family caregivers $1,200–$1,800/month to care for elderly and disabled loved ones at home through Medicaid. Learn about SOURCE waiver eligibility and enrollment.
SOURCE (Service Options Using Resources in a Community Environment)
Georgia SOURCE agencies receive a per-member-per-month rate from the state. The caregiver stipend paid to family members is set by the SOURCE agency, typically ranging from $1,200–$1,800/month.
The care recipient must be enrolled in one of these programs for the family caregiver to receive pay.
Adult children caring for elderly parents, parents caring for adult children with disabilities, and siblings in many circumstances. Spouses have limited eligibility — varies by program and case. The caregiver must be designated by the care recipient and approved by the SOURCE agency.
Must be enrolled in Georgia Medicaid and meet functional eligibility for the applicable waiver. Must be assessed as needing assistance with ADLs. Georgia SOURCE primarily serves elderly adults. NOW/COMP waivers serve individuals with intellectual and developmental disabilities.
Training requirements vary by SOURCE agency. Most require basic caregiver orientation covering personal care, safety, and documentation.
These managed care organizations administer Medicaid and SFC programs in Georgia. Your specific MCE depends on your enrollment.
Free enrollment. Paid.care handles every step of the Georgia SFC enrollment process.
North Carolina CAP/DA consumer direction allows family members to be paid $13–$15/hr as caregivers through Medicaid. Innovations Waiver also allows family providers for individuals with IDD.
CAP/DA Consumer Direction & Innovations Waiver
NC LME-MCOs set authorized hours based on assessed needs. The consumer direction option allows families to hire and manage their own caregivers, including eligible family members, at the approved hourly rate.
The care recipient must be enrolled in one of these programs for the family caregiver to receive pay.
Adult children, parents caring for adult children with disabilities, and siblings in most circumstances. The care recipient must choose the consumer direction option and designate the family member as their paid caregiver.
Must have NC Medicaid and meet functional eligibility for CAP/DA or Innovations Waiver. Care recipient must opt into consumer direction and have capacity to direct their own care (or have a representative).
LME-MCO orientation required. Training varies by the specific waiver and services authorized.
These managed care organizations administer Medicaid and SFC programs in North Carolina. Your specific MCE depends on your enrollment.
Free enrollment. Paid.care handles every step of the North Carolina SFC enrollment process.
Massachusetts Adult Foster Care (AFC) pays family caregivers $1,600–$2,200/month to care for Medicaid-eligible adults at home. No waitlist. Learn about AFC eligibility and how to enroll.
Adult Foster Care (AFC) — Massachusetts SFC Equivalent
Massachusetts AFC is structured identically to Indiana SFC — a licensed AFC agency receives the Medicaid reimbursement and passes a caregiver stipend to the family member. One of the strongest AFC programs in the country.
The care recipient must be enrolled in one of these programs for the family caregiver to receive pay.
Adult children, siblings, grandchildren, nieces and nephews, and other family members. Spouses are eligible in some circumstances. The caregiver must provide 24/7 care and supervision — living in the home with the care recipient.
Must have MassHealth (Massachusetts Medicaid) and be assessed as unable to live independently safely without 24-hour supervision and assistance with ADLs.
AFC training through a licensed AFC agency. Covers personal care, emergency protocols, documentation, and care planning. Typically 8–10 hours.
These managed care organizations administer Medicaid and SFC programs in Massachusetts. Your specific MCE depends on your enrollment.
Free enrollment. Paid.care handles every step of the Massachusetts SFC enrollment process.
South Carolina Community Choices Waiver may allow family members to be paid as personal care attendants. Learn about SC Medicaid caregiver pay programs and eligibility.
Community Choices Waiver / Medicaid Personal Care
South Carolina has limited consumer direction options. Family members may be eligible as paid personal care attendants under specific circumstances. Contact SC DHHS for current eligibility rules.
The care recipient must be enrolled in one of these programs for the family caregiver to receive pay.
Limited spousal eligibility. Adult children and other family members may qualify as paid attendants in some circumstances under consumer direction. Rules vary significantly by case.
Must have SC Medicaid and functional eligibility for the Community Choices Waiver. Must require assistance with ADLs.
Varies by program. Contact your MCO for specific requirements.
These managed care organizations administer Medicaid and SFC programs in South Carolina. Your specific MCE depends on your enrollment.
Free enrollment. Paid.care handles every step of the South Carolina SFC enrollment process.
Ohio PASSPORT Waiver's My Life My Choice allows family members to be paid $14–$17/hr as consumer-directed attendants. Learn about PASSPORT MLMC eligibility and enrollment.
PASSPORT Waiver — My Life My Choice (Consumer Direction)
Ohio PASSPORT's My Life My Choice option gives families control to hire and manage caregivers, including eligible family members. Area Agencies on Aging administer the program and conduct level-of-care assessments.
The care recipient must be enrolled in one of these programs for the family caregiver to receive pay.
Adult children, spouses in many circumstances, siblings, and other family members. The care recipient must opt into consumer direction and have capacity to direct their own care (or have an approved representative).
Must have Ohio Medicaid and be enrolled in the PASSPORT Waiver or an applicable DD waiver. Assessed through the Area Agency on Aging (AAA) in their county.
Basic attendant training required. Specific requirements set by the MCO and Area Agency on Aging.
These managed care organizations administer Medicaid and SFC programs in Ohio. Your specific MCE depends on your enrollment.
Free enrollment. Paid.care handles every step of the Ohio SFC enrollment process.
California IHSS pays family members $17–$22+/hr to care for Medi-Cal eligible loved ones at home. No certification required. Spouses, adult children, and siblings all eligible. Learn about IHSS enrollment.
In-Home Supportive Services (IHSS)
California IHSS pays county-administered hourly rates. Wages are collectively bargained and have increased significantly — IHSS workers now earn living wages in most counties. Rates vary significantly by county.
The care recipient must be enrolled in one of these programs for the family caregiver to receive pay.
Spouses, parents, adult children, siblings, and other family members. IHSS is one of the most inclusive family caregiver programs in the country — essentially any family member with established relationship can qualify. No certification required.
Must have Medi-Cal (California Medicaid) and be assessed by their county social services office as needing in-home support services. IHSS serves elderly adults and individuals with disabilities.
No formal certification required. County provides orientation. Training programs available but not mandatory.
These managed care organizations administer Medicaid and SFC programs in California. Your specific MCE depends on your enrollment.
Free enrollment. Paid.care handles every step of the California SFC enrollment process.
New York CDPAP pays family members and friends $18–$22/hr as personal assistants for Medicaid-eligible loved ones. No certification required. Spouses eligible. Learn about CDPAP enrollment.
Consumer Directed Personal Assistance Program (CDPAP)
New York CDPAP is administered through Fiscal Intermediaries (FIs). The state is transitioning to a single statewide FI (Public Partnerships LLC) in 2025. The care recipient acts as the employer and can hire virtually any willing adult, including most family members.
The care recipient must be enrolled in one of these programs for the family caregiver to receive pay.
Almost any adult — family members, friends, neighbors — can serve as a CDPAP personal assistant. Spouses are eligible. The care recipient (or their designated representative) acts as the employer and controls who provides their care.
Must have NY Medicaid and an assessed need for personal care. The care recipient must have the ability to direct their own care (or have an approved representative). CDPAP is NOT available to care recipients who cannot self-direct.
No formal training or certification required. One of the most accessible programs for family caregivers.
These managed care organizations administer Medicaid and SFC programs in New York. Your specific MCE depends on your enrollment.
Free enrollment. Paid.care handles every step of the New York SFC enrollment process.
Washington CDWA Individual Provider program pays family caregivers $19–$24+/hr with union benefits. One of the highest caregiver wage rates in the US. Learn about IP training and enrollment.
CDWA Individual Provider (IP) Program
Washington's CDWA manages individual providers (IPs) including family members. IP wages are collectively bargained through SEIU 775 and have increased significantly — one of the highest family caregiver wage rates in the country.
The care recipient must be enrolled in one of these programs for the family caregiver to receive pay.
Spouses, adult children, siblings, parents, and most family members can be paid individual providers. Exceptions: minor children cannot be paid; legal guardians may have restrictions. DSHS confirms eligibility for specific relationships.
Must have Washington Apple Health (Medicaid) and be assessed by DSHS as needing personal care. The care recipient chooses and directs their individual provider.
~70 hours of training required for new individual providers. Includes online coursework and in-person skills demonstration. CDWA coordinates and pays for training.
These managed care organizations administer Medicaid and SFC programs in Washington. Your specific MCE depends on your enrollment.
Free enrollment. Paid.care handles every step of the Washington SFC enrollment process.
Illinois Community Care Program pays family caregivers $20–$30/hr for up to 56 hrs/week — no Medicaid waiver required. Spouses eligible as of 2026. Learn about CCP enrollment.
Community Care Program (CCP) — Not Traditional SFC
Illinois CCP is NOT a traditional SFC/waiver program — it runs through the Illinois Department on Aging via County Community Care Units (CCUs). No waiver application required. As of 2026, spouses are now eligible as paid caregivers. Maximum 56 authorized hours per week.
The care recipient must be enrolled in one of these programs for the family caregiver to receive pay.
As of 2026, spouses are explicitly eligible as CCP caregivers. Also adult children, siblings, and other family members. Care recipient must have non-exempt assets under $17,500. No waiver required — faster enrollment than Indiana.
Must be enrolled in Illinois Medicaid with non-exempt assets under $17,500. Must need assistance with ADLs. Administered through local County Community Care Units (CCUs). 6 MCEs participate.
Training requirements vary by CCU. Generally lighter than HHA certification requirements.
These managed care organizations administer Medicaid and SFC programs in Illinois. Your specific MCE depends on your enrollment.
Free enrollment. Paid.care handles every step of the Illinois SFC enrollment process.
Texas Consumer Directed Services (CDS) allows family members to be paid $12–$16/hr as attendants through Medicaid waivers. Learn about STAR+PLUS CDS eligibility and how to enroll.
Consumer Directed Services (CDS) Option
Texas CDS allows the care recipient to hire and manage their own attendants, including eligible family members. A Financial Management Services Agency (FMSA) handles payroll and employer responsibilities.
The care recipient must be enrolled in one of these programs for the family caregiver to receive pay.
Adult children, spouses in some circumstances, parents (for adult children with disabilities), and siblings may qualify. Specific eligibility depends on the waiver program and HHSC determination.
Must have Texas Medicaid and meet functional eligibility for an applicable waiver. Must choose the CDS option and be assessed as capable of directing their own care (or have a representative).
Basic attendant training required. Specific requirements by program and service type.
These managed care organizations administer Medicaid and SFC programs in Texas. Your specific MCE depends on your enrollment.
Free enrollment. Paid.care handles every step of the Texas SFC enrollment process.
Pennsylvania OBRA and Independence Waivers allow family members to be paid $14–$17/hr as consumer-directed attendants through Medicaid. Learn about PA consumer direction eligibility.
OBRA / Independence Waiver / Consumer Direction
Pennsylvania allows family members as paid attendants under consumer direction options in multiple waivers. A Fiscal Management Services (FMS) agency handles payroll and compliance.
The care recipient must be enrolled in one of these programs for the family caregiver to receive pay.
Adult children, spouses in many circumstances, siblings, and other family members. The care recipient must choose consumer direction and have capacity to direct their care.
Must have Pennsylvania Medicaid and be enrolled in an applicable waiver. Must opt into consumer direction and be assessed as functionally eligible.
Orientation and basic training required. Varies by waiver and service type.
These managed care organizations administer Medicaid and SFC programs in Pennsylvania. Your specific MCE depends on your enrollment.
Free enrollment. Paid.care handles every step of the Pennsylvania SFC enrollment process.
Virginia CCC Plus Waiver allows family members to be paid $14–$17/hr as consumer-directed personal care workers through Medicaid. Learn about CCC Plus consumer direction eligibility.
CCC Plus Waiver — Consumer Direction
Virginia CCC Plus allows family members as consumer-directed personal care workers. MCO care managers conduct level-of-care assessments that determine authorized hours.
The care recipient must be enrolled in one of these programs for the family caregiver to receive pay.
Adult children, spouses in most circumstances, siblings, and other family members. The care recipient must choose consumer direction through their MCO.
Must have Virginia Medicaid and be enrolled in an applicable waiver. Functional eligibility assessed by MCO care manager.
These managed care organizations administer Medicaid and SFC programs in Virginia. Your specific MCE depends on your enrollment.
Free enrollment. Paid.care handles every step of the Virginia SFC enrollment process.
Minnesota CDCS allows family members to be paid as support workers through a budget-based self-direction model. Budget equivalent of $18–$22/hr. Learn about CDCS eligibility and self-direction.
Consumer Directed Community Supports (CDCS)
Minnesota CDCS is budget-based rather than hourly — approved budget depends on assessed needs rather than a set hourly rate. Family members can be paid from the CDCS budget as support workers. Effective hourly equivalent typically $18–$22.
The care recipient must be enrolled in one of these programs for the family caregiver to receive pay.
Adult children, spouses, siblings, parents, and other family members. Minnesota has broad family caregiver eligibility under CDCS. Specific exclusions may apply — contact your county or lead agency.
Must have Minnesota Medicaid and be enrolled in an applicable HCBS waiver. Must choose CDCS self-direction option. Budget is determined through the Individual Service Plan process.
CDCS requires a support plan and orientation. Specific training for the care recipient's needs.
These managed care organizations administer Medicaid and SFC programs in Minnesota. Your specific MCE depends on your enrollment.
Free enrollment. Paid.care handles every step of the Minnesota SFC enrollment process.
Oregon Home Care Commission pays family caregivers $18–$21+/hr with union benefits. Oregon K Plan and traditional Medicaid both allow family members as paid home care workers. Learn about enrollment.
Oregon K Plan / Home Care Workers Program
Oregon Home Care Commission sets wages for all home care workers, including family members. Wages are collectively bargained and have increased significantly. One of the strongest state home care programs for family caregivers.
The care recipient must be enrolled in one of these programs for the family caregiver to receive pay.
Spouses, adult children, siblings, parents, and most family members can be paid home care workers. Oregon has broad family caregiver eligibility. The care recipient must choose and direct their own worker.
Must have Oregon Medicaid (OHP) and be assessed as needing in-home support. ODHS conducts the assessment. K Plan serves dual-eligible members.
Oregon requires 75 hours of training for home care workers. Combination of online and in-person. Oregon Home Care Commission coordinates training.
These managed care organizations administer Medicaid and SFC programs in Oregon. Your specific MCE depends on your enrollment.
Free enrollment. Paid.care handles every step of the Oregon SFC enrollment process.
Nevada HCBS Medicaid Waivers allow family members to be paid $15–$18/hr as consumer-directed attendants. Administered by the Nevada ADSD and local case management companies.
Rates set by a local case management company or MCO during an in-home level-of-care assessment. Authorized hours and pay level depend on the care recipient's assessed ADL needs. Nevada ADSD HCBS →
Nevada family caregivers receive 1099-NEC income via a Fiscal Management Services (FMS) agency or fiscal intermediary. Under IRS Notice 2014-7, HCBS Medicaid waiver payments to family caregivers who live with the care recipient may be fully excludable from federal gross income. Consult a qualified tax professional. Nevada Medicaid (DWSS) →
Adult children, spouses, siblings, parents, and close family members. The care recipient opts into consumer direction and designates the family member as their attendant. Nevada ADSD and local case management companies confirm eligibility. Nevada DWSS →
Must have Nevada Medicaid and meet functional eligibility for an HCBS Waiver. Must be assessed by a local case management company or MCO as needing ADL assistance. Must opt into consumer direction and designate the family caregiver. Nevada Medicaid →
Free eligibility check — Paid.care reviews your Nevada Medicaid status and connects you with the right program.