How to Secure Medicaid Support for Caregiving

Caring for an aging or disabled family member is a full-time responsibility, yet many family caregivers do it without financial support. If you’ve stepped into a caregiving role, you may be eligible for Medicaid payments to help offset the financial burden. While the process varies by state, securing Medicaid compensation for family caregiving is possible with the right approach. Here’s what you need to know.

Understand Medicaid’s Self-Directed Care Programs

Medicaid offers self-directed care or consumer-directed services, which allow beneficiaries to choose their own caregivers—including certain family members. These programs recognize that relatives can provide quality, trusted care while keeping loved ones in a familiar environment.

Each state has its own version of self-directed care under Medicaid, often called:

• Home and Community-Based Services (HCBS) waivers
• Cash and Counseling programs
• Personal Care Services (PCS) programs

Check your state’s Medicaid website to see which programs allow family caregivers to be paid and what the eligibility requirements are.

Determine If Your Loved One Qualifies

Medicaid eligibility is based on income, assets, and level of need. Typically, the person receiving care must:

• Be financially eligible for Medicaid, which means falling below a certain income threshold.
• Require assistance with daily activities, such as bathing, dressing, meal preparation, or mobility.
• Apply for a Medicaid program that specifically allows self-directed caregiving.

If your loved one already receives Medicaid, contact their Medicaid caseworker or local agency to ask about programs that support paid family caregiving.

Get Registered as a Family Caregiver

Enroll as a Medicaid provider through the state’s Medicaid agency or a third-party program administrator.

• Complete caregiver training (some states require a basic certification process).
• Submit documentation of care hours and tasks performed.

Some programs require third-party financial management services (FMS) to process caregiver payments, so be prepared to follow state-specific guidelines for timesheets and reporting.

Maximize Available Benefits

Even if your state doesn’t offer direct Medicaid payments for family caregiving, other financial support options exist:

• State-funded respite care programs can pay for temporary relief care.
• Supplemental Security Income (SSI) and disability benefits may be available for your loved one.
• Non-Medicaid home care programs in some states allow reimbursement for family caregivers.

Check with your local Area Agency on Aging (AAA) or Medicaid office to explore all possible funding options.

Caring for a family member is an act of love, but it doesn’t have to come at the cost of your own financial stability. Understanding Medicaid’s self-directed care options can help you receive compensation for the care you’re already providing—ensuring that both you and your loved one get the support you need. Helpr is here to support you as well. Eligible benefits holders can access subsidized care for their aging loved one, whether that means health aides, assistance with daily activities, or simply companionship.

Be sure to take advantage of this resource, especially if Medicare support isn’t an option for you. At Helpr, we’re committed to making care more accessible and ensuring you have the support you need.