In many states, Medicaid offers programs that allow family members or friends to be paid for providing care.
These programs are often called self-directed care or consumer-directed programs, and they give the person receiving care some control over who provides it. Here’s how caregivers can work with Medicaid to receive payment.
- Determine eligibility
The first step is to check if the person receiving care qualifies for Medicaid and if your state offers a self-directed program. Eligibility often depends on income, assets, and the level of care needed. Each state has its own rules, so contact your local Medicaid office or aging services agency for guidance. - Understand program rules
Medicaid self-directed programs have specific rules about who can be paid, what services are covered, and how payment is calculated. For example, some programs only allow payments to relatives who are not spouses, while others have training requirements or limits on hours worked. Reading program materials carefully helps avoid surprises. - Complete the application process
The person receiving care usually applies for the program and identifies the caregiver. Documentation such as medical assessments and care plans may be required. Your local Medicaid office or caseworker can guide you through forms and approvals. - Track hours and duties
Most programs require caregivers to keep detailed records of time worked, tasks performed, and sometimes training completed. Accurate record-keeping ensures payment and compliance with Medicaid rules. - Receive payment
Once approved, Medicaid pays the caregiver according to program rules. Payments are usually issued through the state’s payroll system or a third-party agency. Payment amounts vary by state and the type of care provided.
Tips for success
- Communicate regularly with your Medicaid caseworker to clarify rules and stay updated on changes.
- Keep organized records of hours, services, and any expenses related to caregiving.
- Take advantage of training or support services offered by your state program to improve your skills and maintain compliance.