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Can you get paid to care for a family member in California?

Last verified October 17, 2026 · All California resources

Yes, through one program we verified. In California, In-Home Supportive Services (IHSS) lets people on Medi-Cal hire their own caregiver, and that caregiver can be a family member, including a spouse or, for children, a parent. The county social worker decides how many hours are authorized, and the provider is paid by the state. The person receiving care must be 65 or older, blind or disabled, and have Medi-Cal.

Can a spouse be paid?Yes, in at least one program
Can a parent of a minor child be paid?Yes, in at least one program

Which California programs pay family caregivers?

In-Home Supportive Services (IHSS)

  • Type: In-home supportive services (consumer-employed)
  • Who can be paid: A provider the recipient chooses, including family members, friends or neighbors, who completes IHSS provider enrollment. Spouses can be paid for some services. Since February 2024, parents can be paid providers for minor children enrolled in the CFCO, IPO or IHSS-Residual sub-programs.
  • Who qualifies for care: Californians who are 65 or older, blind or disabled, have Medi-Cal, and are assessed by a county social worker as needing help to stay safely at home.

Are there national programs too?

Yes. Veterans may qualify for VA programs that pay or support family caregivers: Veteran Directed Care and the Program of Comprehensive Assistance for Family Caregivers.

What should you confirm with the state?

Wages vary by county. Ask your county IHSS office or social worker for the current hourly rate.

Sources

More for California

Paid family caregivers by state: other states

Related guides

Authorizations

How to Become a Medicaid Provider for Home Care

To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.

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