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

Yes, through one program we verified. In Kentucky, people on the Home and Community Based (HCB) Medicaid waiver can self-direct their care through Participant Directed Services and hire their own workers. A close family member, including a spouse or the parent of a minor, can be paid only with written approval from the state, and only under certain conditions, such as no other qualified provider being available nearby. A paid worker can provide up to 40 hours a week.

Which Kentucky programs pay family caregivers?

Participant Directed Services (PDS), Home and Community Based (HCB) Waiver

• Type: Medicaid self-direction
• Who can be paid: Workers the participant hires and directs. An immediate family member, guardian or legally responsible person (a spouse or the parent of a minor) can be paid only with written approval from the Department for Medicaid Services, for example when no qualified provider is within 30 miles or able to meet the schedule. Each PDS worker is limited to 40 hours a week.
• Who qualifies for care: Kentucky Medicaid members on the HCB Waiver who meet nursing facility level of care and choose to self-direct.

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.