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

Last verified October 17, 2026 · All Maine resources

Yes, through 2 programs we verified. In Maine, a family member can be paid to provide personal care to someone on the MaineCare Section 19 waiver for older adults and adults with disabilities. Under the agency option, even a spouse can be paid for hands-on personal care when extraordinary care is needed. Under the self-directed option, the member hires an attendant, but a spouse or guardian cannot be that attendant. The person receiving care must be on MaineCare and meet nursing facility level of care.

Can a spouse be paid?Yes, in at least one program
Can a parent of a minor child be paid?No

Which Maine programs pay family caregivers?

Home and Community Benefits for the Elderly and Adults with Disabilities (MaineCare Section 19) - agency Personal Support Specialist

  • Who can be paid: A family member who qualifies as a Personal Support Specialist and works for a home health or personal care agency. A spouse can be paid for personal care only when extraordinary care is needed and authorized, and not for household (IADL) tasks. Parents of a minor child cannot be paid.
  • Who qualifies for care: MaineCare members who are elderly or adults with disabilities and meet nursing facility level of care.

Section 19 Participant-Directed Option (Attendant)

  • Type: Medicaid self-direction
  • Who can be paid: An attendant the member hires and directs, paid through a fiscal intermediary, up to 40 hours a week. A spouse, guardian, conservator or the member's representative cannot be the paid attendant under this option.
  • Who qualifies for care: Section 19 waiver members who choose to direct their own attendant services.

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.

Sources

More for Maine

Paid family caregivers by state: other states

Related guides

Authorizations

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