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

Yes, through 2 programs we verified. In Massachusetts, an adult child or other relative can be paid through MassHealth Adult Foster Care if they live with and care for the member, or as a Personal Care Attendant the member hires. Spouses, parents of minor children and other legally responsible relatives cannot be paid in either program. The person receiving care must be on MassHealth and need daily help with personal care.

Which Massachusetts programs pay family caregivers?

MassHealth Adult Foster Care (AFC)

• Type: Adult foster care
• Who can be paid: A live-in caregiver working with an AFC provider, which can be an adult child or other relative. A spouse, the parent of a minor member or any legally responsible relative cannot be the paid AFC caregiver.
• Who qualifies for care: MassHealth members who need daily help with personal care and live with a qualified caregiver, under the AFC program rules.

MassHealth Personal Care Attendant (PCA) Program

• Type: Medicaid self-direction
• Who can be paid: A PCA the member hires and directs, which can be a relative or friend. A spouse, the parent of a minor member (including an adoptive parent) or any legally responsible relative cannot be paid as the PCA.
• Who qualifies for care: MassHealth members with a disability who need hands-on help with daily activities and can manage their own PCA services, alone or with a surrogate.

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?

MassHealth filed an emergency change to the Adult Foster Care rules on September 25, 2026. Check the current rules with an AFC provider or MassHealth before you apply.