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

Last verified October 17, 2026 · All North Dakota resources

Yes, through 2 programs we verified. In North Dakota, a family member who lives with an older or disabled relative can be paid through Family Home Care, a state-funded program under SPED and Expanded SPED. Eligible family caregivers include a spouse, parent, adult child, adult sibling, grandparent or grandchild, adult niece or nephew, or an in-law. Spouses can also be paid through Family Personal Care under the Medicaid HCBS waiver. The family caregiver must enroll as a Qualified Service Provider.

Can a spouse be paid?Yes, in at least one program
Can a parent of a minor child be paid?Not confirmed

Which North Dakota programs pay family caregivers?

Family Home Care (SPED and Expanded SPED)

  • Type: State-funded program
  • Who can be paid: A qualified family member who lives with the person and provides daily care: a spouse, parent, grandparent, adult child, adult sibling, adult grandchild, adult niece or nephew, or an in-law of these relatives. The family member enrolls as a Qualified Service Provider.
  • Who qualifies for care: Older adults and people with disabilities who are eligible for North Dakota's state-funded Service Payments for the Elderly and Disabled (SPED) or Expanded SPED program and live in the same home as the family caregiver.

Family Personal Care (HCBS Medicaid Waiver)

  • Who can be paid: The legal spouse of the person, enrolled as a personal care provider and living in the same home, paid for extraordinary care.
  • Who qualifies for care: People eligible for the North Dakota HCBS Medicaid Waiver (aged and disabled) whose case manager approves the spouse as provider.

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 North Dakota

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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