Can a spouse be paid?
Not right nowNot right now — but other family members can often be paid.
The fine print: no — spouses (and legal guardians) are prohibited from being hired under PCS/CDPCS; other relatives such as adult children may be hired
Alaska
Alaska has real Medicaid programs that pay family members to care for a loved one at home. Here's what they pay, who can be paid, and how to start.
$24–$26/hr
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: Alaska Medicaid program data · Updated September 2026
No waitlist. If you qualify, you're in.
no waitlist — PCS and CFC are state-plan entitlements
Not right now — but other family members can often be paid.
The fine print: no — spouses (and legal guardians) are prohibited from being hired under PCS/CDPCS; other relatives such as adult children may be hired
Sometimes — special programs for children may pay parents.
The fine print: limited — historically barred under PCS, but Sept 2024 waiver amendments (CCMC, IDD, ISW) allow parents/guardians to be paid for personal care, tube feedings, trach care and meds for waiver-enrolled children
Run by: Alaska Department of Health, Division of Senior and Disabilities Services (SDS), 907-269-3666
A program that can pay a family member for care at home.
2-min check →A program that can pay a family member for care at home.
2-min check →A path for children who need extra care.
2-min check →Our quick check tells you which programs fit your family before you talk to anyone.
Contact a PCS provider agency or SDS to complete the PCA-08 Initial Application (doh.sds.info@alaska.gov, 907-269-3666); an Aging and Disability Resource Center can help; approval can take ~3 months.
Forms, phone calls, the enrollment visit — we walk you through it all, free.
Yes. These are real Medicaid programs run by the state. In Alaska, they are overseen by the Alaska Department of Health. We help you enroll — applying costs you nothing.
Care at home costs Medicaid far less than a nursing home. So states pay family members to give that care at home. It's good for your loved one, and it's the law working the way it should.
Not right now — but other family members can often be paid. The fine print: no — spouses (and legal guardians) are prohibited from being hired under PCS/CDPCS; other relatives such as adult children may be hired
Sometimes — special programs for children may pay parents. The fine print: limited — historically barred under PCS, but Sept 2024 waiver amendments (CCMC, IDD, ISW) allow parents/guardians to be paid for personal care, tube feedings, trach care and meds for waiver-enrolled children
Reported figures are around $24–$26/hr, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.
No waitlist. If you qualify, you're in. Details: no waitlist — PCS and CFC are state-plan entitlements
It depends on the program. In Alaska: self-directed under CDPCS — participant hires, trains, supervises, fires; a Consumer Directed Provider Agency acts as fiscal agent for tax withholding and caregiver payments
Sources: medicaidplanningassistance.org · health.alaska.gov · Updated September 2026. Program rules change — always confirm with the program.
The programs are the same across Alaska. Pick your county to see how they work where you live.
Answer 5 easy questions. See your programs and pay before you share any contact info.