Arizona
Arizona programs that pay family caregivers
Arizona pays family members through 3 Medicaid programs. Each has its own rules for who qualifies, who can be paid and what it pays.
Who do you care for?
ALTCS Self-Directed Attendant Care (SDAC)
Self-Directed Attendant Care is an ALTCS (Arizona Long Term Care System) option where the member becomes the legal employer of their own direct care worker. The member can hire family members such as adult children, and a Fiscal Employer Agent handles taxes, payroll and paychecks. Spouses, parents of minor children and the member's legal guardian cannot be paid through SDAC.
$13–$16/hr
How it works →Agency with Choice (AWC)
Agency with Choice is an ALTCS member-directed option where a provider agency is the legal employer and the member shares day-to-day employer duties. The member can recruit, choose, schedule, supervise and dismiss their worker, including family members. Parents of minor children cannot be paid through AWC.
$13–$16/hr
How it works →Parents as Paid Caregivers (PPCG)
Parents as Paid Caregivers lets parents of minor children on ALTCS be paid for attendant care, personal care, homemaker and in-home habilitation. It started as a COVID-era flexibility and CMS approved it permanently in 2024. Parents must meet direct care worker requirements and work through one agency, and are limited to 40 paid hours a week per child.
$13–$16/hr
How it works →Spouse as Paid Caregiver
Arizona's ALTCS program lets a spouse be paid for attendant care, personal care or similar services for their husband or wife. The spouse must be employed by a direct care worker agency (or by the member through DDD's Independent Provider Network) and can be paid for no more than 40 hours a week.
$13–$16/hr
How it works →The overview: the Arizona caregiver program · Arizona caregiver pay · spouse rules
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Across the line
States that border Arizona
Each state writes its own rules, and they differ more than people expect — a spouse who can be paid on one side of the line often cannot be on the other.