Can a spouse be paid?
Not right nowNot right now — but other family members can often be paid.
The fine print: no — 'a spouse or other legally responsible relative is excluded' from being a paid caregiver under Services My Way
District of Columbia
District of Columbia 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.
$3,600/month
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: District of Columbia Medicaid program data · Updated September 2026
Some programs here have no waitlist. Others can have one.
not an entitlement — enrollment slots limited and a waitlist can form when full
Not right now — but other family members can often be paid.
The fine print: no — 'a spouse or other legally responsible relative is excluded' from being a paid caregiver under Services My Way
Not for young children right now — but parents of adult children can often be paid.
The fine print: no — EPD Waiver serves people 65+ or persons with disabilities 18+; minors are not in this waiver
Run by: DC Department of Health Care Finance (DHCF), Long Term Care Administration, 202-442-5988
A program that can pay a family member for care at home.
2-min check →Our quick check tells you which programs fit your family before you talk to anyone.
A doctor or nurse completes the EPD Waiver Prescription Order Form, submitted to Liberty Healthcare, which schedules the functional assessment and assigns a worker to help complete the application; DHCF Long Term Care Administration (202-442-5988) administers enrollment.
Forms, phone calls, the enrollment visit — we walk you through it all, free.
Yes. These are real Medicaid programs run by the state. In District of Columbia, they are overseen by the DC Department of Health Care Finance (DHCF). 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 — 'a spouse or other legally responsible relative is excluded' from being a paid caregiver under Services My Way
Not for young children right now — but parents of adult children can often be paid. The fine print: no — EPD Waiver serves people 65+ or persons with disabilities 18+; minors are not in this waiver
Reported figures are around $3,600/month, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.
Some programs here have no waitlist. Others can have one. Details: not an entitlement — enrollment slots limited and a waitlist can form when full
It depends on the program. In District of Columbia: no home-care agency for self-directed services; a financial management services provider is required — GT Independence serves DC Services My Way as FMS and support broker (877-659-4500)
Sources: dhcf.dc.gov · medicaidplanningassistance.org · gtindependence.com · Updated September 2026. Program rules change — always confirm with the program.
The programs are the same across District of Columbia. 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.