Can a spouse be paid?
YesYes — Indiana can pay you to care for your spouse.
The fine print: yes via SFC — a live-in spouse can be the paid SFC caregiver; no for Attendant Care since 7/1/2024 (spouse is a Legally Responsible Individual)
Indiana runs real Medicaid programs that pay family members to care for a loved one at home. Here is what they pay, who can be paid, and how to start.
18% of the state
each with its own page
that can pay a relative
see the full rule below

Population figures from the U.S. Census Bureau · Rules from each state's published Medicaid program
$46–$80/day
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: Indiana Medicaid program data · Updated September 2026
Waitlists here can be long. Apply as soon as you can.
yes — PathWays and Health & Wellness reached federally approved capacity (waitlist since Apr 2024; 10,000+ waiting in 2025; capacity hit again Dec 2025 with new invitations not expected before ~Jul 2026); FSSA runs an online waitlist dashboard
Yes — Indiana can pay you to care for your spouse.
The fine print: yes via SFC — a live-in spouse can be the paid SFC caregiver; no for Attendant Care since 7/1/2024 (spouse is a Legally Responsible Individual)
Yes — Indiana has a path for parents of children who need care.
The fine print: yes via SFC on the Health & Wellness waiver — biological/adoptive parents, guardians, and stepparents of a minor may provide SFC; parents/guardians of minors may NOT provide attendant care since 7/1/2024
Run by: Indiana FSSA (Division of Aging / Indiana Medicaid)
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 →Our quick check tells you which programs fit your family before you talk to anyone.
Contact the local Area Agency on Aging for intake, level-of-care assessment, and waitlist placement; apply for Indiana Medicaid through FSSA; PathWays members then select a managed-care plan and request SFC through their care coordinator.
Forms, phone calls, the enrollment visit — we walk you through it all, free.
Yes. These are real Medicaid programs run by the state. In Indiana, they are overseen by the Indiana FSSA (Division of Aging / Indiana Medicaid). 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.
Yes — Indiana can pay you to care for your spouse. The fine print: yes via SFC — a live-in spouse can be the paid SFC caregiver; no for Attendant Care since 7/1/2024 (spouse is a Legally Responsible Individual)
Yes — Indiana has a path for parents of children who need care. The fine print: yes via SFC on the Health & Wellness waiver — biological/adoptive parents, guardians, and stepparents of a minor may provide SFC; parents/guardians of minors may NOT provide attendant care since 7/1/2024
Reported figures are around $46–$80/day, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.
Waitlists here can be long. Apply as soon as you can. Details: yes — PathWays and Health & Wellness reached federally approved capacity (waitlist since Apr 2024; 10,000+ waiting in 2025; capacity hit again Dec 2025 with new invitations not expected before ~Jul 2026); FSSA runs an online waitlist dashboard
It depends on the program. In Indiana: SFC: caregiver must enroll with an approved SFC provider agency that supervises and pays the stipend; attendant care may be agency-based or participant-directed, but LRIs are barred from self-directed attendant care (Indiana Code 12-10-17.1-10(b))
Sources: in.gov · in.gov · wfyi.org · Updated September 2026. Program rules change — always confirm with the program.
The programs are the same across Indiana. Pick your county to see how they work where you live.
Guides
Start with the Indiana caregiver program, then read how the pieces fit together.
Across the line
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.
Answer 5 easy questions. See your programs and pay before you share any contact info.