Can a spouse be paid?
YesYes — Kentucky can pay you to care for your spouse.
The fine print: yes — friends and relatives including adult children and spouses can be hired under PDS
Kentucky
Kentucky 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.
$29.04/hr
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: Kentucky Medicaid program data · Updated September 2026
Waitlists here can be long. Apply as soon as you can.
HCB Waiver ~17,800 slots/yr — waitlist forms when full; Michelle P. Waiver has a long-standing multi-year waitlist
Yes — Kentucky can pay you to care for your spouse.
The fine print: yes — friends and relatives including adult children and spouses can be hired under PDS
Sometimes — special programs for children may pay parents.
The fine print: limited — parents/guardians (legally responsible individuals) payable under Michelle P./HCB only for extraordinary or specialized care (rule eff. 7/1/2024), capped 40 hrs/wk combined, CPR training required
Run by: KY Cabinet for Health and Family Services — Dept. for Aging and Independent Living (DAIL) 877-315-0589
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 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.
Apply via kynect.ky.gov, phone 855-306-8959, or in person; PDS enrollment goes through the case manager or the regional Area Development District/AAA.
Forms, phone calls, the enrollment visit — we walk you through it all, free.
Yes. These are real Medicaid programs run by the state. In Kentucky, they are overseen by the KY Cabinet for Health and Family Services — Dept. for Aging and Independent Living (DAIL) 877-315-0589. 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 — Kentucky can pay you to care for your spouse. The fine print: yes — friends and relatives including adult children and spouses can be hired under PDS
Sometimes — special programs for children may pay parents. The fine print: limited — parents/guardians (legally responsible individuals) payable under Michelle P./HCB only for extraordinary or specialized care (rule eff. 7/1/2024), capped 40 hrs/wk combined, CPR training required
Reported figures are around $29.04/hr, 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: HCB Waiver ~17,800 slots/yr — waitlist forms when full; Michelle P. Waiver has a long-standing multi-year waitlist
It depends on the program. In Kentucky: self-directed with mandatory financial management services agency for payroll/taxes; support broker/case manager assists
Sources: medicaidplanningassistance.org · chfs.ky.gov · apps.legislature.ky.gov · Updated September 2026. Program rules change — always confirm with the program.
The programs are the same across Kentucky. 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.