Can a spouse be paid?
YesYes — New Hampshire can pay you to care for your spouse.
The fine print: yes — CFI participant-directed and PCAS both allow hiring a spouse (PCAS: caregiver may not be the participant's durable power of attorney)
New Hampshire
Get Paid as a Family Caregiver in New Hampshire
New Hampshire 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.
What New Hampshire pays family caregivers
$15–$22/hr
Rates vary — check with the program.
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: New Hampshire Medicaid program data · Updated September 2026
Waitlist in New Hampshire
Some programs here have no waitlist. Others can have one.
CFI: not an entitlement (~5,951 cap/yr), waitlist exists; PCAS: entitlement, no waitlist
The two big questions
Can a parent be paid for a child?
SometimesSometimes — special programs for children may pay parents.
The fine print: limited — CFI/PCAS are adult programs; the In-Home Supports Waiver for children with DD can pay parents for some services when the child's dependency exceeds DD peers
New Hampshire's programs
Run by: NH DHHS Bureau of Adult and Aging Services (ADRC/ServiceLink 866-634-9412
Choices for Independence (CFI) Waiver
A program that can pay a family member for care at home.
2-min check →PCAS
A program that can pay a family member for care at home.
2-min check →In-Home Supports Waiver (children)
A path for children who need extra care.
2-min check →How to apply in New Hampshire
Check your match — 2 minutes, free.
Our quick check tells you which programs fit your family before you talk to anyone.
Start the state application.
Apply via NH Easy online or a district DHHS office; ServiceLink/ADRC (866-634-9412) assists with CFI; for PCAS enroll in NH Medicaid then submit a Request for Services to Granite State Independent Living.
We help at every step.
Forms, phone calls, the enrollment visit — we walk you through it all, free.
New Hampshire questions, answered honestly
Is this legit?
Yes. These are real Medicaid programs run by the state. In New Hampshire, they are overseen by the NH DHHS Bureau of Adult and Aging Services (ADRC/ServiceLink 866-634-9412. We help you enroll — applying costs you nothing.
Why would the government pay me?
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.
Can I get paid to care for my spouse in New Hampshire?
Yes — New Hampshire can pay you to care for your spouse. The fine print: yes — CFI participant-directed and PCAS both allow hiring a spouse (PCAS: caregiver may not be the participant's durable power of attorney)
Can I get paid to care for my child in New Hampshire?
Sometimes — special programs for children may pay parents. The fine print: limited — CFI/PCAS are adult programs; the In-Home Supports Waiver for children with DD can pay parents for some services when the child's dependency exceeds DD peers
How much do family caregivers get paid in New Hampshire?
Reported figures are around $15–$22/hr, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.
Is there a waitlist?
Some programs here have no waitlist. Others can have one. Details: CFI: not an entitlement (~5,951 cap/yr), waitlist exists; PCAS: entitlement, no waitlist
Do I have to work for an agency?
It depends on the program. In New Hampshire: hybrid — participant hires/manages the caregiver but a financial management services agency handles payroll, taxes, background checks
Sources: dhhs.nh.gov · medicaidplanningassistance.org · medicaidplanningassistance.org · Updated September 2026. Program rules change — always confirm with the program.
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The programs are the same across New Hampshire. Pick your county to see how they work where you live.
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