Can a spouse be paid?
Not right nowNot right now — but other family members can often be paid.
The fine print: no — spouses cannot be hired as CDPAP personal assistants
New York 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.
19% 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
$18.65–$20.65/hr
Source: New York Medicaid program data · Updated September 2026
No waitlist. If you qualify, you're in.
no waitlist — CFCO/CDPAP is an entitlement; new 'Minimum Needs' eligibility requirements for most new adult applicants since Sept 2025
Not right now — but other family members can often be paid.
The fine print: no — spouses cannot be hired as CDPAP personal assistants
Not for young children right now — but parents of adult children can often be paid.
The fine print: no — parents cannot be paid caregivers for their own children under 21 (they can be paid for adult children 21+)
Run by: New York State Department of Health
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 through the county Department of Social Services (or Medicaid Helpline); enrolled members go through their care manager/MLTC plan, then consumer and caregiver register with PPL.
Forms, phone calls, the enrollment visit — we walk you through it all, free.
Yes. These are real Medicaid programs run by the state. In New York, they are overseen by the New York State Department of Health. 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 — spouses cannot be hired as CDPAP personal assistants
Not for young children right now — but parents of adult children can often be paid. The fine print: no — parents cannot be paid caregivers for their own children under 21 (they can be paid for adult children 21+)
Family caregivers here typically earn $18.65–$20.65/hr.
No waitlist. If you qualify, you're in. Details: no waitlist — CFCO/CDPAP is an entitlement; new 'Minimum Needs' eligibility requirements for most new adult applicants since Sept 2025
It depends on the program. In New York: self-directed (consumer recruits, hires, trains), but since 4/1/2025 every consumer and PA must register with PPL (Public Partnerships LLC), the single statewide fiscal intermediary that runs payroll
Sources: medicaidplanningassistance.org · pplfirst.com · health.ny.gov · Updated September 2026. Program rules change — always confirm with the program.
The programs are the same across New York. Pick your county to see how they work where you live.
Guides
Start with the New York 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.