Can a spouse be paid?
YesYes — Ohio can pay you to care for your spouse.
The fine print: yes — spouses can be hired under PASSPORT's participant-directed options, Next Generation MyCare, and as the live-in Structured Family Caregiving caregiver
Ohio
Ohio 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.
$1,500–$3,000/month
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: Ohio Medicaid program data · Updated September 2026
Some programs here have no waitlist. Others can have one.
PASSPORT is capped (~39,807/yr) and a waitlist can form; Next Generation MyCare has no cap and no waitlist
Yes — Ohio can pay you to care for your spouse.
The fine print: yes — spouses can be hired under PASSPORT's participant-directed options, Next Generation MyCare, and as the live-in Structured Family Caregiving caregiver
Sometimes — special programs for children may pay parents.
The fine print: limited — Ohio Home Care Waiver and the three DD waivers pay parents/guardians of minors, but the parent must work for an agency, be the provider of last resort, and generally work 40 hrs or less; RN/LPN parents can provide paid nursing; litigation pending over these rules
Run by: Ohio Department of Aging (PASSPORT Helpline 1-866-243-5678)
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 →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 for Ohio Medicaid via the Ohio Benefits portal or county Job and Family Services and answer yes to the waiver/long-term-care question; for PASSPORT call the PASSPORT Helpline (Area Agency on Aging screening).
Forms, phone calls, the enrollment visit — we walk you through it all, free.
Yes. These are real Medicaid programs run by the state. In Ohio, they are overseen by the Ohio Department of Aging (PASSPORT Helpline 1-866-243-5678). 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 — Ohio can pay you to care for your spouse. The fine print: yes — spouses can be hired under PASSPORT's participant-directed options, Next Generation MyCare, and as the live-in Structured Family Caregiving caregiver
Sometimes — special programs for children may pay parents. The fine print: limited — Ohio Home Care Waiver and the three DD waivers pay parents/guardians of minors, but the parent must work for an agency, be the provider of last resort, and generally work 40 hrs or less; RN/LPN parents can provide paid nursing; litigation pending over these rules
Reported figures are around $1,500–$3,000/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: PASSPORT is capped (~39,807/yr) and a waitlist can form; Next Generation MyCare has no cap and no waitlist
It depends on the program. In Ohio: participant-directed options use a financial management services agency for payroll/taxes; SFC runs through an SFC agency; parents of minors on the Home Care Waiver must be agency-employed
Sources: medicaidplanningassistance.org · medicaidplanningassistance.org · kidswaivers.org · Updated September 2026. Program rules change — always confirm with the program.
The programs are the same across Ohio. 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.