Can a spouse be paid?
Not right nowNot right now — but other family members can often be paid.
The fine print: no — spouses and legal guardians cannot be paid; other relatives incl. adult children and parents of adult (21+) disabled children can
Pennsylvania
Pennsylvania 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.
$13–$19/hr
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: Pennsylvania Medicaid program data · Updated September 2026
There may be a waitlist. Applying early holds your place.
limited enrollment slots (~181,848/yr); waitlist can form when full
Not right now — but other family members can often be paid.
The fine print: no — spouses and legal guardians cannot be paid; other relatives incl. adult children and parents of adult (21+) disabled children can
Not for young children right now — but parents of adult children can often be paid.
The fine print: no for CHC (serves adults 21+); PA generally does not pay parents of minor children
Run by: PA Department of Human Services, Office of Long-Term Living (OLTL) — CHC Participant Hotline 1-833-735-4416
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.
Call the PA Independent Enrollment Broker at 1-877-550-4227 (or its online Community Referral Form) to start CHC eligibility; then choose participant-direction/Services My Way with your MCO service 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 Pennsylvania, they are overseen by the PA Department of Human Services. 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 and legal guardians cannot be paid; other relatives incl. adult children and parents of adult (21+) disabled children can
Not for young children right now — but parents of adult children can often be paid. The fine print: no for CHC (serves adults 21+); PA generally does not pay parents of minor children
Reported figures are around $13–$19/hr, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.
There may be a waitlist. Applying early holds your place. Details: limited enrollment slots (~181,848/yr); waitlist can form when full
It depends on the program. In Pennsylvania: self-directed with a mandatory fiscal intermediary — Tempus Unlimited is the statewide FMS for CHC/Services My Way
Sources: medicaidplanningassistance.org · pa.tempusunlimited.org · pa.tempusunlimited.org · Updated September 2026. Program rules change — always confirm with the program.
The programs are the same across Pennsylvania. 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.