Tennessee

Get Paid as a Family Caregiver in Tennessee

Tennessee 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 Tennessee pays family caregivers

$11–$19.16/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: Tennessee Medicaid program data · Updated September 2026

Waitlist in Tennessee

Some programs here have no waitlist. Others can have one.

not an entitlement — CHOICES Groups 2/3 have limited enrollment slots and a waitlist can form

The two big questions

Can a spouse be paid?

Not right now

Not right now — but other family members can often be paid.

The fine print: no — spouses, legal guardians, and powers of attorney cannot be hired; adult children and other relatives can

Can a parent be paid for a child?

Sometimes

Sometimes — special programs for children may pay parents.

The fine print: limited — CHOICES serves only adults 21+ with disabilities and seniors 65+; children go through Katie Beckett / ECF CHOICES, whose consumer direction may pay family

Tennessee's programs

Run by: TennCare Long-Term Services & Supports (LTSS) Division

TennCare CHOICES consumer direction

A program that can pay a family member for care at home.

2-min check →

ECF CHOICES

A program that can pay a family member for care at home.

2-min check →

Katie Beckett (children)

A path for children who need extra care.

2-min check →

How to apply in Tennessee

  1. Check your match — 2 minutes, free.

    Our quick check tells you which programs fit your family before you talk to anyone.

  2. Start the state application.

    Current TennCare members contact their managed care organization (health plan); everyone else calls their local Area Agency on Aging and Disability at 1-866-836-6678 to start CHOICES screening.

  3. We help at every step.

    Forms, phone calls, the enrollment visit — we walk you through it all, free.

See if you qualify →

Tennessee questions, answered honestly

Is this legit?

Yes. These are real Medicaid programs run by the state. In Tennessee, they are overseen by the TennCare Long-Term Services & Supports (LTSS) Division. 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 Tennessee?

Not right now — but other family members can often be paid. The fine print: no — spouses, legal guardians, and powers of attorney cannot be hired; adult children and other relatives can

Can I get paid to care for my child in Tennessee?

Sometimes — special programs for children may pay parents. The fine print: limited — CHOICES serves only adults 21+ with disabilities and seniors 65+; children go through Katie Beckett / ECF CHOICES, whose consumer direction may pay family

How much do family caregivers get paid in Tennessee?

Reported figures are around $11–$19.16/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: not an entitlement — CHOICES Groups 2/3 have limited enrollment slots and a waitlist can form

Do I have to work for an agency?

It depends on the program. In Tennessee: consumer-directed, but all consumer-direction payroll must run through the fiscal employer agent Consumer Direct Care Network Tennessee (CDTN)

Sources: tn.gov · medicaidplanningassistance.org · Updated September 2026. Program rules change — always confirm with the program.

Find out in 2 minutes

Answer 5 easy questions. See your programs and pay before you share any contact info.

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