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flag All 50 states and D.C. now allow paid family caregiving through Medicaid, with varying rules and pay rates, and states must disclose rates starting July 2026.

flag Family caregivers can receive payment through Medicaid in all 50 states and the District of Columbia, though rules, requirements, and pay rates vary by state. flag To qualify, the person receiving care must be Medicaid-eligible and need help with daily activities like bathing, dressing, or cooking. flag Programs include state plans and waiver options, but some states exclude spouses or parents of young children. flag Pay rates differ widely, influenced by location, care needs, training, and state budgets, with some states offering up to $26 per hour. flag Starting July 2026, states must publish hourly Medicaid payment rates for various caregiving services.

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