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Care • 4 minute read

Benefits for Caregivers

Benefits for Caregivers
By Kristina James
Published by Ruby

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You’re preparing to age at home. You’re organizing your vital documents, getting in the habit of tracking your finances, making sure all the i’s are dotted and t’s are crossed.

So, what else is there to do?

How about the people in your life with whom you’re entrusting your care? Friends, family, even folks you intend to hire—your future (or present) caregivers are another consideration to make as you plan to age at home.

Their task list is long: from grocery shopping to shuttling to medical appointments to checking that bills are being paid. Being a caregiver can be a full-time job, often right on top of another full-time job. And if you’re fortunate enough to have family or friends who take on these tasks pro bono, it’s good to make sure they get some kind of kickback.


Even if you can’t pay a caregiver salary, you’ve still got options.

More than 43 million Americans care for an aging or sick loved one without pay, according to a study by AARP and the National Alliance for Caregiving. What are some ways that they can be repaid for their care?

Caregivers can be compensated but only under certain circumstances.

Every state, and the District of Columbia, has what is called Cash and Counseling Programs under the Medicaid umbrella that provide for financial assistance. These programs allow the recipient to choose their own caregiver, including adult children. In 12 states, spouses can also be hired.

The process usually starts with an assessment to see what the recipient’s needs are, and will include input from doctors and any caregivers currently providing service. The recipient must need a certain level of assistance in daily activities such as bathing, dressing, toileting, and eating.

After it’s determined how many hours of care need to be provided, a budget is calculated. Since the Medicaid recipient is considered the employer, they decide how to spend the money they are given and select who the caregiver will be.

Getting started.

The enrollment process varies by state, but if the recipient is already receiving Medicaid benefits it usually takes from two to four months to process the application. If the person is not receiving Medicaid benefits families should expect an additional 45-90 days to complete the enrollment process.

Not just Medicare

While the concept of consumer-directed care started with Medicaid, it now extends to other programs including those for military veterans and those who hold long-term care insurance policies.

Military service members can apply for a paid caregiver under the Veteran Directed Care program which is available in the majority of states but not all. The requirements are much the same as Medicaid but V.A. medical centers determine eligibility.

Self-directed care by a family member is also offered by some long-term insurance policies. Your insurance company can provide specifics. is a resource that can help families determine what government programs and services their loved ones are eligible to receive. As the official benefits website of the U.S. government, it serves as a central access point for local, state, and federal programs across 17 different federal agencies.

The cost can be more than financial

The good news for some families is that they’re eligible to be paid as caregivers. There is, though, a potential downside, which is the emotional pitfalls that can come with the job.

Be sure to nurture and preserve the parent-child relationship.

When a relative becomes a paid caregiver it can change relationships. Be sure to continually practice gratitude, and allow yourself to celebrate the dynamic of your already existing relationship.

Is it worth the money?

When one family member becomes a paid caregiver, there can be a few unintended consequences. Firstly, other family members may be less likely to pitch in with help now that one is a paid caregiver.

It’s not uncommon for jealousy to arise with one family member having paid status. It’s important to communicate how much (or how little) you’re making and be sure others understand the expenses that paycheck will offset, such as the price of gas for transportation to medical appointments.

Finally, it’s important to decide if disrupting family harmony is worth the money. If jealousy or resentment surfaces within your family try, as with everything, to talk it out with your trusted circle. You might just decide that the paycheck isn’t worth it.

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