A Cash and Counseling or similar program is available in many states. It pays direct assistance to home-bound elders or others who have low incomes and few assets other than How to Get Paid for Being Your Parent's Caregiver
their home. The payments can then be used to pay a family member, or other independent caregiver, for providing in-home care. The idea is to have the same money available to family or other caregivers that would otherwise be paid to a home care agency. In order to be eligible for a Cash and Counseling program, the elder or disabled person usually needs to qualify for Medicaid. But in some states, people with low incomes and few assets might qualify for Cash and Counseling even if they have slightly too much money to qualify for Medicaid under that state's Medicaid rules. For more information about who is eligible for these programs, and how the programs work, look at the article on this site
To find out whether your state has a Cash and Counseling or similar program of direct payment for in-home care, and if so how to apply, contact your local Medicaid, human services, or social services office. To find the nearest Medicaid or other state office that handles in-home care programs, contact the Eldercare Locator online or by phone at 800-677-1116.