Get Paid as a Family Caregiver in Iowa

Yes. These are real Medicaid programs run by the state. In Iowa, they are overseen by the Iowa HHS / Iowa Medicaid (member services 800-338-8366). 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 — a spouse cannot be the paid attendant under CDAC or CCO

Not for young children right now — but parents of adult children can often be paid. The fine print: no — parents/stepparents/guardians of a child 17 or under cannot be paid (441 IAC 77.30); a new Medical Day Care for Children service may allow parent pay for medically fragile children

Reported figures are around $2,691/month, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.

Some programs here have no waitlist. Others can have one. Details: Elderly Waiver: no waitlist (Jan 2026, ~10,653 slots); most other Iowa waivers have waitlists — ~26,665 Iowans waiting statewide as of Dec 2025 (Intellectual Disability waiver longest)

It depends on the program. In Iowa: CCO is self-directed: the member is the employer, Veridian Fiscal Solutions is the financial management service running payroll (319-226-4692), with an optional Independent Support Broker; otherwise services must come through an enrolled agency provider