Kentucky

Get Paid as a Family Caregiver in Kentucky

Kentucky 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 Kentucky pays family caregivers

$29.04/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: Kentucky Medicaid program data · Updated September 2026

Waitlist in Kentucky

Waitlists here can be long. Apply as soon as you can.

HCB Waiver ~17,800 slots/yr — waitlist forms when full; Michelle P. Waiver has a long-standing multi-year waitlist

The two big questions

Can a spouse be paid?

Yes

Yes — Kentucky can pay you to care for your spouse.

The fine print: yes — friends and relatives including adult children and spouses can be hired under PDS

Can a parent be paid for a child?

Sometimes

Sometimes — special programs for children may pay parents.

The fine print: limited — parents/guardians (legally responsible individuals) payable under Michelle P./HCB only for extraordinary or specialized care (rule eff. 7/1/2024), capped 40 hrs/wk combined, CPR training required

Kentucky's programs

Run by: KY Cabinet for Health and Family Services — Dept. for Aging and Independent Living (DAIL) 877-315-0589

Participant Directed Services (PDS)

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

2-min check →

HCB Waiver

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

2-min check →

Michelle P. Waiver

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

2-min check →

How to apply in Kentucky

  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.

    Apply via kynect.ky.gov, phone 855-306-8959, or in person; PDS enrollment goes through the case manager or the regional Area Development District/AAA.

  3. We help at every step.

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

See if you qualify →

Kentucky questions, answered honestly

Is this legit?

Yes. These are real Medicaid programs run by the state. In Kentucky, they are overseen by the KY Cabinet for Health and Family Services — Dept. for Aging and Independent Living (DAIL) 877-315-0589. 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 Kentucky?

Yes — Kentucky can pay you to care for your spouse. The fine print: yes — friends and relatives including adult children and spouses can be hired under PDS

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

Sometimes — special programs for children may pay parents. The fine print: limited — parents/guardians (legally responsible individuals) payable under Michelle P./HCB only for extraordinary or specialized care (rule eff. 7/1/2024), capped 40 hrs/wk combined, CPR training required

How much do family caregivers get paid in Kentucky?

Reported figures are around $29.04/hr, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.

Is there a waitlist?

Waitlists here can be long. Apply as soon as you can. Details: HCB Waiver ~17,800 slots/yr — waitlist forms when full; Michelle P. Waiver has a long-standing multi-year waitlist

Do I have to work for an agency?

It depends on the program. In Kentucky: self-directed with mandatory financial management services agency for payroll/taxes; support broker/case manager assists

Sources: medicaidplanningassistance.org · chfs.ky.gov · apps.legislature.ky.gov · Updated September 2026. Program rules change — always confirm with the program.

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