Can a spouse be paid?
YesYes — Minnesota can pay you to care for your spouse.
The fine print: yes — since 10/1/2024 spouses can be paid CFSS/PCA workers (per MN DHS bulletin); spouses also hirable under CDCS
Minnesota
Minnesota 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.
$22.74/hr
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: Minnesota Medicaid program data · Updated September 2026
Some programs here have no waitlist. Others can have one.
CFSS is a state-plan entitlement — no waitlist; Elderly Waiver capped (~40,083/yr) — waitlist can form
Yes — Minnesota can pay you to care for your spouse.
The fine print: yes — since 10/1/2024 spouses can be paid CFSS/PCA workers (per MN DHS bulletin); spouses also hirable under CDCS
Yes — Minnesota has a path for parents of children who need care.
The fine print: yes — since 10/1/2024 parents of minors can be paid CFSS workers (per MN DHS bulletin)
Run by: Minnesota Department of Human Services (DHS)
A program that can pay a family member for care at home.
2-min check →A program that can pay a family member for care at home.
2-min check →A program that can pay a family member for care at home.
2-min check →Our quick check tells you which programs fit your family before you talk to anyone.
Start with a MnCHOICES/long-term care consultation assessment through your county (or call the Senior LinkAge Line); also apply for Medical Assistance (MA-LTC application).
Forms, phone calls, the enrollment visit — we walk you through it all, free.
Yes. These are real Medicaid programs run by the state. In Minnesota, they are overseen by the Minnesota Department of Human Services (DHS). 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.
Yes — Minnesota can pay you to care for your spouse. The fine print: yes — since 10/1/2024 spouses can be paid CFSS/PCA workers (per MN DHS bulletin); spouses also hirable under CDCS
Yes — Minnesota has a path for parents of children who need care. The fine print: yes — since 10/1/2024 parents of minors can be paid CFSS workers (per MN DHS bulletin)
Reported figures are around $22.74/hr, 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: CFSS is a state-plan entitlement — no waitlist; Elderly Waiver capped (~40,083/yr) — waitlist can form
It depends on the program. In Minnesota: fiscal support: CFSS offers an agency-provider model or a self-directed budget model with a Financial Management Services (FMS) provider; CDCS requires an FMS provider for payroll/taxes
Sources: mn.gov · content.govdelivery.com · medicaidplanningassistance.org · Updated September 2026. Program rules change — always confirm with the program.
The programs are the same across Minnesota. Pick your county to see how they work where you live.
Answer 5 easy questions. See your programs and pay before you share any contact info.