Can a spouse be paid?
Not right nowNot right now — but other family members can often be paid.
The fine print: no — spouses, legal guardians, and powers of attorney cannot be hired; adult children and other relatives can
Tennessee
Tennessee 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.
$11–$19.16/hr
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: Tennessee Medicaid program data · Updated September 2026
Some programs here have no waitlist. Others can have one.
not an entitlement — CHOICES Groups 2/3 have limited enrollment slots and a waitlist can form
Not right now — but other family members can often be paid.
The fine print: no — spouses, legal guardians, and powers of attorney cannot be hired; adult children and other relatives can
Sometimes — special programs for children may pay parents.
The fine print: limited — CHOICES serves only adults 21+ with disabilities and seniors 65+; children go through Katie Beckett / ECF CHOICES, whose consumer direction may pay family
Run by: TennCare Long-Term Services & Supports (LTSS) Division
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 path for children who need extra care.
2-min check →Our quick check tells you which programs fit your family before you talk to anyone.
Current TennCare members contact their managed care organization (health plan); everyone else calls their local Area Agency on Aging and Disability at 1-866-836-6678 to start CHOICES screening.
Forms, phone calls, the enrollment visit — we walk you through it all, free.
Yes. These are real Medicaid programs run by the state. In Tennessee, they are overseen by the TennCare Long-Term Services & Supports (LTSS) Division. 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 — spouses, legal guardians, and powers of attorney cannot be hired; adult children and other relatives can
Sometimes — special programs for children may pay parents. The fine print: limited — CHOICES serves only adults 21+ with disabilities and seniors 65+; children go through Katie Beckett / ECF CHOICES, whose consumer direction may pay family
Reported figures are around $11–$19.16/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: not an entitlement — CHOICES Groups 2/3 have limited enrollment slots and a waitlist can form
It depends on the program. In Tennessee: consumer-directed, but all consumer-direction payroll must run through the fiscal employer agent Consumer Direct Care Network Tennessee (CDTN)
Sources: tn.gov · medicaidplanningassistance.org · Updated September 2026. Program rules change — always confirm with the program.
The programs are the same across Tennessee. 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.