Can Family Members Be Paid as Caregivers?

by | Apr 5, 2023

Becoming a family caregiver allows individuals to care for their loved ones in a personalized, compassionate, and cost-effective way. Caregivers can provide physical, emotional, and practical support to their family members, improving the quality of life for both the caregiver and the person receiving care.

There are many benefits for caregivers, such as a sense of purpose, increased social support, and a stronger bond with the person receiving care. Caregivers also have access to a range of services, such as respite care, counseling, and training, which can help them manage the demands of caregiving.

In New York City, family caregivers can be paid for their services at a regulated rate through the Consumer Directed Personal Assistance Program (CDPAP). With adequate preparation and knowledge about becoming a paid family caregiver, it is also possible for family caregiving to become a more formal job with a secure income and career potential.


Why Consider Getting Paid as a Family Caregiver?


A family member may want to consider becoming a paid caregiver for several reasons. For some, it may be a way to financially support themselves while providing care for their loved ones. For others, it may be a way to ensure that their loved one receives the best possible care.

In any case, becoming a paid family caregiver can provide a sense of financial stability and security for the caregiver. Caring for a family member can be a labor of love and an enriching experience. It is also an undertaking that requires hard work, dedication, and a great deal of energy.

Fortunately, incentives are available for those who become professional family caregivers. You may gain benefits such as job security and flexibility, health insurance coverage, and retirement savings by getting paid as a family caregiver.

You may also receive special tax breaks that can add up significantly throughout the year. Moreover, being financially compensated certainly helps make an extremely challenging task much more manageable.


Possibilities For Becoming a Paid Family Caregiver


Determining Eligibility for Medicaid Self-Directed Service Program


The first step in becoming a paid family caregiver is determining if your family member receiving care is eligible for the Medicaid Self-Directed Service Program. Eligibility requirements vary by state, but generally, individuals must be Medicaid-eligible and require assistance with activities of daily living.


Enrolling in Home and Community-Based Services

If your family member is eligible for the Medicaid Self-Directed Service Program, the next step is to enroll in Home and Community-Based Services (HCBS). HCBS programs provide services and support to individuals with disabilities who wish to live in their own homes or community-based settings.


Checking If Your Family Member Is Eligible for Veterans Aid


Another possibility for becoming a paid family caregiver is to check if the individual receiving care is eligible for veterans’ aid. By checking whether your family member is eligible for veterans’ aid, you could give yourself extra financial security while providing them with the care they need.

Furthermore, special programs and resources may be available depending on the situation to further support your efforts as a family caregiver.


Checking If Your Family Member Has Long-term Insurance


If your family member receiving care has long-term insurance, it is worth checking if the policy covers home care services provided by another family member. Many long-term care insurance policies provide benefits for home care services, which can be used to pay a family caregiver.


Finding out If Your Company Offers Paid Leave for Caregivers


Some companies offer paid leave for caregivers, which can be used to provide care for a loved one. It is worth checking with your employer to see if this benefit is available. The Society for Human Resource Management (SHRM) reports that 25% of U.S. employers offer paid leave for family care-relieving individuals and help families facing the challenge of caring for an elderly or disabled relative.

While many employers do not have in-house programs, they may be willing to consider adopting one if you present a well-thought-out proposal that includes an estimate of costs and potential return on investment.


Talking With Your Family Member About Their Ability to Pay for Your Caregiving Services


Having an open and honest conversation with your family member receiving care about their ability to pay for your caregiving services is also essential. A clear understanding of the financial arrangements can help ensure that everyone is on the same page and that the care provided is sustainable.

Remember to be open, honest, and respectful when talking about the terms of care and any remuneration that comes from it.


Tips For Asking A Family Member For Paid Caregiving Services


Talk Openly to a Family Member That Seeks Care


The first step in asking a family member to become a paid caregiver is to have an open and honest conversation about the need for care and the potential for compensation. It’s essential to approach the discussion with sensitivity and empathy and be prepared to answer any family member’s questions.

Having an honest conversation allows everyone involved to reach an agreement and allows for peace of mind knowing all expectations are being met.


Make a Personal Care Agreement


Once the conversation is had, it’s crucial to create a written agreement outlining the terms of the caregiving arrangement, including the specific tasks that will be performed, the schedule of care, and the compensation to be provided. This agreement should be reviewed and signed by both parties.


Consult an Elder Care Lawyer


It’s also advisable to consult with an elder care lawyer to ensure that the care agreement is legally sound and compliant with state and federal regulations. They can provide informed guidance to help navigate legal and financial responsibilities so that both parties are protected.

An experienced attorney will assist with creating a contract to ensure expectations of services and payment expectations are documented in writing. In addition, they can also provide advice on Medicaid benefits or potential tax ramifications.


Make an Agreement About the Salary


It’s important to agree on the salary and compensation for the caregiving services. The hourly rate should be fair for both parties and correspond with your area’s market rate, so everyone involved is on the same page.

When agreeing about the salary, consider any added benefits of working with a family member, such as higher flexibility and better convenience.


Determine Daily Care Tasks


It’s also essential to determine the daily care tasks for your elderly family member. Consider what specific tasks they may need help with, such as cooking, cleaning, laundry, or medication assistance, and make a list. Once you have determined their daily care needs, you can start discussing these tasks in detail and pull together a daily care task plan.


Becoming A Family Caregiver in New York


The Consumer Directed Personal Assistance Program (CDPAP) in New York allows individuals to hire and manage their caregivers, including family members. To become a family caregiver through CDPAP, the individual receiving care must be eligible for Medicaid and require assistance with activities of daily living.

As a family caregiver through CDPAP, you will be responsible for providing the care and assistance outlined in the care plan created by the senior. This can include bathing, dressing, grooming, medication management, and wound care. You will also be responsible for ensuring that the senior’s needs are met and that their safety and well-being are always a priority.


What Is the Average Pay Rate for Family Caregivers?


The average pay rate for family caregivers can vary widely depending on factors such as location, experience, and the specific tasks being performed. According to data from the Bureau of Labor Statistics, the median hourly wage for home health and personal care aides was $13.34 in May 2020.

The average pay rate for caregivers through CDPAP in New York is not publicly disclosed. The individual senior receiving care sets the pay rate, and it is based on what they can afford to pay. Caregivers may be paid by the hour or flat rate for the day or week. The rate can be based on the type and level of care provided, such as live-in care, round-the-clock care, or companionship care.




While caregiving can be challenging and demanding, it can also be incredibly rewarding. For those considering asking a family member to become a paid caregiver, it’s vital to have an open and honest conversation, create a written agreement, and consult with an elder care lawyer.

Additionally, it’s essential to be aware of the options available through programs like the Consumer Directed Personal Assistance Program (CDPAP) in New York and to familiarize oneself with the average pay rate for family caregivers.