Can You Get Paid to Care for a Spouse? Rules by State
13 Jan 2026 • Nationwide
Caring for Your Partner and Getting Paid
Spousal caregiving is an act of love—but also of endurance. Many couples find themselves struggling financially when one partner must stop working to care for the other. The good news? In some states, spouses can be paid caregivers through Medicaid-funded programs.
CaringPays helps families navigate these complex rules and apply for the programs that allow spousal pay.
“I care for my husband full-time. CaringPays helped me find out that in our state, I could finally be compensated for the care I was already providing.” — Karen, Caregiver
How It Works
- The care recipient must be on Medicaid.
- A care assessment determines the need for daily assistance.
- The caregiver (spouse) completes basic training and documentation.
- Payments are made through an approved home-care agency.
Pros of Paid Spousal Caregiving
- Keeps care at home and family together
- Provides financial relief
- Offers professional oversight and resources
- Maintains dignity and emotional connection
FAQs
Q: Can both spouses receive payment if they care for each other?
A: No, only the caregiver providing daily support qualifies.
Q: Are spousal payments taxable?
A: It varies by state. In some states, pay is hourly, while in others you may receive a tax-free weekly stipend. For details specific to your area, contact CaringPays.
Q: What if my state doesn’t allow spousal pay?
A: CaringPays can help explore other caregiver models available.
Final Thoughts
Love shouldn’t come with financial hardship. If you care for your spouse full-time, you may qualify for compensation and support through programs CaringPays can connect you to.
Contact CaringPays to check your eligibility for spousal caregiver programs.
Disclaimer: Program eligibility and spousal pay vary by state. This blog is for informational purposes only.
