Medicare does not pay family members for caregiving. This is one of the most common misunderstandings in elder care. Medicare covers medical treatment, rehabilitation, and skilled services, such as nursing or therapy. It does not pay for long-term help at home with daily tasks. To receive compensation for caring for your mother, you must use a Medicaid-based program.

In New York, families often first learn about CDPAP, but it has limitations that make it unusable for many households. Since we do not offer CDPAP, our work focuses on programs that actually help families without imposing relationship restrictions. PCA training is one path. When someone becomes PCA-certified, they gain access to real employment opportunities with home care agencies. Some agencies allow PCA workers to care for their own family members if the case meets their criteria, and PCA certification also lets caregivers work with additional patients for a more stable income.

OPWDD is another pathway, especially for individuals with developmental disabilities. OPWDD offers long-term support for both children and adults, which is critical because CDPAP does not permit parents of minors to be paid at all.

The path to being paid as a caregiver starts with Medicaid eligibility. Once Medicaid approves your mother for home care or OPWDD services, we can help you move into the correct program so you can provide support in a way that is both legal and sustainable.

If you want guidance on helping your mother through PCA or OPWDD services, visit FamilyCaregiverNY.com/contact.