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Family Caregiver Pay Map · Arizona · Verified October 19, 2026

Arizona: Who Can Be a Paid Family Caregiver Under Medicaid

Arizona's ALTCS pays family members as direct care workers employed by a contracted agency, and its spouse and parent paid-caregiver options let a spouse or the parent of a minor be paid under extraordinary-care rules; the self-directed option excludes them.

Spouse
In defined cases
Adult child / other relatives
Yes
Friends / neighbors
Yes
Parent of a minor child
In defined cases

Who can be paid: Adult children, siblings, grandchildren, in-laws, other relatives, friends and neighbors employed by an ALTCS direct care worker agency or hired under Self-Directed Attendant Care; a spouse or the parent of a minor child only as an agency-employed caregiver under the state's paid-caregiver service options.

The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.

The programs behind the answer

Arizona Long Term Care System (ALTCS) — Direct Care Services, including the Spouse as Paid Caregiver and Parent as Paid Caregiver service options

Administered by AHCCCS (through ALTCS managed care contractors).

  • Who employs the caregiver: Agency employs the caregiver
  • Waitlist: No waitlist
  • Type: State plan entitlement (serves everyone who qualifies)
  • Family members are employed by a direct care worker agency that contracts with the member's plan

ALTCS Self-Directed Attendant Care (SDAC)

Administered by AHCCCS.

  • Who employs the caregiver: Self-directed (participant is the employer)
  • Waitlist: No waitlist
  • Type: State plan entitlement (serves everyone who qualifies)
  • Member hires and manages the worker; the spouse, the parent of a minor and the member's legal guardian cannot be paid under this option

How to apply in Arizona

We do not yet have partner agencies in Arizona. Start with the program's administering agency — AHCCCS (through ALTCS managed care contractors) — using the official sources below; the state determines eligibility and enrolls participants.

Official sources

Facts on this page were last reviewed October 19, 2026 against the sources above. Program rules change; confirm with the program before making decisions. Method: how the Pay Map is verified.

Questions

Questions About Paid Family Caregiving in Arizona

Can a spouse be paid to care for their husband or wife in Arizona?
In defined cases. Arizona allows a spouse to be the paid caregiver only under conditions written into its rules; see the summary and sources on this page.
Who can be the paid caregiver in Arizona?
Adult children, siblings, grandchildren, in-laws, other relatives, friends and neighbors employed by an ALTCS direct care worker agency or hired under Self-Directed Attendant Care; a spouse or the parent of a minor child only as an agency-employed caregiver under the state's paid-caregiver service options.
Is there a waitlist for Medicaid home care in Arizona?
Arizona Long Term Care System (ALTCS) — Direct Care Services, including the Spouse as Paid Caregiver and Parent as Paid Caregiver service options: no waitlist (Family members are employed by a direct care worker agency that contracts with the member's plan). ALTCS Self-Directed Attendant Care (SDAC): no waitlist (Member hires and manages the worker; the spouse, the parent of a minor and the member's legal guardian cannot be paid under this option).
Who decides eligibility?
The state program, never The Home Care Agency. The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.