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

Kentucky: Who Can Be a Paid Family Caregiver Under Medicaid

Kentucky's Home and Community Based waiver pays relatives and friends as participant-directed employees or through an agency; a spouse or the parent of a minor can be paid only when the care is extraordinary and one of the state's defined circumstances applies, and the waiver keeps a waiting list.

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, other relatives and friends chosen by the participant; a spouse or the parent of a minor child only under the state's legally-responsible-individual rules.

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 program behind the answer

Home and Community Based (HCB) waiver with Participant Directed Services

Administered by Kentucky Cabinet for Health and Family Services (Medicaid Services and Aging and Independent Living).

  • Who employs the caregiver: Agency or self-directed
  • Waitlist: Waitlist
  • Traditional agency services, participant-hired employees paid through a financial management agency, or a mix of the two

How to apply in Kentucky

We do not yet have partner agencies in Kentucky. Start with the program's administering agency — Kentucky Cabinet for Health and Family Services (Medicaid Services and Aging and Independent Living) — 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 Kentucky

Can a spouse be paid to care for their husband or wife in Kentucky?
In defined cases. Kentucky 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 Kentucky?
Adult children, siblings, other relatives and friends chosen by the participant; a spouse or the parent of a minor child only under the state's legally-responsible-individual rules.
Is there a waitlist for Medicaid home care in Kentucky?
Home and Community Based (HCB) waiver with Participant Directed Services: waitlist (Traditional agency services, participant-hired employees paid through a financial management agency, or a mix of the two).
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.