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

Louisiana: Who Can Be a Paid Family Caregiver Under Medicaid

Louisiana's Community Choices Waiver pays relatives and friends as personal assistance workers through a licensed agency or self-direction, and its Monitored In-Home Caregiving option pays a live-in caregiver, including a spouse, a daily stipend through a provider; a spouse can be a waiver personal assistance worker only when the participant needs extraordinary care, and the waiver uses a request-for-services registry.

Spouse
In defined cases
Adult child / other relatives
Yes
Friends / neighbors
Yes
Parent of a minor child
No

Who can be paid: Adult children, siblings, other relatives, friends and neighbors as agency or self-directed workers; a spouse as the live-in Monitored In-Home Caregiving caregiver or, when extraordinary care is needed, as a personal assistance worker; not the participant's responsible representative.

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

Community Choices Waiver — Personal Assistance Services, agency or self-directed

Administered by Louisiana Department of Health, Office of Aging and Adult Services.

  • Who employs the caregiver: Agency or self-directed
  • Waitlist: Waitlist
  • Licensed home and community-based agency, or self-direction with a fiscal agent; entry through the Request for Services Registry with priority groups

Community Choices Waiver — Monitored In-Home Caregiving

Administered by Louisiana Department of Health, Office of Aging and Adult Services.

  • Who employs the caregiver: Agency employs the caregiver
  • Waitlist: Waitlist
  • A live-in principal caregiver, including a spouse, is contracted by a licensed provider and paid a daily stipend

Long-Term Personal Care Services (state plan)

Administered by Louisiana Department of Health, Office of Aging and Adult Services.

  • Who employs the caregiver: Agency employs the caregiver
  • Waitlist: No waitlist
  • Type: State plan entitlement (serves everyone who qualifies)
  • The spouse, curator, tutor, guardian, responsible representative and power of attorney holder cannot be paid

How to apply in Louisiana

We do not yet have partner agencies in Louisiana. Start with the program's administering agency — Louisiana Department of Health, Office of Aging and Adult Services — 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 Louisiana

Can a spouse be paid to care for their husband or wife in Louisiana?
In defined cases. Louisiana 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 Louisiana?
Adult children, siblings, other relatives, friends and neighbors as agency or self-directed workers; a spouse as the live-in Monitored In-Home Caregiving caregiver or, when extraordinary care is needed, as a personal assistance worker; not the participant's responsible representative.
Is there a waitlist for Medicaid home care in Louisiana?
Community Choices Waiver — Personal Assistance Services, agency or self-directed: waitlist (Licensed home and community-based agency, or self-direction with a fiscal agent; entry through the Request for Services Registry with priority groups). Community Choices Waiver — Monitored In-Home Caregiving: waitlist (A live-in principal caregiver, including a spouse, is contracted by a licensed provider and paid a daily stipend). Long-Term Personal Care Services (state plan): no waitlist (The spouse, curator, tutor, guardian, responsible representative and power of attorney holder cannot be paid).
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.