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Family Caregiver Pay Map · Maryland · Verified October 6, 2026

Maryland: Who Can Be a Paid Family Caregiver Under Medicaid

Maryland's rules exclude legally responsible individuals and no rule authorizes spouse pay under Community First Choice; other relatives employed by a licensed agency are treated like any other worker.

Spouse
No
Adult child / other relatives
Yes
Friends / neighbors
Not yet verified
Parent of a minor child
No

Who can be paid: An adult child, sibling or other relative employed by a Medicaid-enrolled personal assistance agency, with the participant directing the care.

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

Community First Choice (CFC)

Administered by Maryland Department of Health.

  • Who employs the caregiver: Agency employs the caregiver
  • Waitlist: No waitlist
  • Type: State plan entitlement (serves everyone who qualifies)
  • State plan entitlement; family caregiver must be employed by a Medicaid-enrolled agency

How to apply in Maryland

We do not yet have partner agencies in Maryland. Start with the program's administering agency — Maryland Department of Health — using the official sources below; the state determines eligibility and enrolls participants.

Official sources

Facts on this page were last reviewed October 6, 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 Maryland

Can a spouse be paid to care for their husband or wife in Maryland?
No. Maryland's rules exclude the spouse from being the paid caregiver; other family members usually can be.
Who can be the paid caregiver in Maryland?
An adult child, sibling or other relative employed by a Medicaid-enrolled personal assistance agency, with the participant directing the care.
Is there a waitlist for Medicaid home care in Maryland?
Community First Choice (CFC): no waitlist (State plan entitlement; family caregiver must be employed by a Medicaid-enrolled agency).
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.