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

Minnesota: Who Can Be a Paid Family Caregiver Under Medicaid

Minnesota's Community First Services and Supports, the state-plan benefit that replaced PCA in 2024, lets a spouse or the parent of a minor be the paid support worker under either the agency-provider model or the budget model.

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

Who can be paid: Spouses, parents of a minor child, adult children, other relatives and friends, employed by a CFSS agency or by the participant under the budget model; a paid legal guardian or the participant's designated representative cannot be the worker.

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 Services and Supports (CFSS)

Administered by Minnesota Department of Human Services.

  • Who employs the caregiver: Agency or self-directed
  • Waitlist: No waitlist
  • Type: State plan entitlement (serves everyone who qualifies)
  • State-plan benefit (1915(k)/1915(i)) that replaced PCA in Oct 2024; agency-provider model or budget model with a financial management service

How to apply in Minnesota

We do not yet have partner agencies in Minnesota. Start with the program's administering agency — Minnesota Department of Human 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 Minnesota

Can a spouse be paid to care for their husband or wife in Minnesota?
Yes. Minnesota allows a spouse to be the paid caregiver under the program rules cited below.
Who can be the paid caregiver in Minnesota?
Spouses, parents of a minor child, adult children, other relatives and friends, employed by a CFSS agency or by the participant under the budget model; a paid legal guardian or the participant's designated representative cannot be the worker.
Is there a waitlist for Medicaid home care in Minnesota?
Community First Services and Supports (CFSS): no waitlist (State-plan benefit (1915(k)/1915(i)) that replaced PCA in Oct 2024; agency-provider model or budget model with a financial management service).
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.