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Family Caregiver Pay Map · New York · Verified October 17, 2026

New York: Who Can Be a Paid Family Caregiver Under Medicaid

New York regulation bars payment to a spouse, parent, son, daughter, son-in-law or daughter-in-law; other relatives and friends can be hired and certified by the licensed agency.

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

Who can be paid: A sibling, grandchild, niece or nephew, friend or neighbor, employed as a certified aide by a licensed 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.

The program behind the answer

Medicaid Personal Care / Home Health Aide services (Licensed Home Care Services Agency model)

Administered by New York State Department of Health.

  • Who employs the caregiver: Agency employs the caregiver
  • Waitlist: No waitlist
  • Type: State plan entitlement (serves everyone who qualifies)
  • Hours set by independent assessment (NYIA) and the MLTC plan.

See if your family qualifies in New York

We match New York families with licensed, Medicaid-approved home care agencies that serve their county. The service is free to families; we are paid a flat marketing fee by the partner agency. Eligibility is determined by the state program.

Check your options in New York Call (929) 460-3141

Official sources

Facts on this page were last reviewed October 17, 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 New York

Can a spouse be paid to care for their husband or wife in New York?
No. New York's rules exclude the spouse from being the paid caregiver; other family members usually can be.
Who can be the paid caregiver in New York?
A sibling, grandchild, niece or nephew, friend or neighbor, employed as a certified aide by a licensed agency.
Is there a waitlist for Medicaid home care in New York?
Medicaid Personal Care / Home Health Aide services (Licensed Home Care Services Agency model): no waitlist (Hours set by independent assessment (NYIA) and the MLTC plan.).
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.