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Family Caregiver Pay Map · Pennsylvania · Verified October 1, 2026

Pennsylvania: Who Can Be a Paid Family Caregiver Under Medicaid

Pennsylvania's Community HealthChoices waiver excludes the spouse, legal guardian, power of attorney and representative payee from being the paid caregiver; the COVID-era spousal flexibility ended in 2023.

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

Who can be paid: An adult child, sibling, other relative, friend or neighbor, hired by a licensed 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.

The program behind the answer

Community HealthChoices (CHC)

Administered by Pennsylvania Department of Human Services.

  • Who employs the caregiver: Agency or self-directed
  • Waitlist: No waitlist
  • Type: State plan entitlement (serves everyone who qualifies)
  • Agency model or Services My Way self-direction; 3 managed-care plans statewide

See if your family qualifies in Pennsylvania

We match Pennsylvania 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 Pennsylvania Call (929) 460-3141

Official sources

Facts on this page were last reviewed October 1, 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 Pennsylvania

Can a spouse be paid to care for their husband or wife in Pennsylvania?
No. Pennsylvania's rules exclude the spouse from being the paid caregiver; other family members usually can be.
Who can be the paid caregiver in Pennsylvania?
An adult child, sibling, other relative, friend or neighbor, hired by a licensed home care agency.
Is there a waitlist for Medicaid home care in Pennsylvania?
Community HealthChoices (CHC): no waitlist (Agency model or Services My Way self-direction; 3 managed-care plans statewide).
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.