I’ll stay at home and hire my kid for 70,000 a year to care for me
Medicaid Self-Directed Home Care
How it Works
• States offer options under Medicaid (through waivers or state-plan services such as 1915(i), 1915(j), 1915(k) HCBS), letting individuals:
• Recruit, train, supervise, and pay their chosen caregiver—including a family member—using Medicaid funds  .
• Set an individualized care budget and determine compensation rates, within state guidelines ().
Coverage & Eligibility
• Available in nearly all states—47 states plus DC offer self-directed Medicaid home-care options .
• Participants must be Medicaid-eligible, usually requiring a nursing-home level of care or meeting specific functional needs.
• Once enrolled, the older adult is the employer of record, paying their relative caregiver through the program.
“Recruit, train, supervise, and pay their chosen caregiver—including a family member—using Medicaid funds .”
I’ll probably only need my kid to come over once a week!