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Medicare does not pay spouses to provide personal care or assistance with activities of daily living for their husbands or wives.

Medicare does not cover personal (non-medical) care for any of its beneficiaries.

Despite having a clear policy, there continues to be strong misperceptions to the contrary.

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The short answer to the question, “Can I be paid as a caregiver for my spouse,” is yes.

Unfortunately, the long answer is considerably more complicated, and it starts with, “Well, that depends.” There are several different programs, or funding sources, that exist that can pay spouses as caregivers.

Eligibility depends on a number of factors, such as one’s state of residence, one’s income and financial assets, the types of insurance one has and if either the caregiver or their spouse are veterans.

There are also many misperceptions about which programs offer spousal pay.

However, since these care recipients are married, they can likely allocate some of their joint assets to the non-applicant spouse in order to qualify for the program.

Detailed eligibility information is available at specific program links in the table below.

These include Medicaid HCBS Waivers, Medicaid State Plan Personal Care programs, and even non-Medicaid state funded assistance program.

Prior to listing the states and programs, it is best to discuss how paying spouses actually works.

These are addressed in aggregate further in this article, but the most common will be addressed in this introduction.

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  4. In some cases, although the law doesn’t support the practice, a woman cannot receive major medical treatment without the permission of her guardian.

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