Can a Spouse Get Paid to Care in Michigan?
If you're caring for your spouse at home, you may wonder if you can be paid for that care through Michigan’s Home Help Program. The short answer is: in most cases, no.
Why Spouses Usually Cannot Be Paid
The Home Help Program allows certain family members to be paid as caregivers for someone receiving Medicaid. However, under current state rules, spouses and parents of minor children are excluded from being paid caregivers through this program.
This means:
If you are legally married to the care recipient, you typically cannot be paid.
The state assumes spousal care is a shared household responsibility unless special exceptions apply.
Who Can Be Paid as a Caregiver?
The following individuals are often eligible:
Adult children
Siblings
Grandchildren or grandparents
Neighbors
Roommates
Friends
These individuals may receive payment if the care recipient is approved for Home Help services through Medicaid.
What If You Are a Spouse?
While you cannot be paid directly, there are a few options:
A different eligible family member or trusted friend can become the paid caregiver.
You can assist with the application and support care coordination.
What’s Required to Get Started
To apply for the Home Help Program, the care recipient must:
Have active Michigan Medicaid
Submit a medical needs form (DHS-54A) from their doctor
Choose a caregiver (using form (DHS-390)
Complete a home visit with an Adult Services Worker
Enroll the caregiver in the CHAMPS system
Get Help From Care Plan Inc
We guide families through every step of the application from forms to CHAMPS registration. Even if a spouse cannot be the paid caregiver.
📘 Download the 5-Step Guide
✅ Check Eligibility Now
📞 Contact Us