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Medicaid waivers and self-direction, in plain language

What is a Medicaid waiver?
A Medicaid waiver programs allows states to "waive" specific Medicaid rules and regulations. This flexibility empowers states to create and implement customized programs to address the unique needs of particular populations. Waivers can cover various services, including personal care assistance, respite care, assistive technology, home modifications, and more. Each state may have multiple waivers with distinct names and focuses.

Medicaid waivers are subject to federal guidelines, and states must receive approval from the Centers for Medicare & Medicaid Services (CMS) to implement these programs. These waiver programs are crucial in supporting vulnerable populations and enabling individuals with disabilities or chronic health conditions to remain in their communities while receiving the necessary level of care.

What is Medicaid self-directed care?
Medicaid waivers with a self-direction option (also known as consumer-directed or participant-directed services) empower eligible individuals to have more control over their waiver services, allowing them to choose caregivers and the support they need. Unlike traditional Medicaid programs, where the state manages services to eligible individuals, self-direction participants receive a budget and decide how to use it to meet their care needs. These waivers are designed to enhance the quality of life for people with disabilities, fostering independence and dignity.

Depending on your state's program, caregivers are paid either a tax-free daily stipend or an hourly wage. See exact pay rates for your state →

Where Givers operates

Givers operates in the following states, we can enroll and support you.

Find programs in your state

Alabama

Givers doesn’t operate here yet, these guides are for reference
AL SAIL Waiver
Learn about the Alabama SAIL Waiver, a tool for older adults and persons with disabilities, and its potential to compensate family caregivers.
Learn More About This Program →
AL Community Waiver Program
Learn about the Community Waiver Program in Alabama, a Medicaid program that offers home and community-based services to people with intellectual disabilities and their family caregivers.
Learn More About This Program →
AL Community Transition Waiver
Discover how the ACT Waiver empowers individuals needing long-term care to transition from institutional settings to community-based care.
Learn More About This Program →
AL Technology Assisted (TA) Waiver
This Medicaid Waiver program provides services to individuals who are technology dependent, ages 21 or older, who meet a nursing facility level of care.
Learn More About This Program →
AL Intellectual Disabilities Waiver
The Intellectual Disabilities Waiver is a Medicaid program operated by the Alabama Department of Mental Health, providing essential services and compensation to intellectually disabled individuals and their family caregivers through a self-directed option.
Learn More About This Program →

Alaska

Givers doesn’t operate here yet, these guides are for reference
AK Adults with Physical and Developmental Disabilities Waiver
The Adults with Physical and Developmental Disabilities Waiver in Alaska is a Medicaid program that offers home and community-based services to people with physical and developmental disabilities and their family caregivers.
Learn More About This Program →
AK Alaskans Living Independently
Learn how the ALI Waiver recognizes and compensates family caregivers, empowering them with financial support for their role in the healthcare system.
Learn More About This Program →
AK Individualized Supports Waiver
Learn about Alaska's Individualized Supports Waiver program, offering compensation for family caregivers. Explore eligibility, benefits, and the significance of recognizing caregivers' vital role in healthcare.
Learn More About This Program →

Arizona

Givers doesn’t operate here yet, these guides are for reference
AZ Non-Medical Home and Community-Based Services (NMHCBS)
This program provides supports and services to individuals 60 years of age or older, or 18-60 years of age with a disability, and functionally impaired and unable to perform activities of daily living.
Learn More About This Program →

Arkansas

Givers doesn’t operate here yet, these guides are for reference
AR Choices in Homecare Waiver
Learn about the ARChoices in Homecare Waiver in Arkansas, providing home and community-based services for eligible individuals to receive care and support in their own homes.
Learn More About This Program →

California

Givers doesn’t operate here yet, these guides are for reference
CA AIDS Medi-Cal Waiver Program
The MCWP exists to improve the quality of life and health outcomes of individuals living with HIV or AIDS who are at risk of institutionalization or need assistance with activities of daily living or instrumental activities of daily living.
Learn More About This Program →
CA In-Home Supportive Services Waiver
The IHSS Waiver is a Medicaid program that allows eligible recipients to receive personal care and domestic services in their homes instead of being institutionalized in a nursing home or other facility. The program allows recipients to hire and supervise their caregivers, family members, friends, or other individuals.
Learn More About This Program →
CA Multipurpose Senior Services Program
The MSSP is a Home and Community-Based Services (HCBS) waiver that provides an alternative to nursing facility care or hospitalization for individuals who meet specific criteria.
Learn More About This Program →
CA Home and Community Based Alternatives Waiver
Learn about the HCBA Waiver, assisting individuals with developmental disabilities and compensating family caregivers for their invaluable contributions.
Learn More About This Program →
CA HCBS Waiver for Californians with Developmental Disabilities
The HCBS Waiver for Californians with Developmental Disabilities is a Medicaid program that allows individuals to receive services in their own homes or other community settings instead of an institution. The program also allows individuals to choose their own service providers, including family, friends, or other qualified professionals.
Learn More About This Program →

Colorado

Givers doesn’t operate here yet, these guides are for reference
CO In-Home Support Services Waiver
The In-Home Support Services Waiver in Colorado offers essential assistance and compensation for family caregivers while providing a comprehensive range of supports, enabling individuals with disabilities to receive care and maintain their independence at home.
Learn More About This Program →
CO Supported Living Services Waiver
Discover how the Supported Living Services Waiver empowers adults with intellectual or developmental disabilities while acknowledging and compensating family caregivers.
Learn More About This Program →
CO Elderly, Blind, and Disabled Waiver
The Elderly, Blind, and Disabled Waiver (EBD) program in Colorado provides comprehensive long-term supports and services to eligible individuals, fostering independence and community engagement while recognizing the vital role of family caregivers.
Learn More About This Program →
CO Children's Home and Community-Based Services Waiver
The Children's Home and Community-Based Services Waiver (CHCBS) in Colorado is a Medicaid program that provides essential support and services to children with significant medical needs, empowering their families to manage and customize their care through self-direction.
Learn More About This Program →

Connecticut

● Givers operates here
CT ABI Waiver II
ABI Waiver II in CT provides unique Medicaid support for 18+ with brain injuries, focusing on independent living and comprehensive care.
Learn More About This Program →
CT Comprehensive Supports Waiver
This Medicaid waiver provides services to individuals with developmental disabilities ages 18 or older and individuals with intellectual disabilities ages 3 or older who meet an ICF/IID level of care.
Learn More About This Program →
CT Acquired Brain Injury (ABI) Waiver
CT's ABI Waiver offers adults with brain injuries Medicaid services for care outside hospitals/nursing facilities.
Learn More About This Program →
CT Home and Community Supports Waiver for Persons with Autism
This Medicaid Waiver provides services to individuals with autism ages 3 or older who meet an ICF/IID level of care.
Learn More About This Program →
CT Statewide Respite Care Program
This program provides services for adults with a cognitive condition, such as Alzheimer’s, Lewy Body Dementia, Pick’s Disease or other related dementia, and up to $7,500 in caregiving relief services per year.
Learn More About This Program →

Delaware

Givers doesn’t operate here yet, these guides are for reference
DE DDDS Lifespan Waiver
The Lifespan Waiver is a Medicaid program in Delaware that offers self-directed support and financial compensation to eligible individuals and their family caregivers, empowering them to live more independently in their homes and communities.
Learn More About This Program →
DE Attendant Services Waiver
The Delaware Attendant Services waiver is a self-directed Medicaid program providing crucial support and compensation to eligible individuals with disabilities and their family caregivers, enabling personalized care and independent living.
Learn More About This Program →

District of Columbia

Givers doesn’t operate here yet, these guides are for reference
DC Elderly and Persons with Physical Disabilities Waiver
This Medicaid Waiver provides services to individuals ages 65 or older and individuals with physical disabilities ages 18-64 years who meet a nursing facility level of care.
Learn More About This Program →
DC Caregivers' Institute
Through the DCCI’s Caregiver Flex Account, caregivers can be reimbursed for expenses associated with caregiving that have been pre-approved.
Learn More About This Program →

Florida

Givers doesn’t operate here yet, these guides are for reference
FL Long-Term Care Waiver
The Florida Long-Term Care Waiver provides services to individuals ages 65 or older, and individuals with physical disabilities or with brain injury, with HIV/AIDS, or who are medically fragile ages 18-64 years.
Learn More About This Program →
FL Developmental Disabilities Individual Budgeting Waiver
This program provides services to individuals with autism, developmental disabilities, or intellectual disabilities ages 3 or older who meet an ICF/IID level of care.
Learn More About This Program →
FL Home Care for the Elderly
This program provides financial assistance to caregivers to help them care for loved ones 60 years or older. All eligible applicants receive a basic monthly subsidy for rent, housing, and medical services.
Learn More About This Program →
FL Economic Care for the Elderly Program
This program provides assistance to seniors who are at risk for nursing home placement but who are not qualified to receive services from Medicaid.
Learn More About This Program →

Georgia

● Givers operates here
GA NOW/COMP Medicaid Waivers
Discover how the Georgia NOW/COMP Medicaid Waivers are transforming the lives of individuals with intellectual and developmental disabilities (ID/DD) by providing home- and community-based services.
Learn More About This Program →

Hawaii

Givers doesn’t operate here yet, these guides are for reference
HI HCB Services for People with Intellectual and Developmental Disabilities (I/DD) Waiver
The HCB Services for People with Intellectual and Developmental Disabilities (I/DD) Waiver provides home and community-based services that assist Medicaid beneficiaries with intellectual and/or developmental disabilities to live in the community and avoid institutionalization.
Learn More About This Program →

Idaho

Givers doesn’t operate here yet, these guides are for reference
ID Aged and Disabled Waiver
The Aged and Disabled Waiver provides services to individuals ages 65 or older and individuals with physical or other disabilities ages 18-64 years who meet a nursing facility level of care.
Learn More About This Program →
ID Adult Developmental Disabilities Waiver
The Idaho Developmental Disabilities Waiver is a Medicaid program that provides support and services to individuals aged 18 or older with autism, developmental disabilities, or intellectual disabilities, promoting community integration and independence while offering a self-direction option for tailored care.
Learn More About This Program →

Illinois

Givers doesn’t operate here yet, these guides are for reference
IL Adults with Developmental Disabilities Waiver
The Adults with Developmental Disabilities Waiver is a Medicaid program that provides services and supports to eligible individuals with developmental disabilities in Illinois. 
Learn More About This Program →
IL Intellectual Disabilities Waiver
The Intellectual Disabilities Waiver (IDW) is a Medicaid program that provides home and community-based services to people with intellectual disabilities or related conditions at risk of institutionalization.
Learn More About This Program →
IL Persons with Disabilities Waiver
The Persons with Disabilities Waiver is a Medicaid program that provides home and community-based services to eligible individuals with disabilities in Illinois.
Learn More About This Program →
IL HCBS Waiver for Persons Who are Elderly
The Home and Community-Based Services (HCBS) Waiver for Persons Who are Elderly is a program that provides services and individualized support to persons who are elderly and at risk of nursing facility placement to promote independence, dignity, and quality of life.
Learn More About This Program →
IL HCBS Waiver for Persons with Brain Injury
The HCBS Waiver for Persons with Brain Injury Waiver is a Medicaid program that provides services and supports to eligible individuals with brain injuries in Illinois. 
Learn More About This Program →

Indiana

● Givers operates here
IN Community Integration and Habilitation Waiver
The CIH Waiver in Indiana provides Medicaid-funded services and caregiver compensation, helping individuals with disabilities live independently in community-based settings.
Learn More About This Program →
IN PathWays for Aging Waiver
The Pathways for Aging waiver offers adults 60+ years old long-term care at home with services like personal care, healthcare, respite, and support for family caregivers.
Learn More About This Program →
IN Health and Wellness Waiver
Learn about Indiana's Health and Wellness Waiver, including eligibility, services like structured family caregiving, and how to navigate the application and waitlist process.
Learn More About This Program →

Iowa

Givers doesn’t operate here yet, these guides are for reference
IA Consumer Directed Attendant Care Program
Learn about Iowa's Consumer Directed Attendant Care Program in this article, offering insights into its eligibility requirements, services and supports, and potential caregiver compensation.
Learn More About This Program →
IA Health and Disability Waiver
The Health and Disability Waiver is a Medicaid program that provides services and supports to eligible people with chronic health conditions or physical disabilities in Iowa, with a self-direction option to potentially compensate family caregivers.
Learn More About This Program →
IA Intellectual Disability Waiver
The Intellectual Disability Waiver is a Medicaid program that provides services and supports to eligible individuals with intellectual disabilities in Iowa. 
Learn More About This Program →

Kansas

Givers doesn’t operate here yet, these guides are for reference
KS Autism Waiver
Learn about the Autism Waiver in Kansas, a program that supports and trains parents of children with autism spectrum disorder in Kansas.
Learn More About This Program →
KS HCBS Brain Injury Waiver
The HCBS Brain Injury Waiver is a Medicaid program in Kansas that provides home and community-based services to eligible individuals who have an acquired or traumatic brain injury and would otherwise require institutionalization in a Traumatic Brain Injury Rehabilitation Facility.
Learn More About This Program →
KS Physical Disability Waiver
The P.D. Waiver program allows eligible individuals with physical disabilities to receive services in their homes or communities instead of in nursing facilities. It has a self-directed option that may allow for caregiver compensation.
Learn More About This Program →
KS Technology Assisted Waiver
The Technology Assisted Waiver is a Medicaid program in Kansas that provides financial assistance and support services for people who require technology-dependent care.
Learn More About This Program →
KS Home and Community-Based Services for the Frail Elderly Waiver
The Home and Community-Based Services for the Frail Elderly Waiver is a Medicaid program in Kansas that provides home and community-based services to eligible seniors who would otherwise require nursing home care.
Learn More About This Program →

Kentucky

Givers doesn’t operate here yet, these guides are for reference
KY Michelle P. Waiver
Learn about the Michelle P. Waiver, part of Kentucky's 1915(c) HCBS Medicaid waiver initiative, designed to support individuals with intellectual or developmental disabilities living independently within their communities—and compensate family caregivers.
Learn More About This Program →
KY Supports for Community Living Waiver
The Supports for Community Living (SCL) waiver is a Medicaid program in Kentucky that provides crucial support and services to individuals with intellectual or developmental disabilities, empowering them to live independently within their communities.
Learn More About This Program →

Louisiana

Givers doesn’t operate here yet, these guides are for reference
LA Community Choices Waiver
The Community Choices Waiver (CC) is a Medicaid program in Louisiana that provides home and community-based services to eligible individuals and allows them to hire their family members as caregivers.
Learn More About This Program →
LA Children's Choice Waiver
Louisiana's Children's Choice Waiver (CCW) provides comprehensive support and services to children with developmental disabilities, empowering them to live with their families while recognizing and compensating family caregivers for their crucial role.
Learn More About This Program →
LA New Opportunities Waiver
Learn about the New Opportunities Waiver (NOW) in Louisiana that aims to enhance self-determination, support families, uphold dignity, and improve quality of life for recipients within the community.
Learn More About This Program →
LA Residential Options Waiver
Louisiana's Residential Options Waiver (ROW) is a Medicaid program designed to support individuals with intellectual and developmental disabilities in transitioning from care facilities to independent living in the community, offering comprehensive services and recognizing the importance of compensating family caregivers.
Learn More About This Program →

Maine

Givers doesn’t operate here yet, these guides are for reference
ME Elderly and Adults with Disabilities Waiver
The Elderly and Adults with Disabilities Waiver is a Medicaid program that provides services to people ages 65 and older and those with physical disabilities ages 18 or older who require a nursing facility or hospital level of care to help them remain in their homes or other community settings instead of being institutionalized.
Learn More About This Program →
ME Home and Community-Based Services for Members with Brain Injury Waiver
The Section 18 Waiver is a Medicaid program that provides HCBS for adults with acquired brain injury (ABI) or other related conditions (ORC) who meet the nursing facility level of care to prevent or delay institutionalization and promote community integration.
Learn More About This Program →
ME Support Services for Adults with Intellectual Disabilities or ASD
The Section 29 Waiver is a Medicaid program that provides SS for adults with intellectual disabilities or autism. Learn how it differs from the Section 21 Waiver and how it aims to prevent or delay institutionalization for people with intellectual disabilities or autism.
Learn More About This Program →

Maryland

Givers doesn’t operate here yet, these guides are for reference
MD Community Pathways
The Community Pathways Waiver provides developmentally and intellectually disabled Maryland residents with home and community-based services to enable them to continue living in their homes.
Learn More About This Program →
MD Family Supports Waiver
The Family Supports Waiver is a Medicaid program that provides services and supports to individuals with developmental disabilities who live with their families or in their homes.
Learn More About This Program →
MD Home and Community-Based Options Waiver
The Home and Community-Based Options Waiver, also known as the Community Options Waiver, is a Medicaid program that allows eligible individuals to receive care services in their home or a community setting instead of a nursing facility.
Learn More About This Program →

Massachusetts

Givers doesn’t operate here yet, these guides are for reference
MA Community Living Waiver
The Community Living Waiver helps people who have disabilities or who are age 65 or older transition from institutional settings to home and community-based settings—also allowing participants to hire and manage support workers, such as family members.
Learn More About This Program →
MA Children's Autism Waiver
The Children's Autism Waiver in Massachusetts provides essential support and services to children with autism, focusing on in-home care, specialized interventions, and family support.
Learn More About This Program →
MA Intensive Supports Waiver
The Intensive Supports Waiver provides 24/7 community-based services to adults with intellectual disabilities, offering comprehensive support for individuals with significant behavioral, medical, and/or physical needs.
Learn More About This Program →
MA MFP Community Living Waiver
The MFP Community Living (MFP – CL) Waiver is part of the Money Follows the Person (MFP) Rebalancing Demonstration, a federal initiative to rebalance the long-term care system by shifting resources from institutional to home and community-based settings.
Learn More About This Program →
MA Moving Forward Plan Waivers
The Moving Forward Plan (MFP) Waivers are home and community-based services (HCBS) programs designed to assist MassHealth-eligible individuals in transitioning from nursing facilities or institutional settings back to their communities, while empowering caregivers and providing comprehensive support.
Learn More About This Program →

Michigan

Givers doesn’t operate here yet, these guides are for reference
MI Children's Waiver Program
The Children's Waiver Program (CWP) in Michigan is a Medicaid initiative providing home and community-based services to children under 18 with developmental disabilities, empowering families and advocating for potential caregiver compensation.
Learn More About This Program →
MI Health Link
MI Health Link is Michigan's integrated care program for dual eligibles, providing comprehensive healthcare coordination and support, including potential compensation for family caregivers.
Learn More About This Program →
MI Choice Waiver
The MI Choice Waiver Program in Michigan offers Medicaid-covered services to eligible adults, empowering them to receive nursing facility-level care in their own homes or community-based settings while potentially compensating unpaid family caregivers through a self-directed option.
Learn More About This Program →
MI Home Help Program
Michigan's Home Help Program is a waiver initiative offering a comprehensive range of services and support to help eligible individuals maintain their independence and live safely in their own homes, with an option for family caregivers to receive compensation for their caregiving services.
Learn More About This Program →
MI Habilitation Supports Waiver Program
Learn about the Habilitation Supports Waiver Program (HSW) in Michigan, an intensive home and community-based, active treatment and support program designed to empower individuals with intellectual/developmental disabilities to lead more independent lives.
Learn More About This Program →

Minnesota

Givers doesn’t operate here yet, these guides are for reference
MN Elderly Waiver
The Elderly Waiver is a Medicaid program that provides home and community-based services to seniors who necessitate the level of care given in a nursing home but choose to live in the community. The program aims to support seniors’ dignity, choice, and quality of life while reducing the costs of institutional care.
Learn More About This Program →
MN Alternative Care
The Alternative Care (AC) Medicaid Waiver is a program that provides home and community-based services to elderly individuals aged 65 and older in Minnesota, supporting their choice to live in the community while potentially compensating family caregivers through the CDCS option.
Learn More About This Program →
MN Brain Injury Waiver
The BI Waiver is a Medicaid program that provides services to individuals with traumatic or acquired brain injuries who meet the level of care criteria for a nursing facility or a neurobehavioral hospital to promote independence, choice, and community integration.
Learn More About This Program →
MN Community Alternative Care Waiver
The Community Alternative Care (CAC) Waiver offers personalized care options to those needing chronic care and medical support in Minnesota and unlocks support and potential compensation for caregivers.
Learn More About This Program →
MN Developmental Disabilities Waiver
The Developmental Disabilities (DD) Waiver is a Medicaid program in Minnesota that provides essential home and community-based services to individuals with developmental disabilities, aiming to foster independence, safety, and community integration as an alternative to institutionalization.
Learn More About This Program →

Mississippi

Givers doesn’t operate here yet, these guides are for reference
MS Independent Living Waiver
The Independent Living Waiver provides services and support to eligible individuals with severe orthopedic or neurological impairments to help them achieve their goals of independent living and self-determination
Learn More About This Program →

Missouri

Givers doesn’t operate here yet, these guides are for reference
MO Brain Injury Waiver
The Brain Injury Waiver is a Medicaid program that provides HCBS to eligible individuals with a TBI diagnosis to help prevent or delay institutionalization, promote independence, and improve quality of life.
Learn More About This Program →
MO Aged and Disabled Waiver
The Missouri Aged and Disabled Waiver (ADW) is a Medicaid program that provides HCBS to eligible individuals who would otherwise require nursing home care to prevent or delay institutionalization, promote independence, and improve quality of life.
Learn More About This Program →
MO Community Support Waiver
The Community Support Waiver is a Medicaid program that offers home and community-based services and supports to people with developmental disabilities who live in the community, usually with their families to prevent or delay institutionalization and promote independence and inclusion.
Learn More About This Program →
MO Independent Living Waiver
The Independent Living Waiver is a Medicaid program that offers home and community-based services and supports adults with physical disabilities living in the community, usually with their families, that aims to prevent or delay institutionalization and promote independence and inclusion.
Learn More About This Program →
MO Medically Fragile Adult Waiver
The Medically Fragile Adult Waiver is a Medicaid program offering service coordination and authorization for medically necessary services to adults with serious and complex medical needs who are no longer eligible for Healthy Children and Youth programs in order to prevent or delay institutionalization.
Learn More About This Program →

Montana

Givers doesn’t operate here yet, these guides are for reference
MT Severe and Disabling Mental Illness Waiver
The Severe and Disabling Mental Illness Waiver Program in Montana offers support and services to Medicaid members with severe mental illnesses, promoting community living and independence.
Learn More About This Program →

Nebraska

Givers doesn’t operate here yet, these guides are for reference
NE Developmental Disabilities Adult Day Waiver
The Developmental Disabilities Adult Day Waiver for Adults offers comprehensive support to individuals with developmental disabilities, fostering independence and empowerment while addressing caregiver compensation through a self-directed option.
Learn More About This Program →
NE Comprehensive Developmental Disabilities Services Waiver
The Nebraska Comprehensive Developmental Disabilities Services Waiver offers vital support to individuals with developmental disabilities and empowers caregivers through a self-directed option.
Learn More About This Program →

Nevada

Givers doesn’t operate here yet, these guides are for reference
NV Self-Directed Skilled Services Program
The Self-Directed Skilled Services Program is a statewide Medicaid program that provides skilled services to individuals who need medical, nursing, or home health care services to live independently in their homes. It allows eligible individuals to hire and manage their own skilled care providers, including family members.
Learn More About This Program →
NV Self-Directed Personal Care Services Program
The Self-Directed Personal Care Services Program is a statewide Medicaid program that assists with activities of daily living to individuals who need long-term support services. It allows eligible individuals to hire and manage their personal care assistants, including family members.
Learn More About This Program →

New Hampshire

Givers doesn’t operate here yet, these guides are for reference
NH Acquired Brain Disorder Waiver
Learn about the Acquired Brain Disorder Waiver, how it aids people with brain injuries, and how family caregivers can receive financial compensation for their support.
Learn More About This Program →
NH Choices For Independence Program
Discover the transformative Choices for Independence (CFI) Program, providing a wide range of services to enable eligible adults to stay in their homes and communities with Medicaid-funded support.
Learn More About This Program →
NH Developmental Disabilities Waiver
The DDW is a Medicaid program that provides home and community-based services (HCBS) to individuals with autism, intellectual disabilities, or developmental disabilities of any age. It is designed to help these individuals live independently in their homes or other community settings rather than in institutions.
Learn More About This Program →

New Jersey

Givers doesn’t operate here yet, these guides are for reference
NJ Family Leave Insurance
This program helps families in New Jersey care for loved ones by providing up to 12 weeks of paid time off for caring for a family member who is seriously ill.
Learn More About This Program →
NJ Personal Preference Program
New Jersey's Personal Preference Program offers Medicaid members control over their care with a flexible budget to choose services and caregivers, enhancing independence.
Learn More About This Program →
NJ Assistance for Community Caregiving
This non-Medicaid program provides services and supports for elderly residents who are at-risk of nursing home placement. Family members can be paid to provide caregiving services.
Learn More About This Program →
NJ Statewide Respite Care
This program relieves an unpaid caregiver of his or her caregiving responsibilities by providing trained professionals who supervise or act as a companion to the individual in need of care.
Learn More About This Program →

New Mexico

Givers doesn’t operate here yet, these guides are for reference

New York

Givers doesn’t operate here yet, these guides are for reference
NY OPWDD Comprehensive Waiver
The OPWDD Comprehensive Waiver is a Medicaid program that provides home and community-based services (HCBS) to individuals with IDD who meet an institutional level of care. It allows participants to self-direct their services through employer and budget authorities.
Learn More About This Program →
NY Expanded EISEP Program
This program provides non-medical services to seniors who live in their homes to prevent placement in more expensive Medicaid-funded nursing homes. Under EISEP, in some areas of NY, adult children and other relatives can work as paid caregivers to their elderly parents.
Learn More About This Program →
NY Paid Family Leave
This program allows employed New Yorkers to take up to 12 weeks paid leave from work annually in order to care for an elderly relative who has a serious illness.
Learn More About This Program →

North Carolina

Givers doesn’t operate here yet, these guides are for reference
NC Traumatic Brain Injury Waiver
The Traumatic Brain Injury Waiver is a Medicaid program that provides home and community-based services to eligible individuals with TBI who are at risk of institutionalization or currently living in an institution and want to transition to the community.
Learn More About This Program →
NC Innovations Waiver
Discover the NC Innovations Waiver, a Medicaid HCBS program for individuals with Intellectual or Developmental Disabilities (I/DD), explore caregiver compensation, and find support options.
Learn More About This Program →
NC Community Alternative Program for Children
The Community Alternative Program for Children (CAP/C) in North Carolina is a Medicaid waiver program that offers home and community-based services to medically fragile children, providing an alternative to institutional care while empowering family caregivers.
Learn More About This Program →

North Dakota

Givers doesn’t operate here yet, these guides are for reference
ND SPED & Ex-SPED Programs
These programs provide a range of services to help old adults and disabled individuals remain living at home or in their community. Eligible individuals receiving care services have the right to choose their own service providers.
Learn More About This Program →
ND Waiver for Home and Community-Based Services
The Waiver for Home and Community-Based Services (HCBS) is a Medicaid program that provides various services to eligible individuals who need a nursing facility level of care but prefer to stay in their homes or communities to reduce the cost of long-term care by preventing or delaying institutionalization.
Learn More About This Program →

Ohio

● Givers operates here
OH Home Care Waiver
The Ohio Home Care Waiver aims to help individuals with physical disabilities to live independently and participate in their communities while reducing the cost of care and improving the overall quality of life.
Learn More About This Program →
OH Level One Waiver
Discover how the Ohio Level One waiver program empowers individuals with developmental disabilities to receive limited support in their homes instead of in institutional facilities.
Learn More About This Program →
OH PASSPORT Program
The PASSPORT program provides Medicaid-funded home health care and community-based services as an alternative to institutionalization, offering potential compensation options for family caregivers in the US.
Learn More About This Program →
OH Elderly Services Program
This program provides in-home services for seniors to help them live independently in their own homes. Care recipients are able to hire their own caregiver, including family or friends, who can be paid to provide certain types of care and services through ESP.
Learn More About This Program →
OH Individual Options Waiver
The Individual Options Waiver is a comprehensive Medicaid program that offers vital support and services to individuals with developmental disabilities, allowing them to remain in their homes and communities while compensating family caregivers.
Learn More About This Program →

Oklahoma

Givers doesn’t operate here yet, these guides are for reference
OK Community Waiver
Learn about the Community Waiver in Oklahoma, a Medicaid program that provides home and community-based services for people with intellectual disabilities.
Learn More About This Program →
OK In-Home Supports Waiver for Adults
Learn about the IHSW-A, a Medicaid waiver program in Oklahoma that provides services and support to adults with intellectual disabilities and allows them to self-direct their care.
Learn More About This Program →
OK In-Home Supports Waiver for Children
Learn about the IHSW-C, a Medicaid waiver program in Oklahoma that provides services and supports to children with intellectual disabilities and allows them to self-direct their care.
Learn More About This Program →

Oregon

Givers doesn’t operate here yet, these guides are for reference
OR Adults HCBS Waiver
The Adults HCBS Waiver provides services to individuals with intellectual disabilities or developmental disabilities ages 18 or older who meet an ICF/IID level of care.
Learn More About This Program →
OR Project Independence
This non-Medicaid program offers senior Oregon residents or residents with Alzheimer’s or a related disorder assistance with their Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs).
Learn More About This Program →
OR Children’s HCBS Waiver
The Children’s HCBS Waiver provides services to individuals with intellectual disabilities or developmental disabilities ages 0-17 years who meet an ICF/IID level of care.
Learn More About This Program →
OR Behavioral Model Waiver
The Oregon Behavioral (ICF/IDD) Model Waiver provides essential services and support to individuals with intellectual and developmental disabilities aged 0-17 years, recognizing and compensating family caregivers through a self-directed option.
Learn More About This Program →
OR Medically Involved Children's Waiver
The Medically Involved Children's Waiver provides services to individuals with physical disabilities ages 0-17 years who meet a nursing facility level of care.
Learn More About This Program →

Pennsylvania

Givers doesn’t operate here yet, these guides are for reference
PA OBRA Waiver
The OBRA Waiver is a Medicaid Home and Community Based program in Pennsylvania that supports individuals with severe developmental physical disabilities to live independently and compensates unpaid family caregivers through a self-directed option.
Learn More About This Program →
PA Consolidated Waiver
Discover the Pennsylvania Consolidated Waiver program designed to support individuals with disabilities in achieving independence while providing caregivers the opportunity to be compensated.
Learn More About This Program →
PA Community HealthChoices
Learn about the Community HealthChoices program in Pennsylvania, a vital Medicaid waiver that supports older adults and people with physical disabilities to stay in their homes.
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PA Community Living Waiver
The Community Living Waiver provides supports and services to individuals with autism ages 0 or older, individuals with intellectual disabilities ages 0 or older, and individuals with developmental disabilities ages 0 to 21 years who meet an ICF/IID level of care.
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PA Person/Family Directed Support Waiver
Learn how the Person/Family Directed Support Waiver in Pennsylvania can potentially help you get paid for providing care to your loved one with an intellectual, developmental, or autism disability.
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Rhode Island

Givers doesn’t operate here yet, these guides are for reference
RI Temporary Caregiver Insurance
This program provides individuals up to six weeks of paid benefits during a 12-month period to care for a seriously ill loved one.
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South Carolina

Givers doesn’t operate here yet, these guides are for reference
SC Community Choices Waiver
The Community Choices Waiver in South Carolina is a Medicaid program that provides home and community-based services for seniors and adults with disabilities who need long-term care. 
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SC Head and Spinal Cord Injury Waiver
The HASCI Waiver in South Carolina is a Medicaid program providing financial support and comprehensive services to individuals with severe chronic limitations resulting from head or spinal cord injuries, aiming to enable them to live independently in their homes and communities while receiving necessary care.
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SC Mechanical Ventilator Dependent Waiver
The Medicaid Mechanical Ventilator Dependent (Vent) waiver offers participant-directed services and compensation options to those who are dependent upon mechanical ventilation, recognizing and empowering family caregivers in their compassionate roles.
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SC Intellectually Disabled and Related Disabilities Waiver
The ID/RD Waiver provides a range of services and supports to people with intellectual disabilities or related disabilities who meet the intermediate care facility for individuals with intellectual disabilities (ICF/IID) level of care criteria to prevent or delay institutionalization and promote the participants' independence and quality of life.
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South Dakota

Givers doesn’t operate here yet, these guides are for reference
SD Family Support 360 Waiver
The Family Support 360 Waiver provides services to individuals with intellectual disabilities or developmental disabilities ages 0 or older who meet an ICF/IID level of care.
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Tennessee

Givers doesn’t operate here yet, these guides are for reference
TN OPTIONS for Community Living
This program provides care and support services to elderly and/or disabled Tennessee residents in their homes. OPTIONS also allows for self-directed care, meaning friends and family members (but not spouses) can be hired to provide personal care.
Learn More About This Program →
TN Self-Determination Waiver Program
The TN Self-Determination Waiver Program provides services to individuals with intellectual disabilities ages 0 or older and individuals with developmental disabilities ages 0-5 years who meet an ICF/IID level of care.
Learn More About This Program →

Texas

Givers doesn’t operate here yet, these guides are for reference
TX Home Living Program
Discover TxHmL, a Medicaid waiver program offering essential services to Texans with intellectual disabilities, and the potential for caregiver compensation through the Consumer Directed Services (CDS) option.
Learn More About This Program →
TX Community Attendant Services Program
This program is a Medicaid-funded component of the Community Care for the Aged/Disabled (CCAD) Program designed to provide non-technical attendant care services to eligible aging adults and those needing help with daily living activities (ADLs) in their homes. 
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TX Medically Dependent Children Program Waiver
The Medically Dependent Children Program (MDCP) Waiver in Texas provides services and support to families caring for medically dependent children and young people in their homes as an alternative to a nursing facility.
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TX Deaf Blind with Multiple Disabilities Waiver
The Deaf Blind with Multiple Disabilities Waiver provides services to individuals with developmental disabilities ages 0 or older who meet an ICF/IID level of care.
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TX Community Care for the Aged and Disabled (CCAD)
This program provides services and supports to seniors and disabled individuals who are at risk of nursing home placement in order to remain living at home, in the community, or in the home of a caregiver.
Learn More About This Program →

Utah

Givers doesn’t operate here yet, these guides are for reference
UT Aging Waiver
Discover the Utah Aging Waiver, a comprehensive Medicaid HCBS program for individuals aged 65 or older, offering diverse services to promote independent living.
Learn More About This Program →
UT New Choices Waiver
Discover the New Choices Waiver, including eligibility requirements, services and supports, and how caregivers can explore compensation options.
Learn More About This Program →
UT Limited Support Waiver
Learn about the Limited Supports Waiver in Utah, a Medicaid program that provides home and community-based services for people with disabilities and their caregivers.
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UT Community Transitions Waiver
Learn about the Community Transitions Waiver, a new Medicaid program that helps people with intellectual disabilities move from institutional to community settings and compensates their caregivers.
Learn More About This Program →
UT Physical Disabilities Waiver
The Physical Disabilities Waiver is a Medicaid program that provides home and community-based services to individuals with physical disabilities in Utah. Learn more in this article.
Learn More About This Program →

Vermont

Givers doesn’t operate here yet, these guides are for reference
VT Choices for Care
Discover how Vermont's Choices for Care (CFC) Medicaid program compensates family caregivers and empowers seniors to age at home, with eligibility information.
Learn More About This Program →
VT Global Commitment to Health
The Global Commitment to Health Waiver is a Medicaid waiver program that provides health care services and compensation for caregivers to low-income residents in Vermont.
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VT Children's Personal Care Services
The Children's Personal Care Services (CPCS) Medicaid waiver provides financial assistance and compensation to family caregivers, offering essential one-on-one care and support for children with special needs in their homes and communities.
Learn More About This Program →

Virginia

Givers doesn’t operate here yet, these guides are for reference
VA Community Living Waiver
A guide to the Community Living Waiver in Virginia, a Medicaid program that provides home and community-based services for individuals with intellectual and developmental disabilities.
Learn More About This Program →
VA Building Independence Waiver
The Building Independence Waiver (BI) supports adults 18 or older who can live and work fairly independently but need drop-in support, helping them access services and supports that enable them to live in an integrated, independent living arrangement.
Learn More About This Program →
VA Family and Individual Support Waiver
Learn about the Family and Individual Support Waiver in Virginia, a Medicaid program that supports people with developmental disabilities and their families.
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VA Commonwealth Coordinated Care Plus Waiver
The CCC Plus Waiver is a Medicaid program that provides home and community-based services to eligible individuals who need a hospital or nursing home level of care, aiming to help them live in the community and avoid institutionalization while improving their health outcomes and quality of life.
Learn More About This Program →

Washington

Givers doesn’t operate here yet, these guides are for reference
WA New Freedom Waiver
The New Freedom (NF) Medicaid Waiver is a participant-directed program that empowers eligible individuals with disabilities and elderly persons to receive personalized home and community-based services, offering them greater autonomy and control over their care plans and budgets.
Learn More About This Program →
WA Roads to Community Living Program
Discover how the Roads to Community Living Medicaid waiver empowers family caregivers by compensating for their invaluable services, addressing the long-standing issue of caregiver pay.
Learn More About This Program →

West Virginia

Givers doesn’t operate here yet, these guides are for reference
WV Lighthouse Program
This program provide services to seniors (ages 60+) who require assistance with the activities of daily living but do not qualify for assistance from Medicaid.
Learn More About This Program →
WV Aged and Disabled Waiver
The WV Aged and Disabled Waiver provides services to individuals ages 65 or older and individuals with physical disabilities ages 18-64 years who meet a nursing facility level of care.
Learn More About This Program →
WV Traumatic Brain Injury Waiver
The Traumatic Brain Injury Waiver (TBIW) in West Virginia empowers individuals with brain injuries and their families by providing essential support services while recognizing the pivotal role of caregivers through potential compensation options.
Learn More About This Program →
WV Ron Yost Personal Assistance Services
This non-Medicaid program provides financial assistance for personal care services to assist elderly and/or disabled West Virginia residents in achieving their activities of daily living.
Learn More About This Program →
WV Intellectual and/or Developmental Disabilities Waiver
The Intellectual/Developmental Disabilities Waiver (IDDW) program in West Virginia empowers individuals with disabilities through tailored supports, while also offering a self-directed option for caregiving arrangements.
Learn More About This Program →

Wisconsin

Givers doesn’t operate here yet, these guides are for reference
WI Children's Long-Term Support Program
The Children’s Long-Term Support (CLTS) Program in Wisconsin is a Medicaid waiver initiative that provides vital supports and services to children with disabilities, empowering them to thrive in their homes and communities while offering compensation options for unpaid family caregivers through the self-directed option.
Learn More About This Program →
WI IRIS (Include, Respect, I Self-Direct) Waiver
Learn about how the IRIS Waiver supports older adults and adults with disabilities, allowing them to direct their own long-term care services, including choosing their caregivers that may include family members.
Learn More About This Program →

Wyoming

Givers doesn’t operate here yet, these guides are for reference
WY Supports Waiver
The Wyoming Supports Waiver program offers comprehensive services, potential caregiver compensation, and a self-directed option for eligible individuals with disabilities, fostering independence and community integration.
Learn More About This Program →
WY Comprehensive Waiver
The Wyoming Comprehensive Waiver is a Medicaid program that offers comprehensive support, including compensation for family caregivers, to individuals with brain injuries and disabilities, promoting independence and recognizing their essential role in healthcare.
Learn More About This Program →

Programs available in multiple states

A few programs aren't tied to one state: federal options like VA benefits for veterans, or programs that apply wherever you live. If that's your situation, start here.

Aged and Disabled Waiver
Learn about the Aged & Disabled Waiver, its services, eligibility, and impact on the elderly and disabled population in accessing home and community-based care.
Learn More About This Program →
Elderly and Disabled Waiver
Learn about the significance of the Elderly and Disabled Waiver and how it empowers older and disabled adults to receive essential care.
Learn More About This Program →
Home and Community-Based Services (HCBS) Waiver
Discover how the HCBS Section 1915(c) Waiver can financially empower family caregivers and why this support is crucial in the healthcare system.
Learn More About This Program →
Personal Choices Program
Learn about the Personal Choices Program, a Medicaid option offering self-directed home and community-based care services.
Learn More About This Program →

Common questions about caregiver pay programs

How do I find which program I qualify for in my state?
Use the Givers tool for a personalized program list based on your eligibility. Answer a few questions about yourself and your relative to see if you qualify for caregiver support programs in your state. If you live in a state that Givers serves, our expert team will support you through the Medicaid enrollment process, track your paperwork and handle administrative tasks so you can focus on caregiving.
What's the difference between a Medicaid waiver and a self-direction program?
A Medicaid waiver lets states provide care in the home for Medicaid participants who have specific disabilities, traumatic brain injuries, and other medical conditions. A self-direction program allows the Medicaid participant to control their own care plan and choose who provides services within their state’s Medicaid waiver requirements. The care recipient may choose a friend or relative to provide personal care services.
Which states pay family caregivers through Medicaid?
All 50 states provide Medicaid programs that pay caregivers for caring for a family member. Each state program varies in caregiver salary, residency requirements and eligibility. Only some states support spouses or require caregivers to live in the same home as their relative.
Does Givers operate in my state, and what does "informational only" mean?
Givers operates in Connecticut, Ohio and Georgia with plans to expand to Michigan. Givers provides enrollment support for all 50 states through our interactive tool, as well as educational resources. Givers acts as a licensed agency and reduces caregiver stress by managing paperwork and administrative duties for caregivers in Connecticut, Ohio, and Georgia.
Is Givers free? / Is Givers legit?
Givers is free. Yes, Givers is legit. Our support is covered through government programs. Givers operates as a Medicaid-licensed Structured Family Caregiving agency with proven success in reducing hospitalizations and reducing caregiver anxiety. 93% of caregivers who work with Givers are very satisfied with our support, and we have over 50 five-star reviews on Google. Givers is the only SOC2-compliant Structured Family Caregiving agency. We guarantee the privacy and security of your personal data.
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