Structured family caregiving by state
A family member who lives with the person is paid a daily stipend for ongoing care, with coaching and oversight from an agency that holds the Medicaid contract. Which states have it, the programs that provide it and whether a family member can be the paid caregiver.
- States with it
- 11 of 51
- Family can be paid
- 11 states
- Programs
- 11
On this page
What structured family caregiving is
Structured family caregiving pays a family member who lives with the person a daily stipend for ongoing care. An agency that holds the Medicaid contract enrolls the household, coaches the caregiver and checks in on a set schedule.
It differs from consumer-directed care in who is the employer and how pay works: the agency is the Medicaid provider and the caregiver receives a per-diem stipend, rather than being hired by the person and paid by the hour.
Fewer states offer it than consumer-directed care. Where it exists, it usually runs inside an HCBS waiver for older adults or people with disabilities.
Structured family caregiving: every compiled state
| State | Has it | Program | Family can be paid |
|---|---|---|---|
| Alabama | No | — | — |
| Alaska | No | — | — |
| Arizona | No | — | — |
| Arkansas | No | — | — |
| California | No | — | — |
| Colorado | No | — | — |
| Connecticut | Yes | Adult Family Living (AFL) | Yes |
| Delaware | No | — | — |
| District of Columbia | No | — | — |
| Florida | No | — | — |
| Georgia | Yes | Structured Family Caregiving (SFC) | Yes |
| Hawaii | No | — | — |
| Idaho | No | — | — |
| Illinois | No | — | — |
| Indiana | Yes | Structured Family Caregiving (SFC) | Yes |
| Iowa | No | — | — |
| Kansas | No | — | — |
| Kentucky | No | — | — |
| Louisiana | Yes | Monitored In-Home Caregiving (MIHC) | Yes |
| Maine | No | — | — |
| Maryland | No | — | — |
| Massachusetts | No | — | — |
| Michigan | No | — | — |
| Minnesota | No | — | — |
| Mississippi | No | — | — |
| Missouri | Yes | Structured Family Caregiving Waiver (SFCW) | Yes |
| Montana | No | — | — |
| Nebraska | No | — | — |
| Nevada | Yes | Home and Community-Based Services Waiver for Structured Family Caregiving (SFCG) | Yes |
| New Hampshire | No | — | — |
| New Jersey | No | — | — |
| New Mexico | No | — | — |
| New York | No | — | — |
| North Carolina | Yes | Coordinated Caregiving | Yes |
| North Dakota | Yes | Family Personal Care (FPC) | Yes |
| Ohio | Yes | Structured Family Caregiving (SFC) | Yes |
| Oklahoma | No | — | — |
| Oregon | No | — | — |
| Pennsylvania | No | — | — |
| Rhode Island | Yes | RIte @ Home — A Choice for Care at Home | Yes |
| South Carolina | No | — | — |
| South Dakota | Yes | Structured Family Caregiving (SFC) | Yes |
| Tennessee | No | — | — |
| Texas | No | — | — |
| Utah | No | — | — |
| Vermont | No | — | — |
| Virginia | No | — | — |
| Washington | No | — | — |
| West Virginia | No | — | — |
| Wisconsin | No | — | — |
| Wyoming | No | — | — |
Employer, fiscal intermediary, family rules and pay, by state
Frequently asked questions
Which states have structured family caregiving programs?
11 of the 51 states compiled so far: Connecticut, Georgia, Indiana, Louisiana, Missouri, Nevada, North Carolina, North Dakota, Ohio, Rhode Island, and South Dakota.
In which states can family be paid through structured family caregiving programs?
11 states: Connecticut, Georgia, Indiana, Louisiana, Missouri, Nevada, North Carolina, North Dakota, Ohio, Rhode Island, and South Dakota. Which relatives qualify is set by each program.
What is structured family caregiving?
A family member who lives with the person is paid a daily stipend for ongoing care, with coaching and oversight from an agency that holds the Medicaid contract.