Executive Summary
Paying family caregivers for Medicaid home and community-based services (HCBS) has risen in popularity over the past several years due to provider shortages and increased use during the COVID-19 public health emergency (PHE). While many individuals and families and individuals may want this option, not all states are as eager to authorize it. This resource discusses the Medicaid options for paying family caregivers and some of the policy considerations that can help protect individual choice, support caregivers, and overall increase the pool of available supports.