How to Get Paid as a Family Caregiver in Connecticut: Step-by-Step Guidance & Programs

By Samantha CollinsLast Updated July 29, 2025

Introduction

Becoming a paid caregiver for a family member in Connecticut is an achievable goal through several state-sponsored programs and waivers. These initiatives recognize the vital role of family caregivers and provide compensation, resources, and support to help sustain home-based care. This guide offers a detailed, actionable overview of how to access these opportunities, eligibility requirements, application steps, and alternative resources-empowering you to navigate the process with confidence.

Understanding Paid Family Caregiving in Connecticut

In Connecticut, several Medicaid-funded programs and other initiatives allow certain family members to receive payment for providing caregiving services. The most prominent options include the Personal Care Assistance (PCA) Waiver , Community First Choice (CFC) Program , and the National Family Caregiver Support Program (NFCSP) . Additionally, recent policy changes now permit parents and legal guardians in select circumstances to be paid caregivers for their children with disabilities [4] .

Key Programs for Paid Family Caregivers

Personal Care Assistance (PCA) Waiver

The PCA Waiver is a Medicaid program that enables individuals with chronic or disabling conditions to hire and pay caregivers of their choice-including certain family members-for assistance with daily living activities. Payment rates generally align with the prevailing wages for home health aides in Connecticut, which in 2025 average about $18 per hour [1] . Eligible caregivers may be approved for up to 35 hours of paid work per week, depending on the care plan and assessed needs.

Eligibility for the PCA Waiver is based on:

The care recipient must be aged 18-64 with a long-term health condition requiring hands-on care for at least two activities of daily living (ADLs).
Financial eligibility is determined by Medicaid standards (HUSKY Health).
The care recipient must be able to supervise the caregiver or have a conservator who can do so.
Caregivers cannot be spouses in some cases, so check the current rules with the Department of Social Services (DSS).

To apply, contact the Connecticut DSS or your local Area Agency on Aging. You will need to verify Medicaid eligibility, complete required forms, provide medical documentation, and coordinate with a case manager to develop an approved care plan [1] .

Community First Choice (CFC) Program

The CFC Program is a relatively new, self-directed Medicaid benefit in Connecticut. It allows eligible individuals to receive support and services at home, including paid assistance from family caregivers. Services may include help with personal care, meal preparation, household chores, and mobility. To qualify, the care recipient must be enrolled in Medicaid (HUSKY Health) and meet clinical criteria for nursing facility-level care [2] .

Caregivers must:

Be at least 18 years old (some programs allow 16+ with restrictions).
Be able to meet the physical and mental demands of caregiving.
Complete background checks and required training through an intermediary agency.

The application process begins with a Medicaid eligibility screening, followed by an assessment to determine the level of care needed. Contact your local Area Agency on Aging for referral and guidance on next steps.

Recent Changes for Legal Guardians and Parents

As of May 2024, Connecticut’s Department of Developmental Services (DDS) allows legal guardians and parents of school-age children with developmental disabilities to be paid caregivers under certain waivers [4] . This includes services like Individualized Home Support and Respite. To participate, guardians or parents must enroll as Direct Support Professionals, undergo background checks, and complete required training. Work closely with your DDS case manager to determine eligibility and fit for your family.

National Family Caregiver Support Program (NFCSP)

The NFCSP offers respite services, training, and support for caregivers of older adults, grandparents, and parents caring for adult children with disabilities. While not all services are paid, the program can offer financial assistance for respite care and items not covered by other funding sources [5] . Eligibility and available services are determined by your local Area Agency on Aging after a needs assessment.

Step-by-Step Process for Becoming a Paid Family Caregiver

Although eligibility and requirements differ by program, the general steps are as follows:

Confirm Medicaid Eligibility: The care recipient must qualify for Medicaid (HUSKY Health) to access most paid caregiving programs. You can apply through Connecticut’s official HUSKY Health portal or by calling the Department of Social Services.
Identify the Best Program: Work with a social worker, your local Area Agency on Aging, or DDS case manager to determine which waiver or program best fits your family’s needs. Screenings and assessments may be required.
Complete Required Applications: Gather necessary documents, including medical assessments, financial records, and proof of residency. Submit applications through the appropriate agency (DSS, DDS, or intermediary agency).
Undergo Training and Background Checks: Most programs require caregivers to complete training and pass background checks before starting paid work.
Develop a Care Plan: Collaborate with the care recipient and a case manager to create a formal care plan outlining services, hours, and compensation structure.
Begin Providing Care and Documenting Hours: Once approved, track hours worked and submit documentation as required by the program or fiscal intermediary for payment.

If you are unsure about eligibility or next steps, you can contact your local Area Agency on Aging, DSS, or DDS for personalized assistance. Their staff can explain program details, help you complete applications, and connect you to additional resources.

Alternative and Supplementary Options

In addition to the primary Medicaid-funded programs, Connecticut caregivers may access supplemental support through the following:

Tax Benefits: Some caregivers can claim tax deductions or credits, such as the federal Child and Dependent Care Credit. Consult a tax professional for guidance on eligibility and documentation [3] .
Long-Term Care Insurance: If the care recipient holds a private long-term care insurance policy, review whether it allows for payments to family caregivers.
Veterans Benefits: Veterans and their spouses or dependents may qualify for the VA Aid and Attendance benefit, which provides financial support for in-home care [1] . To explore eligibility, contact the VA or a local veterans service officer.

Common Challenges and Solutions

Becoming a paid caregiver for a family member can involve administrative challenges, delays in approval, and complex eligibility rules. Many families find the process easier by:

Working closely with a social worker or case manager to navigate applications.
Maintaining thorough records and documentation.
Exploring multiple programs to maximize support and flexibility.
Staying informed on policy changes, especially following the COVID-19 pandemic and recent expansions for paid family caregivers [4] .

Additional Considerations and Support

Family caregiving can be emotionally and physically demanding. Connecticut offers caregiver training, respite services, and support groups to help you manage the stresses of caregiving. Reach out to your local Area Agency on Aging or the Department of Social Services for available workshops, counseling, and connections to other caregivers.

It is important to periodically review your eligibility and program participation as Medicaid guidelines and funded programs can change. Always use official agency contacts for information and application materials. When searching for more information, use terms like “Connecticut Medicaid PCA Waiver,” “Community First Choice Connecticut,” or “Paid Family Caregiver Connecticut DDS.”

Summary and Key Takeaways

Connecticut provides multiple avenues for family caregivers to be compensated for their essential work. Most paid caregiving options require that the care recipient be eligible for Medicaid, and not all family relationships are covered under every program. By understanding the requirements, working with state agencies, and exploring supplemental resources, you can access the financial and practical support needed to sustain home care for your loved one.