Short answer
Yes, but only in limited cases
Only in limited cases. Since March 1, 2024, a spouse can be paid for personal care in the Persons with Disabilities, HIV/AIDS and Brain Injury waivers when the care is extraordinary (Illinois HFS guidance on legally responsible individuals).
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The programs to ask about, documents to gather, and who to call in Illinois. Print it now, no email needed.
Programs to ask about in Illinois
1
Home Services Program (HSP)
IDHS program where the customer hires and manages a Personal Assistant and the state handles payroll.
How to apply
Unverified – contact IDHS Division of Rehabilitation Services (HSP).
Before you act: rules change and individual eligibility depends on your assessment. Confirm with the program. This page summarizes official sources and does not promise eligibility or pay.