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Can a spouse get paid to be a caregiver in Pennsylvania?

Short answer

Generally no

No. The DHS-hosted Tempus CHC Common Law Employer handbook states a direct care worker cannot be the spouse, power of attorney, legal or designated representative, or guardian of the participant.

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The programs to ask about, documents to gather, and who to call in Pennsylvania. We'll also email you if Pennsylvania's rules or pay rates change.

Programs to ask about in Pennsylvania

1

Community HealthChoices (CHC) – participant-directed services

CHC waiver participants can direct their own personal assistance services and hire workers they choose; Tempus Unlimited is the financial management services provider (per its DHS-hosted handbook).

How to apply

Call the PA Independent Enrollment Broker at 1-877-550-4227 (TTY 1-877-824-9346). The broker schedules an in-person needs assessment and helps you file the Medicaid application, which goes to your county assistance office. You can also apply for Medicaid on COMPASS or call 1-866-550-4355. CHC Helpline: 1-844-824-3655.

If a spouse can't be paid, another relative often can. See who can be paid in Pennsylvania.
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.

Sources