Can I Get Paid to Care for a Family Member in Iowa? (2026)

Quick answer

Likely yes in Iowa, but not yet confirmed on an official page

Spouse Likely no
Adult child Likely yes

2 programs to ask about. Start here: Consumer Choices Option (CCO).

These badges summarize the details below. "Not confirmed" means we couldn't find it stated on an official page yet.

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

Programs that pay family caregivers

Consumer Choices Option (CCO)

Iowa Medicaid HCBS option in which members hire their own workers (family, friends or other eligible caregivers) using a monthly budget.

Consumer-Directed Attendant Care (CDAC)

HCBS service in which members can choose their own attendant.

An older woman talks with her caregiver on a living room couch at home

Who can be paid?

Can I get paid to take care of my parent in Iowa?

Reported yes for adult children and other relatives.

Can a spouse be paid as a caregiver in Iowa?

Reported no – Iowa HHS rules (as summarized) bar paying the member's spouse under CCO, or a parent/stepparent of a minor member. Confirm in the Iowa Administrative Code.

How to apply

How do I apply in Iowa?

Contact your case manager or Iowa Medicaid Member Services at 1-800-338-8366 (reported from the Iowa HHS CCO page).

Is there a waiting list in Iowa?

Unknown.

Pay and requirements

How much does it pay?