Quick answer
Yes, family members can be paid in North Carolina
- Spouse Limited
- Adult child Yes
1 program to ask about. Start here: Community Alternatives Program for Disabled Adults (CAP/DA) – consumer-directed option.
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 North Carolina. We'll also email you if North Carolina's rules or pay rates change.
Programs that pay family caregivers
Community Alternatives Program for Disabled Adults (CAP/DA) – consumer-directed option
Medicaid home and community-based waiver for adults. Its consumer-directed option (formerly CAP/Choice) lets the beneficiary or representative hire a personal assistant, with financial management handling payroll.

Who can be paid?
Can I get paid to take care of my parent in North Carolina?
Yes – children and other relatives can be hired under CAP/DA consumer direction for beneficiaries 18+ (Policy 3K-2).
Can a spouse be paid as a caregiver in North Carolina?
Yes, for adult beneficiaries. NC Medicaid Clinical Coverage Policy 3K-2 says a spouse, parent, step-parent, child, sibling, or other relatives can be hired as the employee when a CAP/DA beneficiary is 18 or older (consumer-directed).
How to apply
How do I apply in North Carolina?
Contact your local CAP/DA lead agency (via NC Medicaid) for a referral.
Is there a waiting list in North Carolina?
Unknown – CAP/DA has limited slots; check with your local CAP/DA lead agency.
Pay and requirements
How much does it pay?
Unknown.
Caregiver requirements
See NC Medicaid Clinical Coverage Policy 3K-2.
Sources
| Official source | Last checked |
|---|---|
| NC Medicaid – CAP/DA | |
| NC Medicaid – Policy 3K-2 CAP/DA | |
| NC Medicaid – CAP FAQs |