Maryland · MD
How to get paid to care for a family member in Maryland
In Maryland, the main path is Community First Choice (CFC) self-directed personal assistance.1 Full Medicaid, institutional level of care, and living in a community setting.1 No statewide caregiver pay rate is published on the official pages we reviewed. Pay is set within the program budget or program rules. Ask the program or its payroll agency for the rate in writing.1
Limited official detail was available for this state. We show only what the official page states.
- Official sources
- Last verified Oct 20, 2026
- Independent site, not a government agency
Written by Luis Fernando Garcia
Reviewed against official sources Last verified 5 official sources cited
Key facts
- Program
- Community First Choice (CFC) self-directed personal assistance1
- Who can be paid
- Maryland Medicaid's CFC offers self-directed personal assistance. The official page does not detail which relatives can be paid. Ask the program.1
- Spouse
- Not stated on the official page1
- Pay
- No statewide caregiver pay rate is published on the official pages we reviewed. Pay is set within the program budget or program rules. Ask the program or its payroll agency for the rate in writing.1

Programs in Maryland
| Program | Type | Eligibility summary | Source |
|---|---|---|---|
| Community First Choice (CFC) self-directed personal assistance | HCBS self-directed | Full Medicaid, institutional level of care, and living in a community setting. | Official page1 |
| VA Program of Comprehensive Assistance for Family Caregivers | VA | For eligible Veterans with a 70% or higher VA disability rating. See VA stipend. | va.gov2 |
Is there IHSS or CDPAP in Maryland?
No. IHSS is California's In-Home Supportive Services program4 and CDPAP is New York's Consumer Directed Personal Assistance Program5. Maryland does not use those names. The comparable path on the Maryland official source is Community First Choice (CFC) self-directed personal assistance.1
How to apply
- Call Maryland Access Point at 844-627-5465.1
- Ask about Community First Choice self-direction.1
- Choose the self-directed option and enroll your worker with the payroll (financial management) agency.1
- The worker completes background checks and any required training before starting.1

Your Maryland application checklist
Use this list to track the official steps. It does not decide eligibility. Only the agency decides who qualifies. Applying through the state is free.
Have ready before you call
Frequently asked questions
Can a family member get paid to be a caregiver in Maryland?
Possibly, if the person receiving care qualifies. Community First Choice (CFC) self-directed personal assistance: Maryland Medicaid's CFC offers self-directed personal assistance. The official page does not detail which relatives can be paid. Ask the program.
How much does Maryland pay family caregivers?
No statewide caregiver pay rate is published on the official pages we reviewed. Pay is set within the program budget or program rules. Ask the program or its payroll agency for the rate in writing.
Can a spouse be paid in Maryland?
What the official source says: Not stated on the official page. Confirm with the program before you rely on it.
Who decides if we qualify?
Only the state agency or health plan decides. This site cannot approve anyone or promise eligibility.
Sources
- https://health.maryland.gov/mmcp/ltss/Pages/community-first-choice.aspxOfficial
- VA PCAFC: https://www.va.gov/family-and-caregiver-benefits/health-and-disability/comprehensive-assistance-for-family-caregivers/Official
- USA.gov: https://www.usa.gov/disability-caregiverOfficial
- California CDSS, IHSS: https://www.cdss.ca.gov/in-home-supportive-servicesOfficial
- New York DOH, CDPAP: https://health.ny.gov/health_care/medicaid/program/longterm/cdpap/Official
Last verified
