North Dakota · ND
How to get paid to care for a family member in North Dakota
In North Dakota, the main path is Family Personal Care and Family Home Care.1 Eligible for the Medicaid HCBS waiver (Family Personal Care) or SPED/Ex-SPED (Family Home Care).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
- Official sources
- Last verified Oct 20, 2026
- Independent site, not a government agency
Written by Luis Fernando Garcia
Reviewed against official sources Last verified 6 official sources cited
Key facts
- Program
- Family Personal Care and Family Home Care1
- Who can be paid
- A spouse or qualifying family member who lives with the recipient can be paid.1
- Spouse
- Yes1
- 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 North Dakota
| Program | Type | Eligibility summary | Source |
|---|---|---|---|
| Family Personal Care and Family Home Care | state program | Eligible for the Medicaid HCBS waiver (Family Personal Care) or SPED/Ex-SPED (Family Home Care). | 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.gov3 |
Is there IHSS or CDPAP in North Dakota?
No. IHSS is California's In-Home Supportive Services program5 and CDPAP is New York's Consumer Directed Personal Assistance Program6. North Dakota does not use those names. The comparable path on the North Dakota official source is Family Personal Care and Family Home Care.1
How to apply
- Contact your HCBS case manager through North Dakota HHS.1
- The family caregiver enrolls as a qualified service provider.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 North Dakota 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 North Dakota?
Possibly, if the person receiving care qualifies. Family Personal Care and Family Home Care: A spouse or qualifying family member who lives with the recipient can be paid.
How much does North Dakota 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 North Dakota?
What the official source says: Yes. 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://www.nd.gov/dhs/policymanuals/52505/Content/525_05_30_32.htmOfficial
- https://www.hhs.nd.gov/sites/default/files/documents/Adult%20and%20Aging/family-home-care-family-personal-care-faq.pdfOfficial
- 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
