Mga asawa
Mga estadong nagbabayad sa asawa bilang tagapag-alaga
May mga estadong nagbabayad sa asawa, marami ang hindi, at nagbabago ang patakaran bawat programa. Kung pinapayagan, karaniwang may mga kondisyon, tulad ng "extraordinary care" (pambihirang pangangalaga) o limitasyong 40 oras kada linggo. Nagbabayad ang programa ng VA sa mga asawa ng kwalipikadong Beterano.1
- Mga opisyal na pinagmulan
- Huling sinuri Okt 20, 2026
- Independiyenteng site, hindi ahensya ng gobyerno
Isinulat ni Luis Fernando Garcia
Sinuri batay sa opisyal na source Huling sinuri 50 opisyal na source ang binanggit
Patakaran sa asawa bawat estado
| Estado | Programa | Asawa |
|---|---|---|
| Alabama | Personal Choices (mga waiver service na ikaw ang namamahala) | Hindi nakasaad sa opisyal na pahina |
| Alaska | Consumer-Directed Personal Care Services (CDPCS) (personal care na pinamamahalaan ng tumatanggap) at Community First Choice | Oo, sa pamamagitan ng Community First Choice PCS |
| Arizona | ALTCS Self-Directed Attendant Care (SDAC) (attendant care na ikaw ang namamahala) at spouse attendant care | Oo, sa pamamagitan ng ahensya, max 40 oras kada linggo |
| Arkansas | IndependentChoices (mga independiyenteng pagpili) | Hindi |
| California | In-Home Supportive Services (IHSS) (mga serbisyong pansuporta sa tahanan) | Oo, ayon sa patakaran ng programa |
| Colorado | Consumer-Directed Attendant Support Services (CDASS) (attendant support na pinamamahalaan ng tumatanggap) | Oo, para sa extraordinary care |
| Connecticut | Community First Choice (CFC) (pangangalagang nakabatay sa komunidad) | Hindi |
| Delaware | Self-Directed Attendant Care (DSHP Plus) (attendant care na ikaw ang namamahala) | Oo, hanggang 40 oras kada linggo |
| District of Columbia | EPD Waiver: Services My Way (mga serbisyo sa sarili kong paraan) | Hindi |
| Florida | SMMC Long-Term Care Participant Direction Option (PDO) (opsyong pinamamahalaan ng participant) | Kumpirmahin sa iyong LTC plan |
| Georgia | Structured Family Caregiving (nakaayos na pag-aalaga ng pamilya) (CCSP at SOURCE waivers) | Hindi |
| Hawaii | QUEST Integration self-direction (Personal Assistance) (ikaw ang namamahala, personal na tulong) | Oo, sa pambihirang sitwasyon |
| Idaho | Medicaid Personal Care at Attendant Care (personal care at attendant care ng Medicaid) | Hindi (natapos Hulyo 2025) |
| Illinois | Home Services Program (HSP), Personal Assistant (programa ng serbisyo sa bahay, personal assistant) | Oo, extraordinary care lang |
| Indiana | Structured Family Caregiving (SFC) (nakaayos na pag-aalaga ng pamilya) | Hindi nakasaad sa fact sheet ng estado |
| Iowa | Consumer Choices Option (CCO) (opsyon ng pagpili ng tumatanggap) | Posible, sa ilalim ng Elderly Waiver |
| Kansas | KanCare HCBS self-direction (HCBS na ikaw ang namamahala) | Nag-iiba bawat waiver |
| Kentucky | Participant Directed Services (PDS) (mga serbisyong pinamamahalaan ng participant) | Oo, may pag-apruba ng DAIL |
| Louisiana | Community Choices Waiver Self-Direction Option (opsyong ikaw ang namamahala) | Oo, extraordinary care lang |
| Maine | MaineCare Consumer Directed Attendant Services (attendant services na pinamamahalaan ng tumatanggap) | Kumpirmahin sa OADS |
| Maryland | Community First Choice (CFC) self-directed personal assistance (personal na tulong na ikaw ang namamahala) | Hindi nakasaad sa opisyal na pahina |
| Massachusetts | MassHealth PCA program at Adult Foster Care (AFC) (personal care attendant at foster care para sa adult) | Hindi |
| Michigan | Home Help program (programa ng tulong sa bahay) | Hindi (Home Help) |
| Minnesota | PCA Choice at Community First Services and Supports (CFSS) (mga serbisyo at suportang nakabatay sa komunidad) | Oo, simula Okt 2024 |
| Mississippi | Elderly and Disabled Waiver, mga kamag-anak bilang direct care worker | Hindi |
| Missouri | Consumer Directed Services (CDS) (mga serbisyong pinamamahalaan ng tumatanggap) | Hindi |
| Montana | Self-directed na Community First Choice at Personal Care | Oo, sa ilalim ng CFCS rules |
| Nebraska | Medicaid HCBS waiver independent providers at LRI Personal Care (personal care ng legally responsible individual) | Oo, LRI Personal Care lang |
| Nevada | Personal Care Services (mga serbisyong personal care), ikaw ang namamahala sa pamamagitan ng ISO | Hindi |
| New Hampshire | Choices for Independence (CFI) participant-directed services (mga serbisyong pinamamahalaan ng participant) | Karaniwang hindi |
| New Jersey | Personal Preference Program (PPP) (programa ng personal na kagustuhan) | Hindi nakasaad sa pahina ng estado |
| New Mexico | Self-Directed Community Benefit (SDCB) (community benefit na ikaw ang namamahala) | Oo, may pag-apruba ng MCO |
| New York | Consumer Directed Personal Assistance Program (CDPAP) (programa ng personal na tulong na pinamamahalaan ng tumatanggap) | Hindi |
| North Carolina | CAP/DA consumer direction (pinamamahalaan ng tumatanggap) | Hindi nakasaad sa opisyal na pahina |
| North Dakota | Family Personal Care at Family Home Care (personal at home care ng pamilya) | Oo |
| Ohio | PASSPORT Participant Direction (pinamamahalaan ng participant) | Oo, sa ilalim ng OAC 5160-44-32 |
| Oklahoma | ADvantage Consumer-Directed Personal Assistance (CD-PASS) (personal na tulong na pinamamahalaan ng tumatanggap) | Sa eksepsiyon lamang |
| Oregon | In-Home Services (homecare worker) (mga serbisyo sa bahay) at Spousal Pay Program (programa ng bayad sa asawa) | Oo, Spousal Pay Program |
| Pennsylvania | Community HealthChoices (CHC) participant-directed services (mga serbisyong pinamamahalaan ng participant) | Hindi |
| Rhode Island | Personal Choice Program (programa ng personal na pagpili) | Hindi |
| South Carolina | Community Choices Waiver participant-directed Attendant Care (attendant care na pinamamahalaan ng participant) | Kumpirmahin sa SCDHHS |
| South Dakota | HOPE Waiver Structured Family Caregiving (nakaayos na pag-aalaga ng pamilya) | Hindi nakasaad sa opisyal na pahina |
| Tennessee | TennCare CHOICES Consumer Direction (pinamamahalaan ng tumatanggap) | Hindi (consumer direction) |
| Texas | Consumer Directed Services (CDS) na opsyon | Sa CMPAS lamang |
| Utah | Aging Waiver self-administered services (mga serbisyong ikaw ang namamahala sa ilalim ng Aging Waiver) | Extraordinary care lang |
| Vermont | Choices for Care self-directed services (mga serbisyong ikaw ang namamahala) | Oo, para sa personal care |
| Virginia | Consumer-Directed Services (mga serbisyong pinamamahalaan ng tumatanggap) | Oo, simula Hulyo 2025 |
| Washington | Individual Provider (DSHS long-term services) (indibidwal na provider, pangmatagalang serbisyo ng DSHS) | Hindi (Medicaid LTSS) |
| West Virginia | Aged and Disabled Waiver Personal Options (mga personal na opsyon ng waiver para sa matatanda at may kapansanan) | Hindi |
| Wisconsin | IRIS Self-Directed Personal Care (personal care na ikaw ang namamahala) | Oo |
| Wyoming | Community Choices Waiver participant direction (pinamamahalaan ng participant) | Oo, may mga kondisyon |
Mga madalas itanong
Aling mga estado ang nagbabayad sa asawa bilang tagapag-alaga?
Batay sa mga opisyal na pinagmulang sinuri namin, 20 sa 51 hurisdiksyon ang pumapayag na mabayaran ang asawa sa kahit isang programa, karaniwang may mga kondisyon tulad ng extraordinary care o limitasyon sa oras. Tingnan ang talahanayan para sa bawat estado.
Bakit hindi isinasama ng ilang estado ang asawa?
Ang asawa ay kamag-anak na may legal na pananagutan. Pinapayagan ng pederal na patakaran ang bawat estado na magpasya kung kailan sila maaaring bayaran.
Nagbabayad ba ang VA sa mga asawa?
Oo. Maaaring maging Primary Family Caregiver ang asawa sa ilalim ng VA PCAFC kung natutugunan ang mga patakaran sa pagiging kwalipikado.

Mga pinagmulan
Ang mga opisyal na pinagmulan ay nasa Ingles, maliban kung may nakasaad na bersyong Tagalog.
- VA.gov, PCAFC: https://www.va.gov/family-and-caregiver-benefits/health-and-disability/comprehensive-assistance-for-family-caregivers/Opisyal
- Alabama: https://medicaid.alabama.gov/content/6.0_LTC_Waivers/6.3_Other_LTC_Programs/6.3.3_Personal_Choices.aspxOpisyal
- Alaska: https://health.alaska.gov/en/services/pcs/Opisyal
- Arizona: https://www.azahcccs.gov/shared/Downloads/MedicalPolicyManual/1300/1320-A.pdfOpisyal
- Arkansas: https://humanservices.arkansas.gov/divisions-shared-services/aging-adult-behavioral-health-services/self-direction-independent-choices/Opisyal
- California: https://www.cdss.ca.gov/in-home-supportive-servicesOpisyal
- Colorado: https://hcpf.colorado.gov/consumer-directed-attendant-support-servicesOpisyal
- Connecticut: https://wp.cga.ct.gov/apa/wp-content/cgacustom/reports/performance/PERFORMANCE_Department%20of%20Social%20Services-Community%20First%20Choice_20220601.pdfOpisyal
- Delaware: https://dhss.delaware.gov/services/attendant-services/Opisyal
- District of Columbia: https://dhcf.dc.gov/page/epd-waiver-servicesOpisyal
- Florida: https://ahca.myflorida.com/medicaid/statewide-medicaid-managed-care/long-term-care-program/long-term-care-plans-participant-direction-option-pdo.htmlHindi opisyal
- Georgia: https://dch.georgia.gov/document/document/structured-family-caregiving/downloadOpisyal
- Hawaii: https://medquest.hawaii.gov/api/media/file/Health%20Plan%20Manual%20-%20Part%20II%20Operational%20Guidance%2024.1.pdfOpisyal
- Idaho: https://healthandwelfare.idaho.gov/providers/home-and-community-based-long-term-care/long-term-care-provider-enrollment-and-generalOpisyal
- Illinois: https://www.dhs.state.il.us/page.aspx/?item=158178Opisyal
- Indiana: https://www.in.gov/fssa/ompp/files/Structured-Family-Caregiving.pdfOpisyal
- Iowa: https://secureapp.dhs.state.ia.us/IMPA/Information/ViewDocument.aspx?viewdocument=808e5ae2-e204-4ca6-ae1d-bfe553a5eba4Opisyal
- Kansas: https://www.kdads.ks.gov/services-programs/long-term-services-supports/ltss-training-resources/self-directionOpisyal
- Kentucky: https://www.chfs.ky.gov/agencies/dms/dca/Pages/cdo.aspxOpisyal
- Louisiana: https://www.ldh.la.gov/medicaid/self-directionOpisyal
- Maine: https://www.maine.gov/dhhs/oads/get-support/older-adults-disabilities/home-careOpisyal
- Maryland: https://health.maryland.gov/mmcp/ltss/Pages/community-first-choice.aspxOpisyal
- Massachusetts: https://www.mass.gov/info-details/masshealth-adult-foster-care-program-fact-sheetOpisyal
- Michigan: https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independentOpisyal
- Minnesota: https://content.govdelivery.com/accounts/MNDHS/bulletins/3abc52cHindi opisyal
- Mississippi: https://www.sos.ms.gov/adminsearch/ACCode/00000235c.pdfOpisyal
- Missouri: https://health.mo.gov/providers/manuals/home-and-community-based-services-manual/300-available-home-and-community-13Opisyal
- Montana: https://dphhs.mt.gov/assets/sltc/CommunityFirst/CFCSelfDirect/AccessingCommunityFirstChoiceServices.pdfOpisyal
- Nebraska: https://dhhs.ne.gov/Pages/HCBS-Prospective-Provider.aspxOpisyal
- Nevada: https://www.nevadamedicaid.nv.gov/resources/medicaid-services-manual/chapter-3500-personal-care-services-program/Opisyal
- New Hampshire: https://www.dhhs.nh.gov/programs-services/adult-aging-care/home-and-community-based-careOpisyal
- New Jersey: https://www.nj.gov/humanservices/dmahs/individuals-families/njppp.shtmlOpisyal
- New Mexico: https://www.hca.nm.gov/wp-content/uploads/Paid-caregivers_Explainer_240708-1.pdfOpisyal
- New York: https://health.ny.gov/health_care/medicaid/program/longterm/cdpap/Opisyal
- North Carolina: https://medicaid.ncdhhs.gov/providers/programs-and-services/long-term-care/community-alternatives-program-disabled-adults-capdaOpisyal
- North Dakota: https://www.nd.gov/dhs/policymanuals/52505/Content/525_05_30_32.htmOpisyal
- Ohio: https://dam.assets.ohio.gov/image/upload/aging.ohio.gov/Participant_Direction_Provider_Application_User_Guide.pdfOpisyal
- Oklahoma: https://oklahoma.gov/okdhs/services/aging/cdpass.htmlOpisyal
- Oregon: https://www.oregon.gov/odhs/home-care-consumers/pages/default.aspxOpisyal
- Pennsylvania: https://www.pa.gov/content/dam/copapwp-pagov/en/dhs/documents/contact/dhs-offices/documents/oltl/oltl-waivers/2026-chc-waiver/2026-01-28-chc-1915c-appendix-e.pdfOpisyal
- Rhode Island: https://eohhs.ri.gov/consumer/healthcare/long-term-services-and-supports/personal-choice-programOpisyal
- South Carolina: https://www.scdhhs.gov/sites/dhhs/files/pdf/links/Approved%20Community%20Choices%20Waiver%20Amendment_1_Jacob%20Chorey.pdfOpisyal
- South Dakota: https://www.dhs.sd.gov/en/ltss/paid-family-caregiverOpisyal
- Tennessee: https://www.tn.gov/tenncare/long-term-services-supports/choices.htmlOpisyal
- Texas: https://www.hhs.texas.gov/providers/long-term-care-providers/consumer-directed-services-cdsOpisyal
- Utah: https://medicaid.utah.gov/ltc-2/ag/Opisyal
- Vermont: https://asd.vermont.gov/sites/asd/files/documents/Choices%20for%20Care%20Eligibility%20At-A-Glance.pdfOpisyal
- Virginia: https://www.dmas.virginia.gov/for-members/benefits-and-services/waivers/consumer-directed-services/Opisyal
- Washington: https://www.dshs.wa.gov/adult-and-aging-services/caregiving-resources/becoming-paid-caregiverOpisyal
- West Virginia: https://adwprogram.wv.gov/Opisyal
- Wisconsin: https://www.dhs.wisconsin.gov/iris/sdpc.htmOpisyal
- Wyoming: https://health.wyo.gov/healthcarefin/hcbs/participants/participant-direction/Opisyal
Huling sinuri

