Vermont · VT
How to get paid to care for a family member in Vermont
In Vermont, the main path is Choices for Care self-directed services.1 Meets Choices for Care clinical and financial eligibility.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
- Choices for Care self-directed services1
- Who can be paid
- Family members can be hired. A spouse may be paid for personal care (ADLs) but not for IADLs, companion care, or respite.1
- Spouse
- Yes, for personal care1
- 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 Vermont
| Program | Type | Eligibility summary | Source |
|---|---|---|---|
| Choices for Care self-directed services | HCBS self-directed | Meets Choices for Care clinical and financial eligibility. | 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 |
How to apply
- Contact Vermont DAIL about Choices for Care.1
- Ask about self-directed or surrogate-directed services.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 Vermont 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 Vermont?
Possibly, if the person receiving care qualifies. Choices for Care self-directed services: Family members can be hired. A spouse may be paid for personal care (ADLs) but not for IADLs, companion care, or respite.
How much does Vermont 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 Vermont?
What the official source says: Yes, for personal care. 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://asd.vermont.gov/sites/asd/files/documents/Choices%20for%20Care%20Eligibility%20At-A-Glance.pdfOfficial
- https://asd.vermont.gov/sites/asd/files/documents/Guildelines_for_Paying_Spouses_May2007.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
