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配偶

支付配偶照顾者的州

有些州支付配偶，许多州则不支付，而且规定依计划而异。在允许的情况下，几乎都有条件，例如「特殊照护」或每周40小时上限。VA 计划会支付符合资格之退伍军人的配偶。1

  • 官方来源
  • 查核日期：2026年10月20日
  • 独立网站，并非政府机构
祖母在新年团聚时与孙女聊天

作者：

已对照官方来源审核 最后查核 引用 50 个官方来源

研究方法 编辑政策 更正

各州配偶规定

配偶可以担任受薪照顾者吗？（来源见各州页面）
州计划配偶
AlabamaPersonal Choices (self-directed waiver services)（自主管理豁免计划服务）官方页面未说明
AlaskaConsumer-Directed Personal Care Services (CDPCS) and Community First Choice（消费者自主个人照护服务）是，透过 Community First Choice PCS
ArizonaALTCS Self-Directed Attendant Care (SDAC) and spouse attendant care（自主看护服务及配偶看护）是，须透过机构，每周最多 40 小时
ArkansasIndependentChoices（独立选择）否
CaliforniaIn-Home Supportive Services (IHSS)（居家支援服务）是，依计划规定
ColoradoConsumer-Directed Attendant Support Services (CDASS)（消费者自主看护支援服务）是，限特殊照护
ConnecticutCommunity First Choice (CFC)（社区优先选择）否
DelawareSelf-Directed Attendant Care (DSHP Plus)（自主看护服务）是，每周最多 40 小时
District of ColumbiaEPD Waiver: Services My Way（「我的方式」服务）否
FloridaSMMC Long-Term Care Participant Direction Option (PDO)（参加者自主选项）请向您的 LTC 计划确认
GeorgiaStructured Family Caregiving (CCSP and SOURCE waivers)（结构化家庭照顾）否
HawaiiQUEST Integration self-direction (Personal Assistance)（自主管理，个人协助）是，限特殊情况
IdahoMedicaid Personal Care and Attendant Care（Medicaid 个人照护及看护服务）否（2025 年 7 月已结束）
IllinoisHome Services Program (HSP), Personal Assistant（居家服务计划，个人助理）是，仅限特殊照护
IndianaStructured Family Caregiving (SFC)（结构化家庭照顾）州政府资料单未说明
IowaConsumer Choices Option (CCO)（消费者选择选项）可能可以，依 Elderly Waiver 规定
KansasKanCare HCBS self-direction（KanCare 自主管理）依豁免计划而定
KentuckyParticipant Directed Services (PDS)（参加者自主服务）是，须经 DAIL 核准
LouisianaCommunity Choices Waiver Self-Direction Option（自主管理选项）是，仅限特殊照护
MaineMaineCare Consumer Directed Attendant Services（消费者自主看护服务）请向 OADS 确认
MarylandCommunity First Choice (CFC) self-directed personal assistance（自主个人协助）官方页面未说明
MassachusettsMassHealth PCA program and Adult Foster Care (AFC)（个人照护助理计划及成人寄养照护）否
MichiganHome Help program（居家协助计划）否（Home Help）
MinnesotaPCA Choice and Community First Services and Supports (CFSS)（社区优先服务与支援）是，自 2024 年 10 月起
MississippiElderly and Disabled Waiver, relatives as direct care workers（亲属担任直接照护人员）否
MissouriConsumer Directed Services (CDS)（消费者自主服务）否
MontanaSelf-directed Community First Choice and Personal Care（自主社区优先选择及个人照护）是，依 CFCS 规定
NebraskaMedicaid HCBS waiver independent providers and LRI Personal Care（独立服务提供者及法定责任人个人照护）是，仅限 LRI Personal Care
NevadaPersonal Care Services, self-directed through an ISO（透过 ISO 自主管理的个人照护服务）否
New HampshireChoices for Independence (CFI) participant-directed services（参加者自主管理服务）一般不支付
New JerseyPersonal Preference Program (PPP)（个人偏好计划）州政府页面未说明
New MexicoSelf-Directed Community Benefit (SDCB)（自主社区福利）是，须经 MCO 核准
New YorkConsumer Directed Personal Assistance Program (CDPAP)（消费者自主个人协助计划）否
North CarolinaCAP/DA consumer direction（CAP/DA 消费者自主）官方页面未说明
North DakotaFamily Personal Care and Family Home Care（家庭个人照护及家庭居家照护）是
OhioPASSPORT Participant Direction（参加者自主管理）是，依 OAC 5160-44-32
OklahomaADvantage Consumer-Directed Personal Assistance (CD-PASS)（消费者自主个人协助）仅限例外情况
OregonIn-Home Services (homecare worker) and Spousal Pay Program（居家服务及配偶给付计划）是，透过 Spousal Pay Program
PennsylvaniaCommunity HealthChoices (CHC) participant-directed services（参加者自主管理服务）否
Rhode IslandPersonal Choice Program（个人选择计划）否
South CarolinaCommunity Choices Waiver participant-directed Attendant Care（参加者自主看护服务）请向 SCDHHS 确认
South DakotaHOPE Waiver Structured Family Caregiving（结构化家庭照顾）官方页面未说明
TennesseeTennCare CHOICES Consumer Direction（消费者自主）否（消费者自主模式）
TexasConsumer Directed Services (CDS) option（消费者自主服务选项）仅限 CMPAS
UtahAging Waiver self-administered services（长者豁免计划的自主管理服务）仅限特殊照护
VermontChoices for Care self-directed services（Choices for Care 自主管理服务）是，限个人照护
VirginiaConsumer-Directed Services（消费者自主服务）是，自 2025 年 7 月起
WashingtonIndividual Provider (DSHS long-term services)（个人服务提供者）否（Medicaid LTSS）
West VirginiaAged and Disabled Waiver Personal Options（长者及残障人士豁免计划的个人选项）否
WisconsinIRIS Self-Directed Personal Care（自主个人照护）是
WyomingCommunity Choices Waiver participant direction（参加者自主管理）是，有条件

如何为您的配偶确认

  1. 打开您所在州的页面，阅读官方来源。
  2. 询问个案管理员配偶是否可以担任受薪照顾人员。
  3. 请对方以书面答复。
配偶可以成为受薪照顾者吗？ 可以，至少附带条件: 20. 不可以: 17. 未说明或取决于计划: 14.
来源: 51 官方, 2026年10月20日

常见问题

哪些州支付配偶照顾者？

依我们查阅的官方来源，51个司法管辖区中有20个至少在一项计划中允许支付配偶，通常附有特殊照护或时数上限等条件。各州情况请见表格。

为什么有些州排除配偶？

配偶属于法定负有责任的亲属。联邦规定允许各州自行决定何时可以支付他们。

VA 会支付配偶吗？

会。配偶符合资格规定时，可以担任 VA PCAFC 计划的 Primary Family Caregiver。

申请步骤: 1. 打开您所在州的页面，阅读官方来源。 2. 询问个案管理员配偶是否可以担任受薪照顾人员。 3. 请对方以书面答复。
来源: usa.gov

资料来源

除非另有标示中文版本，官方来源均为英文。

  1. VA.gov, PCAFC: https://www.va.gov/family-and-caregiver-benefits/health-and-disability/comprehensive-assistance-for-family-caregivers/官方
  2. Alabama: https://medicaid.alabama.gov/content/6.0_LTC_Waivers/6.3_Other_LTC_Programs/6.3.3_Personal_Choices.aspx官方
  3. Alaska: https://health.alaska.gov/en/services/pcs/官方
  4. Arizona: https://www.azahcccs.gov/shared/Downloads/MedicalPolicyManual/1300/1320-A.pdf官方
  5. Arkansas: https://humanservices.arkansas.gov/divisions-shared-services/aging-adult-behavioral-health-services/self-direction-independent-choices/官方
  6. California: https://www.cdss.ca.gov/in-home-supportive-services官方
  7. Colorado: https://hcpf.colorado.gov/consumer-directed-attendant-support-services官方
  8. Connecticut: https://wp.cga.ct.gov/apa/wp-content/cgacustom/reports/performance/PERFORMANCE_Department%20of%20Social%20Services-Community%20First%20Choice_20220601.pdf官方
  9. Delaware: https://dhss.delaware.gov/services/attendant-services/官方
  10. District of Columbia: https://dhcf.dc.gov/page/epd-waiver-services官方
  11. Florida: https://ahca.myflorida.com/medicaid/statewide-medicaid-managed-care/long-term-care-program/long-term-care-plans-participant-direction-option-pdo.html非官方
  12. Georgia: https://dch.georgia.gov/document/document/structured-family-caregiving/download官方
  13. Hawaii: https://medquest.hawaii.gov/api/media/file/Health%20Plan%20Manual%20-%20Part%20II%20Operational%20Guidance%2024.1.pdf官方
  14. Idaho: https://healthandwelfare.idaho.gov/providers/home-and-community-based-long-term-care/long-term-care-provider-enrollment-and-general官方
  15. Illinois: https://www.dhs.state.il.us/page.aspx/?item=158178官方
  16. Indiana: https://www.in.gov/fssa/ompp/files/Structured-Family-Caregiving.pdf官方
  17. Iowa: https://secureapp.dhs.state.ia.us/IMPA/Information/ViewDocument.aspx?viewdocument=808e5ae2-e204-4ca6-ae1d-bfe553a5eba4官方
  18. Kansas: https://www.kdads.ks.gov/services-programs/long-term-services-supports/ltss-training-resources/self-direction官方
  19. Kentucky: https://www.chfs.ky.gov/agencies/dms/dca/Pages/cdo.aspx官方
  20. Louisiana: https://www.ldh.la.gov/medicaid/self-direction官方
  21. Maine: https://www.maine.gov/dhhs/oads/get-support/older-adults-disabilities/home-care官方
  22. Maryland: https://health.maryland.gov/mmcp/ltss/Pages/community-first-choice.aspx官方
  23. Massachusetts: https://www.mass.gov/info-details/masshealth-adult-foster-care-program-fact-sheet官方
  24. Michigan: https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independent官方
  25. Minnesota: https://content.govdelivery.com/accounts/MNDHS/bulletins/3abc52c非官方
  26. Mississippi: https://www.sos.ms.gov/adminsearch/ACCode/00000235c.pdf官方
  27. Missouri: https://health.mo.gov/providers/manuals/home-and-community-based-services-manual/300-available-home-and-community-13官方
  28. Montana: https://dphhs.mt.gov/assets/sltc/CommunityFirst/CFCSelfDirect/AccessingCommunityFirstChoiceServices.pdf官方
  29. Nebraska: https://dhhs.ne.gov/Pages/HCBS-Prospective-Provider.aspx官方
  30. Nevada: https://www.nevadamedicaid.nv.gov/resources/medicaid-services-manual/chapter-3500-personal-care-services-program/官方
  31. New Hampshire: https://www.dhhs.nh.gov/programs-services/adult-aging-care/home-and-community-based-care官方
  32. New Jersey: https://www.nj.gov/humanservices/dmahs/individuals-families/njppp.shtml官方
  33. New Mexico: https://www.hca.nm.gov/wp-content/uploads/Paid-caregivers_Explainer_240708-1.pdf官方
  34. New York: https://health.ny.gov/health_care/medicaid/program/longterm/cdpap/官方
  35. North Carolina: https://medicaid.ncdhhs.gov/providers/programs-and-services/long-term-care/community-alternatives-program-disabled-adults-capda官方
  36. North Dakota: https://www.nd.gov/dhs/policymanuals/52505/Content/525_05_30_32.htm官方
  37. Ohio: https://dam.assets.ohio.gov/image/upload/aging.ohio.gov/Participant_Direction_Provider_Application_User_Guide.pdf官方
  38. Oklahoma: https://oklahoma.gov/okdhs/services/aging/cdpass.html官方
  39. Oregon: https://www.oregon.gov/odhs/home-care-consumers/pages/default.aspx官方
  40. 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.pdf官方
  41. Rhode Island: https://eohhs.ri.gov/consumer/healthcare/long-term-services-and-supports/personal-choice-program官方
  42. South Carolina: https://www.scdhhs.gov/sites/dhhs/files/pdf/links/Approved%20Community%20Choices%20Waiver%20Amendment_1_Jacob%20Chorey.pdf官方
  43. South Dakota: https://www.dhs.sd.gov/en/ltss/paid-family-caregiver官方
  44. Tennessee: https://www.tn.gov/tenncare/long-term-services-supports/choices.html官方
  45. Texas: https://www.hhs.texas.gov/providers/long-term-care-providers/consumer-directed-services-cds官方
  46. Utah: https://medicaid.utah.gov/ltc-2/ag/官方
  47. Vermont: https://asd.vermont.gov/sites/asd/files/documents/Choices%20for%20Care%20Eligibility%20At-A-Glance.pdf官方
  48. Virginia: https://www.dmas.virginia.gov/for-members/benefits-and-services/waivers/consumer-directed-services/官方
  49. Washington: https://www.dshs.wa.gov/adult-and-aging-services/caregiving-resources/becoming-paid-caregiver官方
  50. West Virginia: https://adwprogram.wv.gov/官方
  51. Wisconsin: https://www.dhs.wisconsin.gov/iris/sdpc.htm官方
  52. Wyoming: https://health.wyo.gov/healthcarefin/hcbs/participants/participant-direction/官方

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