Short answer
Yes, but only in limited cases
Yes, for adult beneficiaries. NC Medicaid Clinical Coverage Policy 3K-2 says a spouse, parent, step-parent, child, sibling, or other relatives can be hired as the employee when a CAP/DA beneficiary is 18 or older (consumer-directed).
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The programs to ask about, documents to gather, and who to call in North Carolina. We'll also email you if North Carolina's rules or pay rates change.
Programs to ask about in North Carolina
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Community Alternatives Program for Disabled Adults (CAP/DA) – consumer-directed option
Medicaid home and community-based waiver for adults. Its consumer-directed option (formerly CAP/Choice) lets the beneficiary or representative hire a personal assistant, with financial management handling payroll.
How to apply
Contact your local CAP/DA lead agency (via NC Medicaid) for a referral.
Before you act: rules change and individual eligibility depends on your assessment. Confirm with the program. This page summarizes official sources and does not promise eligibility or pay.