Quick answer
Yes, family members can be paid in Arizona
- Spouse Limited
- Adult child Yes
2 programs to ask about. Start here: ALTCS – Spouse as Paid Caregiver (attendant care).
These badges summarize the details below. "Not confirmed" means we couldn't find it stated on an official page yet.
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The programs to ask about, documents to gather, and who to call in Arizona. We'll also email you if Arizona's rules or pay rates change.
Programs that pay family caregivers
ALTCS – Spouse as Paid Caregiver (attendant care)
Arizona Long Term Care System members living in their own home can choose their spouse as a paid attendant-care caregiver when the care is 'extraordinary' and medically necessary.
ALTCS – Self-Directed Attendant Care (SDAC)
Members can recruit, hire and manage their own direct care worker, including family members.

Who can be paid?
Can I get paid to take care of my parent in Arizona?
Adult children and other family members can be paid if they meet direct care worker requirements (AHCCCS Exhibit 1620-17). Parents of minor children cannot be paid under Self-Directed Attendant Care (1320-A).
Can a spouse be paid as a caregiver in Arizona?
Yes, with limits (Ariz. Admin. Code R9-28-506; AHCCCS policy). The care must be extraordinary care, the spouse is paid no more than a non-spouse caregiver would be, and is paid for at most 40 hours in a 7-day period. A spouse cannot be paid under Self-Directed Attendant Care (AHCCCS policy 1320-A).
How to apply
How do I apply in Arizona?
Apply for ALTCS through AHCCCS; once enrolled, talk to your ALTCS case manager about attendant care options.
Is there a waiting list in Arizona?
Unknown.
Pay and requirements
How much does it pay?
A spouse is paid no more than the rate for a non-spouse caregiver (R9-28-506). Specific rates: unknown.
Caregiver requirements
Direct care workers must meet the provider agency's requirements. A legal guardian cannot be the worker under Self-Directed Attendant Care.