Get paid to care for your family member in North Carolina
You're already doing the work. North Carolina has programs that can pay you for it.
Key facts
- Program
- Structured Family Caregiving (Medicaid HCBS)
- Typical pay
- a daily stipend through an approved agency
- Spouses?
- Typically excluded; adult children and other relatives commonly qualify — confirm current rules.
- Live-in required?
- Yes — caregiver and care recipient must share a home.
How it works
North Carolina supports Structured Family Caregiving through its Medicaid home-and-community-based services, paying a live-in family caregiver a daily stipend via an approved agency with nurse oversight. North Carolina also runs consumer-directed options in some waiver programs that pay relatives hourly.
Steps to get started
- Confirm NC Medicaid eligibility and waiver enrollment for your loved one.
- Live in the same home.
- Enroll through an approved SFC provider agency.
- Maintain daily care notes and expect regular home visits.
We'll find the money your family qualifies for
cares-ai is building a Caregiver Money companion: answer a few questions, see every program you may qualify for (Medicaid, VA, tax credits), and keep the care log these programs require — in one place. Join the waitlist and we'll email you as soon as the North Carolina eligibility checker opens.
Common questions
Can spouses be paid caregivers in North Carolina?
Typically excluded; adult children and other relatives commonly qualify — confirm current rules.
How much does it pay?
Structured Family Caregiving (Medicaid HCBS) pays a daily stipend through an approved agency. Exact amounts depend on assessed care level and current program rates — treat published figures as estimates until confirmed in writing.
Do I have to live with the person I care for?
Yes — this program requires the caregiver and care recipient to share a home.
What documentation is required?
Nearly every caregiver-pay program requires ongoing documentation — daily care notes, timesheets or electronic visit verification, and periodic assessments. Missing or sloppy records are the #1 reason payments get delayed or clawed back. (Keeping this record effortless is exactly what cares-ai is building.)