How to Get Paid to Provide In-Home Care in Virginia

Yes! You can get paid as a family caregiver in Virginia.

Virginia has a Medicaid program called CCC Plus (Commonwealth Coordinated Care Plus). It allows certain family members to be paid to provide care at home instead of hiring an outside aide.

To qualify for caregiver pay, three things must happen:

  1. The person receiving care must qualify for Virginia Medicaid
  2. The person must qualify for long-term in-home care
  3. The caregiver must meet basic eligibility requirements

If you are unsure about Medicaid eligibility, start here: How to Qualify for Medicaid in Virginia (Who Is Eligible?)

If you are unsure about in-home care approval, read: How to Qualify for In-Home Care in Virginia


Step 1: The Person Receiving Care Must Qualify

The person must:

  • Have active Virginia Medicaid
  • Be approved for long-term in-home care under CCC Plus
  • Require daily assistance with personal care or supervision

If they do not qualify medically, caregiver payment is not available.

Step 2: The Caregiver Must Qualify

To be paid as a family caregiver in Virginia, you must:

  • Be at least 18 years old
  • Pass a background check

You do not need:

  • A nursing license
  • Caregiver certification
  • Medical training
  • To quit your job

Step 3: How Payment Works

Once both approvals are in place, here is how payment typically works:

  1. A nurse assesses care needs.
  2. Medicaid approves a certain number of weekly care hours.
  3. The caregiver submits timesheets.
  4. A Medicaid-approved payroll company processes payment.
  5. Funds are deposited into the caregiver's bank account.

The care itself does not change. Medicaid simply pays for care that is already happening at home.

How Much Does Virginia Pay Family Caregivers?

Hourly pay varies by region. Approximate rates:

  • Northern Virginia: about $17–18 per hour
  • Rest of Virginia: about $13–14 per hour

Monthly income depends on the number of approved care hours. Learn more: How Much Does a Family Caregiver Get Paid in Virginia?

Will This Reduce Benefits?

Caregiver pay does not reduce:

  • Social Security
  • Medicare
  • Medicaid eligibility

Quick Summary

To get paid to provide in-home care in Virginia:

  • The person must qualify for Medicaid
  • The person must qualify for long-term in-home care
  • The caregiver must meet basic eligibility requirements

If all three are true, payment may be possible.

Next Step

Ready to Apply?

Follow the step-by-step process to become a paid caregiver through Medicaid.