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Can you get paid caring for your loved one?
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Can you get paid caring for your loved one?
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Find out now
Family matters

Family members play a key role in ND.

0.1M
family members caring for a loved one
58M
hours spent each year
$1.0B
in unpaid care
provided annually
Out of the 0.8M people in North Dakota, there are 62,000 people taking care of loved ones. These family caregivers provide a combined 58M (yes, 58M!) hours of care per year. At ND's average $17.24 hourly wage, this is $1,000,000,000 of care provided unpaid every year. (Source: AARP)
Option 1: Medicaid

Medicaid pays family caregivers in North Dakota.

What is a Medicaid Waiver?

Medicaid Waivers are exceptions to Medicaid rules that allow states to offer programs that do not fit within the traditional boundaries of Medicaid. Every state has at least one waiver in place to allow the payment of family caregivers.

In North Dakota, the following Medicaid waivers are available with an option for caregiver pay:

  • Medicaid Waiver for Home and Community Based Services: This waiver provides a variety of services to individuals ages 65 or older, and individuals with physical or other disabilities ages 18-64 years who meet a nursing facility level of care. One of the services offered is family personal care, which allows eligible individuals to hire and pay a family member or friend as a caregiver.

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Medicaid programs and waivers can change over time, so it's important to consult the official North Dakota Medicaid website or contact the North Dakota Department of Human Services for the most up-to-date information on available waivers and eligibility requirements.

How does a Medicaid waiver work to pay family caregivers?

In most cases, to get paid by Medicaid as a family caregiver, you will work through a program called self-direction (also known as Consumer Direction, Participant Direction, or other similar names). Medicaid self-direction programs give people who need long-term care services more control over their care. Typically, when someone receives Medicaid-funded care, the government decides who will provide it and how it will be given. With self-direction, the person receiving care has more say in how care is provided and by whom, sometimes including family members.

While enrolling in self-direction can be complicated, it is a viable opportunity for caregivers to get paid for their work. Enrollment typically involves the care recipient going through an evaluation to determine their need for in-home care and obtaining approval accordingly. Afterward, you may need to complete training, acquire credentials, and secure "employment" with an agency responsible for processing payments for your billable hours. Once enrolled and hired by the agency, you must follow specific procedures to document and verify your work to get paid.
Earn up to $20/hr for the care you give.
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Earn up to $20/hr for the care you give.
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CHECK ELIGIBILITY

How much do family members get paid by Medicaid for caregiving in North Dakota?

If you get hired to care for your loved one under one above the waivers, you can expect to earn about $17.24 per hour.


Your hourly rate may vary based on:

  • Program Guidelines: Each waiver program may have specific rules and regulations regarding caregiver compensation. These guidelines often outline the maximum hourly rate allowed. 
  • Local Wage Rates: Hourly rates are determined at the local zip code level based on a variety of factors.
  • Qualifications and Experience: Your qualifications and experience as a caregiver can impact your hourly rate. If you have specialized training or certifications relevant to caregiving, it may justify a higher rate. Additionally, your years of experience in caregiving can also influence your compensation. 
  • Level of Care Required: The level of care needed by the individual you are caring for can impact your hourly rate. Higher levels of care, such as providing medical assistance or supporting individuals with complex needs, may justify a higher rate compared to basic caregiving tasks.
  • Time Commitment: The number of hours you dedicate to caregiving can influence your hourly rate. If you are providing care full-time or have a significant time commitment, it may justify a higher rate compared to part-time caregivers. 
  • Market Demand: The demand for caregivers in your area can also affect your hourly rate. If there is a shortage of caregivers or a high demand for specific types of care, it may drive up the hourly rates.

See how much you can get paid as a family caregiver in North Dakota:

North Dakota Family Caregiver Pay Calculator

ND Family Caregiver Pay Rate
$17.24
/hr
0
 0
40

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ESTIMATED Annual Earnings

$XXXXX

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Option 2: veterans

North Dakota's VA pays caregivers for veterans.

Veterans, and the surviving spouses of veterans, have a few options to pay family caregivers.

Veteran Directed Home & Community Based Care in ND

The Veteran Directed Care (VDC) program allows veterans to choose how to direct their monthly care budget. This means that when hiring a caregiver, a veteran can choose to hire his/her family member. The caregiving family member will be paid the hourly rate determined by the VA, typically $8-$21 per hour. VDC is available to veterans of all ages enrolled in VA medical benefits and require skilled services and assistance with activities of daily living.

Veteran Aid & Attendance Pension Benefit in ND

If your veteran loved one requires professional long-term in-home, assisted living, or nursing home care, you may be eligible for Aid and Attendance (A&A). The A&A Pension can provide up to $3,261 per month to pay for care, including to caregiving family members. A&A is an add-on benefit that requires eligibility for the basic VA pension or survivor pension, as well as meeting a disability requirement.

Housebound Pension Benefit in ND

The Housebound Pension benefit provides funds to veterans who are mostly unable to leave their homes. Similar to the A&A benefit, the Housebound Pension can be used to pay family caregivers. The Housebound Pension can be worth up to $1,882 per month, and spouses are unable to be paid as the family caregiver under the Housebound benefit, as spouse income is included in the calculation of the benefit. To qualify for Housebound, a veteran must be limited to his/her house and be eligible for the basic VA pension. Veterans cannot get A&A and Housebound benefits at the same time.

Program of Comprehensive Assistance for Family Caregivers (PCAFC) in ND

The PCAFC is the VA's broadest program targeting family caregivers. The program provides family caregivers with a stipend of up to $2,750 per month, in addition to training, counseling, and respite care. To qualify, the veteran must have been critically hurt or had a serious illness in the line of duty, and require help with at least one activity of daily living.

Find your local VA in North Dakota...

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Option 3: State Support

The North Dakota Department of Human Services supports family caregivers.

How does the North Dakota Department of Human Services support family caregivers?

Every state is mandated by the federal government to create support systems for family caregivers. They often reach local communities through Area Agencies on Aging (AAAs).

Area Agencies on Aging are crucial in supporting family caregivers caring for older adults. These agencies typically offer various services, resources, and programs to assist family caregivers in their caregiving responsibilities. Some of the most common ways in which state Agencies on Aging support family caregivers include:
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  1. Information and referrals: AAAs provide guidance on local resources, support groups, caregiver training, and respite care options.
  2. Caregiver education and training: They organize programs on caregiving techniques, stress management, healthcare navigation, and legal/financial aspects.
  3. Respite care: They offer temporary relief for caregivers, enabling them to take breaks and attend to their well-being.
  4. Support groups: They facilitate caregiver support groups for sharing experiences, concerns, and learning from others.
  5. Caregiver assessments: AAAs evaluate caregivers' needs and provide tailored support and recommendations.
  6. Counseling and consultation: They offer professional guidance and emotional support for caregivers.
  7. Advocacy and policy development: They advocate for caregiver-friendly policies and programs.
  8. Access to benefits and services: They assist caregivers in accessing benefits and programs like Medicaid, home-based services, and transportation assistance.

How do I find my local AAA?

There are 2 AAAs in North Dakota. Click here find your local AAA in ND.

How else does North Dakota support family caregivers?


Click here to learn more...

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Option 4: Tax Credits

North Dakota tax credit for caregiving.

What is a tax credit?

Tax credits are a way for the government to incentivize and compensate taxpayers for positive activities. A variety of tax credits cover a wide range of expenses and situations such as education, green energy, and caregiving. A tax credit is a dollar-for-dollar reduction of the income tax you owe. For example, if you owe $4,000 in federal taxes but are eligible for a $3,000 tax credit, your tax bill is $1,000.

What tax credits are available for family caregivers?

The Child and Dependent Tax Credit (CDCTC) is a tax credit earned by caregivers for a percentage of care-related expenses. Eligible expenses must be for the care of a child or dependent in order to enable the taxpayer to work or look for work.

How much can I earn in tax credits for caregiving?

The total tax credit you can claim in North Dakota for caregiving is $1,100.

The CDCTC provides a tax credit for a percentage of your eligible caregiving expenses. The maximum CDCTC at the federal level is $1,100.

Additionally, North Dakota matches the federal tax credit up to , which can equate to an extra off your taxes.

The North Dakota Family Member Care Tax Credit provides a tax credit to help caregivers offset up to $4,000 of expenses incurred caring a family member. To qualify, the family member being cared for must have an annual taxable income of less than $20,000, or $35,000 if married. Read more...

How do I get tax credit for caregiving?

To get the CDCTC, you must claim your loved one as your dependent on your tax forms. You loved one must qualify to be claimed as a dependent based on a number of criteria. After claiming your loved one as a dependent, you will need to fill out tax form 2441. The tax form requires a clear picture of your care-related expenses that allowed you to work or look for work.

How can I automate getting this tax credit?

Instead of manually tracking your care-related expenses and filling out all of the tax forms, you can use the Givers Card to automate everything.
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Option 5: Other Options

Other ways to get paid as a family caregiver in North Dakota

Other caregiver pay programs in ND

Here are a few caregiver payment programs in Alabama that you may want to explore:
  • Aged, Blind, and Disabled Program: The Aged, Blind, and Disabled (ABD) program offers healthcare coverage, support services, and sometimes cash assistance to eligible individuals who are aged, blind, or disabled, aiming to meet their healthcare needs and enhance their well-being.

Long term care insurance

If your loved one has a long term care insurance policy, that policy may allow for the direction of funds to a family caregiver. To learn if this is an option for you, contact your loved one's insurance company or agent and ask about caregiver benefits.

Employer-sponsored caregiving leave

A growing number of companies are offering to pay employees while they take a leave to take care of a loved one. To learn if this is an option for you, talk to the Human Resources department at your company.

Learn more here

Get paid by family

When your family measures all of the potential costs of care, including nursing homes, in-home nurses, and more, they may recognize that your support is a much more cost-effective option. If there are funds available, you should ask to be compensated for your time and efforts, especially when compared to the costs of the alternatives.

If your family does agree to pay you for your caregiving efforts, you should consult with an attorney to arrange a contract that details your work and wage. This step will create documentation that may be important in the future for reimbursement from Medicaid, health insurance, or assisted living in the future.
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Understanding Caregiver Rights and Resources North Dakota

Legal rights and protections for caregivers are essential to ensure their recognition, support, and fair treatment, allowing them to fulfill their caregiving responsibilities while safeguarding their own well-being.


Laws and programs in North Dakota that provide support to family caregivers include the following:

  • North Dakota Caregiver Support Program: Administered by the North Dakota Department of Human Services, this program provides information, support, and services to family caregivers. It offers assistance through caregiver training, counseling, support groups, respite care, and other resources to help caregivers in their caregiving role.
  • North Dakota Long-Term Care Ombudsman Program: The Long-Term Care Ombudsman Program in North Dakota advocates for the rights and well-being of residents in long-term care facilities, including nursing homes and assisted living facilities. Family caregivers can seek assistance and guidance from the program to ensure quality care for their loved ones.
  • North Dakota Aging and Disability Resource Link: This resource provides information, referrals, and assistance to caregivers and individuals in need of long-term care services. It helps connect caregivers with support services, including respite care, home health services, and other community-based resources.
  • North Dakota Family and Medical Leave Act (FMLA): The federal FMLA applies in North Dakota, allowing eligible employees to take unpaid leave for specific caregiving purposes without the risk of losing their job. Under FMLA, eligible caregivers can take up to 12 weeks of leave in a 12-month period to care for a family member with a serious health condition.

Givers helps people caring for loved ones get enrolled in caregiver pay programs.

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