·State program
Family Paid Caregivers
Family Paid Caregivers allows Medicaid members enrolled in Agency-Based or Self-Directed Community Benefit programs to hire any family member or friend as a paid caregiver.
What you get
Cash Stipend, Services, as recorded:
- ABCB Personal Care (Consumer Directed, hourly, code 99509 / Consumer Delegated, 15-minute units, code T1019): rate as negotiated with the MCO. EPSDT Personal Care Attendant (S5125, 15-minute units): per the Provider Type 324 fee schedule
Questions that decide eligibility
GiveCare prepares the questions; the program makes the decision. Bring these to the call or the application:
- 01
Does the person receiving care live in New Mexico?
Residency is usually the first thing a program checks.
- 02
Does your relationship to the person — spouse, child, parent, sibling, other relative, or non relative — count for this program?
- 03
What counts as a qualifying disability or level of care need, and what documentation shows it?
- 04
Does the VA disability rating meet the program’s minimum (our record lists null%)?
- 05
Do the work hours meet the minimum (our record lists null hours)?
- 06
Is there a caregiver-specific department, coordinator, or support line? Ask for it by name.
Many agencies have one that isn’t advertised on the website.
- 07
What documents do you need from us to start an application?
- 08
Is there a waitlist right now, and how long is it?
Who qualifies, in the source’s words
Where our record has a direct quote from the official source, here it is — otherwise, this is our best reading of the rule.
Disability of the person receiving care
“Eligible program recipients have been determined by a Turquoise Care Managed Care Organization (MCO) to meet a Nursing Facility Level of Care (NF LOC).”
hca.nm.gov →Minimum VA disability rating
Minimum VA disability rating: null%.
Work hours
Minimum work hours: null.
Relationship to the person receiving care
“Any family member or friend can be a paid caregiver. Legally Responsible Individuals (LRIs), such as a spouse or the parent or guardian of a minor, can also be paid caregivers”
hca.nm.gov →
How to apply
- 01
ABCB members: if using an LRI as caregiver, contact the member's health plan Care Coordinator for approval; if not an LRI, contact the member's current home health agency to become an employee; caregiver then becomes an employee of the home health agency and uses EVV to track hours. SDCB members: the member or their Employer of Record selects a caregiver (contacting the health plan first if the caregiver is an LRI), then works with the Support Broker to start the employment process.