Can a Family Member Get Paid to Be a Caregiver? Nebraska & Indiana Paid Family Caregiver Program
Yes. In Nebraska and Indiana, eligible Medicaid participants can hire a trusted family member, friend, or previously hired aide as a paid caregiver through state-approved waiver programs. Harmony Care manages the entire enrollment process — onboarding, state compliance, and payroll — so families can focus on care, not paperwork.
What Is the Paid Family Caregiver Program?
The paid family caregiver program allows Medicaid waiver participants to choose someone they already trust — a family member, close friend, or a caregiver they have used before — and have that person paid as their official caregiver. Rather than being placed with a stranger, families get to decide who provides care in the home.
Harmony Care handles everything on the employer side: caregiver onboarding, background checks, compliance with state program requirements, and weekly payroll by direct deposit. Families focus on the relationship — Harmony Care handles the paperwork.
Important: Medicaid enrollment is required to access these programs. Medicare alone is not enough. Medicaid coverage must be active or pending for a family member to qualify as a paid caregiver.
Harmony Care is approved under Nebraska's AD Waiver program and Indiana's Home and Community-Based services, making it one of the few agencies in either state that can enroll families in both.
Who Qualifies for the Paid Family Caregiver Program?
To qualify, the care recipient and their designated caregiver must each meet specific requirements. Harmony Care verifies eligibility as part of the enrollment process.
The care recipient must:
Have active Medicaid coverage (Medicare alone does not qualify)
Nebraska: be enrolled or eligible for the Aged and Disabled (AD) Waiver
Indiana: qualify for Attendant Care or Home and Community Assistance services
The designated caregiver must:
Be a trusted family member, close friend, or previously hired aide
Pass a background check
Complete Harmony Care's caregiver onboarding process
Not sure if you qualify? Call Harmony Care and we will walk through eligibility with you at no cost.
What Harmony Care Handles for You
Enrolling in a paid family caregiver program involves state paperwork, compliance requirements, and payroll administration. Harmony Care handles all of it.
Caregiver onboarding and background checks
Full state program compliance in Nebraska and Indiana
Weekly payroll by direct deposit — caregivers are paid on time, every time
CPR and First Aid certification, covered by Harmony Care
Health benefits, PTO, holiday pay, and overtime eligibility
Care placement within 48 hours or less
Nebraska Paid Family Caregiver Program
In Nebraska, the paid family caregiver option is available through the Aged and Disabled (AD) Waiver. The AD Waiver provides home and community-based services to adults who are elderly or have physical disabilities and who meet Medicaid eligibility and level-of-care requirements.
Under the AD Waiver, Medicaid participants can designate a family member or trusted person to provide Personal Care or Companion services and have Harmony Care serve as that caregiver's employer of record. The designated caregiver is hired, onboarded, and paid through Harmony Care — while continuing to care for their loved one at home.
Harmony Care serves families throughout Greater Omaha and Sarpy County, Nebraska. Caregiver pay starts at $19 per hour, with full benefits.
Nebraska families: call us at 402-284-5120 or visit harmonycare.me/request-care to get started.
Indiana Paid Family Caregiver Program
In Indiana, the paid family caregiver option is available through Attendant Care and Home and Community Assistance services. These programs are available statewide and cover all 92 Indiana counties.
Attendant Care allows eligible Medicaid participants to hire a person of their choosing — including a family member — to assist with daily living activities at home. Home and Community Assistance provides similar support with a broader range of daily tasks. Harmony Care acts as the employer of record, handling payroll and compliance so the family member can focus entirely on providing care.
Harmony Care serves families across all 92 Indiana counties, from Indianapolis and Marion County to every corner of the state. Caregiver pay starts at $21 per hour, with full benefits.
Indiana families: call us at 317-279-4854 or visit harmonycare.me/request-care to get started.
How to Get Started
Getting started is straightforward. Here is what to expect:
Call Harmony Care or submit a care request at harmonycare.me/request-care. A team member will reach out to discuss your situation and answer any questions.
Harmony Care verifies Medicaid and waiver eligibility and determines which program fits your family's needs.
Your designated caregiver is enrolled, onboarded, and receiving weekly direct-deposit pay — usually within 48 hours.
Harmony Care is one of the few agencies in Nebraska and Indiana approved for multiple Medicaid waiver programs — giving families the broadest possible access to paid caregiver options.
Start Your Care Request Today
Ready to find out if your family qualifies? Harmony Care will walk you through every step — from eligibility to your caregiver's first paycheck.
Nebraska: 402-284-5120
Indiana: 317-279-4854
Online: harmonycare.me/request-care
Caring With Heart, Serving With Harmony.
Comments