Can Family Members Get Paid to Care for Aging Parents

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PICS-Partners in Community Supports

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Sep 13, 2026

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Learn how Minnesota family members may be able to receive payment for caring for an aging parent through self-directed care and how PICS helps families manage the process. For many Minnesota families, caring for an aging parent begins gradually.

Maybe you start by picking up groceries once a week. Then you begin driving Mom to medical appointments, organizing medications or helping with laundry. Before long, you may be preparing meals, helping with personal care, checking in every day and rearranging your own work schedule around your parent's needs.

At some point, many families ask an important question:

Can a family member actually get paid for providing this care?

In Minnesota, the answer may be yes.

Depending on your loved one's needs, financial eligibility and the program they qualify for, certain self-directed care programs can allow family members or other trusted individuals to be paid for providing approved caregiving services.

For families trying to help an older adult remain safely at home, understanding these options can make a significant difference.

What Is Self-Directed Care?

Traditional home care usually involves an agency hiring caregivers and determining who will provide services.

Self-directed care works differently.

It gives the person receiving services — or an authorized representative — greater control over how care is provided. Depending on the program, participants may be able to select their caregivers, help determine schedules and decide how approved funds are used to meet their individual needs.

That caregiver might be someone the older adult already knows and trusts.

In some situations, it can be an adult child, grandchild, spouse, other relative, friend or neighbor.

For an older adult who wants to remain in familiar surroundings, receiving help from someone they already know can provide both practical assistance and peace of mind.

Minnesota Programs Can Help Seniors Remain at Home

Minnesota offers several programs designed to help eligible older adults and people with disabilities receive services in their homes and communities rather than moving into institutional care.

One important option is Consumer Directed Community Supports (CDCS).

CDCS is available through certain Minnesota Home and Community-Based Services waiver programs. It allows participants to develop an individualized plan for using an approved budget to support their independence at home and in the community.

For adults age 65 and older, CDCS may be available through programs such as Minnesota's Elderly Waiver (EW) and Alternative Care (AC) programs.

Both EW and AC are designed for adults 65 and older who meet a nursing-home level of care but want to continue living in their homes and communities.

Depending upon the individual's approved plan, services may include caregiving, homemaking, meals, respite, transportation, personal emergency response systems, chore services, certain home modifications and other supports.

Most importantly for many families, CDCS may allow approved funds to be used to pay certain family members or other trusted individuals for caregiving.

Could an Adult Child Be Paid to Care for a Parent?

Potentially, yes.

Under CDCS, approved caregivers can include adult children and grandchildren who provide care for an aging family member. Other trusted people, including friends and neighbors, may also be eligible to become paid caregivers.

Spouses may also be able to provide paid caregiving under applicable self-directed programs, although specific rules depend on the program and circumstances.

Another Minnesota program families may encounter is Community First Services and Supports (CFSS).

CFSS is Minnesota's newer home-care program that is replacing Personal Care Assistance (PCA) and Consumer Support Grant (CSG) services as participants transition through their annual assessments.

CFSS provides additional self-directed options, and under certain circumstances spouses can provide paid caregiving services.

Because every person's eligibility and service plan are different, families should not assume that caregiving will automatically qualify for payment. An assessment and approved service plan are required.

Why Paying Family Caregivers Can Matter

Family caregivers often provide an enormous amount of unpaid assistance.

A daughter may reduce her hours at work so she can help her father several afternoons each week. A son may drive across town every morning to prepare breakfast and make sure medications are taken. A spouse may spend much of the day helping with dressing, bathing, meals and mobility.

Families frequently do these things because they love the person they're caring for.

But caregiving also has a financial impact.

Work hours may be reduced. Careers can be interrupted. Transportation costs increase. Caregivers may find themselves balancing their own children, household responsibilities and finances while also caring for an aging parent.

When an eligible program allows a family member to become a paid caregiver, it recognizes that caregiving is real work.

It can also make it more realistic for a family to continue supporting a loved one at home.

Where Does PICS Fit Into This?

This is where PICS — Partners in Community Supports can help.

PICS is a Minnesota nonprofit organization and a subsidiary of Lutheran Social Service of Minnesota. It has provided self-directed care support to Minnesota individuals and families since 1999.

PICS serves as a Financial Management Service (FMS) provider.

That sounds complicated, but the idea is fairly simple.

When a family chooses a self-directed program, someone still needs to handle the administrative and financial responsibilities associated with employing caregivers and using government-approved funds.

PICS helps participants with responsibilities such as:

  • Hiring and staffing
  • Processing caregiver payroll
  • Processing approved expense reimbursements
  • Accounting and financial reporting
  • Tax and revenue information
  • Budget tracking
  • Training and other employment-related requirements

Instead of families trying to figure out payroll, taxes, reporting requirements and reimbursement procedures themselves, PICS helps manage those details.

That allows families to spend more time focused on what matters most — supporting the person they love.

Choice Can Be an Important Part of Aging in Place

For many older adults, remaining at home isn't simply about staying in a particular house.

It's about maintaining independence, routine, dignity and connection to their community.

Being able to choose who comes into the home can be especially important.

Some seniors may be uncomfortable having an unfamiliar caregiver assist with personal tasks. Others may have language, cultural or communication preferences. And some simply feel safer receiving help from someone they've known for years.

Self-directed services can give eligible individuals more control over these decisions.

Instead of fitting the person into a predetermined care arrangement, the goal is to build supports around the person's individual needs.

How Does a Minnesota Family Get Started?

The first step is determining whether the person needing care qualifies for an applicable Minnesota program.

For older adults, this may involve eligibility for Minnesota Medical Assistance and the Elderly Waiver or determining whether the individual qualifies for the Alternative Care program.

An assessment is generally required to determine the person's needs and eligibility.

Families can begin by contacting their county or Minnesota's Senior LinkAge Line to learn about available programs and the assessment process.

If a self-directed program such as CDCS or CFSS is appropriate, the participant will work with the necessary care professionals to develop an approved service plan and select service providers.

PICS can then help families navigate the financial-management side of self-directed services.

Don't Assume Your Family Doesn't Qualify

One of the biggest mistakes families can make is assuming these programs aren't available to them.

If you're already spending significant time caring for a parent, spouse or other loved one, it is worth asking what Minnesota programs may be available.

You may discover options that help your loved one remain at home while providing additional support for the people who are already helping them.

Every situation is different, and eligibility is never automatic. But asking the question is an important first step.

Frequently Asked Questions

Can I get paid to take care of my elderly parent in Minnesota?

Possibly. Certain Minnesota self-directed programs may allow eligible family members, including adult children, to be paid for approved caregiving services. The person receiving care must qualify for the applicable program, and the services must be part of an approved plan.

Can a senior choose his or her own caregiver?

Self-directed programs are designed to give participants greater choice and control over their services. Depending on the program, participants may be able to select family members, friends or other trusted individuals as caregivers.

Does PICS determine whether my parent qualifies for Medicaid or an Elderly Waiver?

No. Program eligibility is determined through Minnesota's applicable state, county and assessment processes. PICS serves as a Financial Management Service provider for people participating in eligible self-directed programs.

What does PICS do once a family is enrolled?

Depending upon the program, PICS can assist with caregiver hiring and staffing, payroll, reimbursements, accounting, reporting, taxes, training and budget management.

Where can families learn more?

Minnesota families interested in self-directed care can contact their county, Senior LinkAge Line or appropriate care coordinator to learn about eligibility and available programs. Families can also contact PICS to learn more about the self-directed programs and Financial Management Services they support.

More Choice. More Support. More Independence.

Caring for an aging loved one can be rewarding, but it can also require an enormous commitment of time, energy and financial resources.

Minnesota families may have more options than they realize.

For eligible older adults, self-directed care can provide greater choice over who provides assistance and how approved services are delivered. For family caregivers, it may also create an opportunity to receive compensation for caregiving they are already providing.

PICS — Partners in Community Supports helps Minnesota families manage the financial and administrative details of self-directed care so they can focus on helping their loved ones live safely and independently at home.

Learn more about PICS and explore resources for Minnesota seniors and caregivers through Seniors Blue Book.  For more information contact us at  888.874.7427 or visit our website at  https://pics.lssmn.org/

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How Do You Decide What Is Clutter?

Im not a fan of the word decluttering, although it comes up a lot in my work as a professional organizer. The reason I dont like that term is because clutter has such a negative connotation, and sometimes when people hear the word decluttering, it makes them feel guilty that they have clutter in the first place. Is this clutter? is a question that my clients ask me a lot. I think there are a lot of myths and misunderstandings about what counts as clutter. Often, people are afraid that I will tell them that something important to them is clutter, or they need to get rid of something that is sentimental but doesnt seem to have practical value. But Im happy to say that this isnt the case! When I work with my clients, I take a different approach to decluttering than they might have seen on a TV show or read about in a book. Heres what I think is important for you to know about clutter and decluttering: There is no single item that is always clutter. Have you ever heard the expression, whether something is a weed or a flower depends on your perspective? Well, I think the same is true about clutter. Something that seems useless to one person could be extremely important to another. I think of clutter as anything in your space that doesnt provide you value (whether that value may be practical use, sentimental or financial value, or pleasure). Something that you dont have the time, energy, or space to properly take care of, no matter how much you want to, can also become clutter. Thats why its so important to evaluate what you think is important before you begin to address clutter in your home. Only you can decide what is clutter in your own space. Sentimental and decorative items arent necessarily clutter.Many of my clients struggle with decisions about whether to keep sentimental items. Sometimes we keep them out of feelings of guilt or obligation, and sometimes we feel guilty for holding onto items that we love but have no practical purpose.I personally love sentimental items, and as you can see on my bookshelf, I love to display them through my home. Seeing my favorite books, photos of loved ones, and little pieces of my history on a regular basis make me happy. I encourage my clients to keep, display, and properly preserve sentimental items that bring them joy, and let go of the ones that bring feelings of guilt or burden. The key to not allowing sentimental items to become clutter is to be selective about which items you keep, and to store or display them in a way that allows you to enjoy them. Things that are useful can still be clutter. But that could be useful! is one of the most common protests I hear when I encourage clients to let go of something theyre not using. And I understand that it can feel wasteful to let go of something that could be possibly used in the future. However, many of us hold onto potentially useful itemsthat we never actually use! And that ultimately leads to clutter in your home. If youre not going to use something, its ok to pass it along to someone who will. Clutter isnt always an eyesore, or even visible. Just because a home doesnt look messy doesnt mean it isnt cluttered. Going back to the definition of clutter, if something in your space isnt providing you value, no matter how neat or organized it looks, it is still clutter. Also, clutter sometimes isnt visible at all. Maybe you have commitments on your calendar that are sucking up time but dont provide you with value, or you have tons of files and photos on your photo that are just taking up space. Clutter can come in many forms, not just physical. Once you start thinking critically about the things you are giving time, space, and energy, you will be able to apply a decluttering mindset to all aspects of your life.  Dont start by decluttering, start by assessing. Instead of decluttering, I prefer to begin the organizing process by assessing. I help my clients take a look at their items in a non-judgemental way are these items helping them to achieve their goals, or are they just taking up space without providing enough value? If theyre happy with everything, we figure out how to make all of their items work in their space. But more often than not, clients realize they do have things in their space they want to let go of. If you need help thinking through the items you have in your space and deciding what to keep or let go of, Im here for you. Set up a time to chat with me so I can give you some guidance. 

Give the Gift of a Clutter-Free Home

This is a loaded topic, but since its December, Im going to take on holiday gift-giving. Gulp. My approach to gift giving has dramatically changed since Ive become a professional organizer. Why? Because gifts are one of the biggest clutter challenges for my clients.I dont really like this, but it was a gift and I feel guilty about letting go of it. I dont want this, but my Mom gave it to me and Im afraid shell ask about it the next time she comes over. Someone bought me this expensive item, but its just not my style. These are sentiments I hear from clients over and over. After I saw how often gifts the clients not only didnt give them joy, they actually created a negative effect of adding guilt, stress, and clutter, I realized I needed to change my personal approach to holiday gifting. 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You cant stop your mother-in-law or your aunt Suzy from wrapping up LOL dolls or vanilla-scented candles if thats the way they are hell-bent on showing their love. I often hear my younger clients say things like I ask my parents to gift my kids experiences like museum tickets, but they just keep buying plastic toys. Honestly, Im not surprised by that. Buying tons of stuff to show our families that we love them at certain times of the year has become so culturally ingrained that many people feel its mandatory. And for gift givers, gifting something intangible is a change from the tradition of handing someone a wrapped box. Its going to take a bigger cultural change before more people feel comfortable gifting differently. Over the years, Ive realized that although I cant change other peoples behaviors around gifting, I can change the way I give gifts.  How Ive changed my approach to giftingBefore I became an organizer, I felt obligated to buy holiday gifts for every party and event I went to. At times, I fell into the trap of buying things I liked or that seemed really nice to me (like an expensive pair of earrings or bottle of wine) but the recipient didnt actually care about. Other times, I found gifts that I knew were lame, but I bought them anyway because I didnt want to show up empty-handed, or I couldnt afford what the person really wanted. I dont do those things anymore. Ive tried to be a more mindful gift-giver by: Opting out of gift exchanges that are less meaningful to me, or where I cant gift a specific recipient, like office Secret Santas or Yankee Swaps. Pausing and asking Am I picking this item to impress the recipient, or because they will really love it? 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(Otherwise, it might seem passive aggressive.) The greatest giftIt may seem cliche, but never underestimate the gift of your time and presence. Calling a friend, spending an afternoon with your parents, engaging in something silly with your kidsthese are the gifts they will truly cherish. I wish you a wonderful and joyful holiday season!

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PICS - Partners in Community Supports

Non-Medical

PICS (Partners in Community Supports)Home and Community-Based Service ProviderAt PICS (Partners in Community Supports), we understand that navigating home care services for your loved ones can be overwhelming. We take care of the details of home-based care supports and services so you can focus on what truly matters - caring for your loved one. Offering services statewide for more than 25 years, PICS is a proud Financial Management Service (FMS) and Individualized Home Supports (IHS) provider. Were here to support you and your family every step of the way.Self-directed services are a home health care option for individuals with disabilities and older adults funded by state and federal programs, such as Medicaid, Medical Assistance (MA) waivers, or the Alternative Care program. Choosing to self-direct offers you the flexibility to take control of your care, from hiring and managing caregivers (including family and friends) to identifying and buying the supports you need.Why choose PICS?Our customer service focus means that you spend more time caring for your loved one and less time worrying about the financial aspects of home health care. We will help you hire and train your workers, manage payroll, stay on budget, and make sure all of your financial reporting is correct.PICS offers:Human resource expertise and a seamless hiring process for new caregivers.Online portal available 24/7 for easy timecard submission, real time financial reporting and spending summary reports.Payroll support to issue direct support staff paychecks and answer payroll related questions.Expense reimbursement for your purchases.Services in all languages.PICS services:Consumer Directed Community Supports (CDCS) Community First Services and Supports (CFSS) Individualized Home Supports (IHS) Individual Private PayPICS is a subsidiary of Lutheran Social Service of Minnesota.

PICS-Partners in Community Supports

Medication Management

PICS (Partners in Community Supports)Home and Community-Based Service ProviderAt PICS (Partners in Community Supports), we understand that navigating home care services for your loved ones can be overwhelming. We take care of the details of home-based care supports and services so you can focus on what truly matters - caring for your loved one. Offering services statewide for more than 25 years, PICS is a proud Financial Management Service (FMS) and Individualized Home Supports (IHS) provider. Were here to support you and your family every step of the way.Self-directed services are a home health care option for individuals with disabilities and older adults funded by state and federal programs, such as Medicaid, Medical Assistance (MA) waivers, or the Alternative Care program. Choosing to self-direct offers you the flexibility to take control of your care, from hiring and managing caregivers (including family and friends) to identifying and buying the supports you need.Why choose PICS?Our customer service focus means that you spend more time caring for your loved one and less time worrying about the financial aspects of home health care. We will help you hire and train your workers, manage payroll, stay on budget, and make sure all of your financial reporting is correct.PICS offers:Human resource expertise and a seamless hiring process for new caregivers.Online portal available 24/7 for easy timecard submission, real time financial reporting and spending summary reports.Payroll support to issue direct support staff paychecks and answer payroll related questions.Expense reimbursement for your purchases.Services in all languages.PICS services:Consumer Directed Community Supports (CDCS) Community First Services and Supports (CFSS) Individualized Home Supports (IHS) Individual Private PayPICS is a subsidiary of Lutheran Social Service of Minnesota.