PAID FAMILY CAREGIVERS IN VIRGINIA

Get paid to take care of
someone you love.

Explore getting paid to care for a family member in Virginia, with guidance for families in Richmond, Henrico, and Chesterfield.

Turn your care
into compensation.

With A to Z Home Care, explore how caring for someone you love can become a paid caregiving role.

Already caring for someone you love? Your care matters. Your time does, too.

A to Z Home Care helps family members and friends explore paid caregiving opportunities through Virginia Medicaid programs.

You bring the love. We help with the rest. From understanding eligibility to coordinating paperwork, training, and enrollment, our team guides you through the process and helps keep things moving. You’ll have someone to turn to at every step.

Talk with us about your family

Apply as a family caregiver

Paid caregiving is subject to applicable program rules, client eligibility, service authorization, and employment requirements. Applying does not guarantee employment or paid hours.

Do I qualify for waiver services? Take the quiz.

Have questions? Talk with us first.

CARE FOR CHILDREN UNDER 18

Caring for your child or another child in your family?

When a child needs more hands-on care than other children the same age, your family may have options worth exploring.

Parents and legal guardians follow special Virginia Medicaid rules for care that goes beyond ordinary parenting because of a child’s disability or medical needs. Grandparents, aunts, uncles, adult siblings, and trusted family friends may also be considered depending on the arrangement and program requirements.

Explore care for a child under 18

Eligibility, service authorization, caregiver approval, hours, employment, and payment are not guaranteed.

FREE PCA CLASSES

The love is already there.
We help build the skills.

There’s comfort in being cared for by someone you know and trust. Our free Personal Care Aide (PCA) classes help family caregivers build practical skills to care for a loved one safely, confidently, and with dignity.

Learn proper techniques for everyday care, including assisting with lifting and transfers, personal hygiene, and changing bed linens while your loved one remains in a hospital bed. Training emphasizes safe practices, appropriate equipment, and following the individual care plan.

Whether you’re caring for family or starting a new career, call us about upcoming classes and enrollment requirements.

Ask about free PCA classes

Your caregiver may already be in your family

Many people help a parent, grandparent, sibling, or adult child long before they think of themselves as a caregiver. Some eligible Virginia Medicaid members may have options for authorized personal care provided by a qualifying relative. The first step is reviewing the member’s status and the proposed arrangement, not promising a paycheck.

Medicaid enrollment alone does not approve paid family care. The person receiving care must meet the applicable requirements; the service and hours need authorization; and the proposed caregiver must qualify. A screening, service approval, and employment application each answer a different question.

Choose someone you know and trust

Your caregiver does not have to be a relative. A family member, friend, or another trusted person you choose may be considered, provided they meet applicable Virginia Medicaid program and agency requirements. For agency-directed care through A to Z, the proposed caregiver must complete required hiring, training, background checks, and onboarding, and care must follow the authorized plan. Adult children, siblings, and grandchildren are among the relatives who may be considered. Shared residence can add documentation requirements. Spouses and parents or guardians of minors are legally responsible individuals with separate extraordinary-care requirements. Those arrangements need specific review, rather than the same answer given to every relative.

Tell us the exact relationship and whether you live together. Our guide to caregiver relationships explains the questions to raise. A family relationship alone neither guarantees a paid role nor replaces the review of the member’s needs.

How A to Z works with family caregivers

We provide agency-directed care. If the arrangement is appropriate, we review the member’s needs and authorization, explain employment requirements, and discuss the proposed caregiver’s training and readiness. Background checks, required employment documents, and completion of onboarding are part of that review.

We help you understand the paperwork and coordinate the next steps, but decisions about Medicaid eligibility and authorization belong with the responsible authorities. Hiring and a start date are confirmed only after the relevant requirements are met. Free PCA classes can help build skills; completing a class does not guarantee employment or paid hours.

What changes when informal care becomes a paid role?

Care must follow the approved plan, with accurate visit records and documentation of the services actually delivered. Family familiarity is valuable, but it does not remove the responsibilities of employment or agency oversight. Approved hours are not payment for every hour a relative spends in the home.

Virginia’s live-in EVV exemption ends October 1, 2026. Paid family caregivers should ask the agency about the approved way to record shifts and report problems. Read the dated EVV update for the verified change.

Already approved for personal care?

Call us to discuss the authorization, the proposed caregiver, and whether another provider is involved. We can review a possible transfer or new arrangement, but approvals, caregivers, and hours do not automatically move with a phone call. Avoid ending an existing service before the new arrangement is coordinated.

If you are still unsure where you stand, use our qualification guide and quiz. You can also call without completing the quiz. Taking care of Mom or Dad every day? Let’s talk about your options, your questions, and what must happen before care could be paid.

Questions families ask

How much will a family caregiver earn?

Pay depends on the employment arrangement and any applicable program rules. We discuss a role’s actual terms during hiring; a website estimate is not an offer or a guaranteed income.

Does a family caregiver have to work for an agency?

An agency-directed aide works through an agency. Consumer direction uses a different employer arrangement. Learn about both models before choosing; A to Z provides agency-directed care.

Can you pay me for care I already gave?

Do not assume earlier unpaid care can be reimbursed. Authorization, enrollment, employment, and service records must be reviewed. We do not promise retroactive payment.

Can I apply if I am not trained yet?

Yes, you can ask about our free PCA classes and the requirements for a caregiving role. Training and hiring are separate steps.

Get paid to take care ofsomeone you love.

Turn your careinto compensation.