Chronic Condition Caregiver Pay

Getting Paid to Care for a Family Member With a Chronic Condition (COPD, Heart Failure, Kidney Disease)

Chronic conditions like COPD, heart failure, and kidney disease often bring exhaustion and physical limits that make everyday tasks hard, even without one dramatic health event. If you're already helping with that daily care, you may qualify to get paid for it.

By Kinwell · 1 min read · Last updated: July 29, 2026

Who qualifies

Two sets of requirements have to line up:

Your loved one generally needs to:

  • Be eligible for Michigan Medicaid
  • Require physical assistance with at least one activity of daily living

You generally need to:

  • Be at least 18 years old
  • Be a relative, friend, or neighbor

Per MDHHS, a spouse can't be paid under this program.1

What kind of care counts

Per MDHHS, the program may pay for help with:

  • Eating or feeding
  • Bathing
  • Dressing
  • Grooming
  • Moving throughout the home
  • Transferring from one position to another
  • Using the toilet

With COPD, breathlessness and fatigue can make bathing, dressing, or moving around the home difficult. With heart failure, the same exertion limits often mean help with mobility or transferring. With kidney disease, exhaustion after dialysis can mean hands-on help is needed on treatment days. Medication reminders or equipment management alone generally aren't enough, but most families managing a chronic condition are already providing the ADL help that qualifies.

Frequently asked

Does helping my parent manage oxygen equipment or dialysis-related fatigue count? Generally, yes when it comes alongside hands-on help with things like bathing, dressing, or getting around — equipment or fatigue management on its own, without a qualifying physical assistance need, doesn't meet the requirement by itself. See how the full application works →

References

Cited in this article

  1. 1

    Michigan Department of Health and Human Services. (n.d.). ASM 135 — Home Help Individual Provider Requirements. mdhhs-pres-prod.michigan.gov. Retrieved July 28, 2026, from https://mdhhs-pres-prod.michigan.gov/olmweb/ex/AS/Public/ASM/135.pdf

Related reading

See if you and your loved one qualify.

Get My Pay Estimate
2-minute eligibility checkNo fees, no obligationHIPAA