If you are caring for an aging parent, a spouse, or an adult child with a disability, caregiver programs in Wyoming can pay you, give you a break, or cover costs you are shouldering alone. This guide maps every major caregiver program in the state for 2026: who runs it, who qualifies, and the number to call.

Wyoming funds much of this in-home care through its Medicaid Home and Community Based Services (HCBS) waiver, which can pay a family member to provide consumer-directed personal care.

You don't have to figure this out alone, and you don't have to fund all of it from your savings.

In This Guide

Wyoming Caregiver Programs at a Glance

Program What It Offers Pay a spouse? Cost to You
HCBS waiver consumer-directed care Pays a family caregiver to provide in-home personal care Confirm Free (paid by Medicaid)
NFCSP respite Respite, adult day vouchers, training, and counseling N/A Little to no cost
VA PCAFC Monthly tax-free stipend; pays spouses Yes Free (VA benefit)
VA Aid and Attendance Monthly pension to the veteran; caregiver paid from it Pension to veteran Free to apply (VSO help)

Which Wyoming Caregiver Programs Pay Family Caregivers?

Wyoming Medicaid, through the Department of Health's Division of Healthcare Financing, funds in-home care through the Community Choices Waiver (CCW), its Medicaid Home and Community Based Services (HCBS) waiver for adults 65 and older and adults 19-64 with a disability. The waiver covers personal care, homemaker services, and adult day services. Under its consumer-directed personal care option, the person receiving care can hire and direct their own attendant, and a family member may be that paid attendant. Adult children and other relatives can typically be hired; whether a spouse can be paid is the variable you need to confirm with Wyoming Medicaid at 1-307-777-7531.

Qualifying takes both financial and functional (level-of-care) eligibility. Here is how a Wyoming family usually starts.

1
Step 1

Call Wyoming Medicaid

Reach the Division of Healthcare Financing at 1-307-777-7531 and say you want to apply for HCBS waiver services and consumer-directed care.

2
Step 2

Ask for a level-of-care assessment

The waiver serves people who need a significant level of personal care, so the state screens for functional eligibility before authorizing services.

3
Step 3

Confirm financial eligibility

HCBS waivers carry Medicaid income and asset limits, and Wyoming applies a 60-month look-back on asset transfers.

4
Step 4

Choose consumer direction

This is the option that lets the person hire and direct their own caregiver, including a family member.

5
Step 5

Confirm who you can pay

Adult children and other relatives are typically hireable; ask specifically whether a spouse can be paid in your situation.

For the full guide to who can be paid and how, see: How to Get Paid as a Family Caregiver in Wyoming.

Respite Care Programs

The National Family Caregiver Support Program (NFCSP), funded by Title III-E of the Older Americans Act, is administered by the Wyoming Department of Health Aging Division. Wyoming is a single Planning and Service Area with no separate regional Area Agencies on Aging; the Aging Division performs those functions itself and delivers services through grants to local providers. Services include in-home respite, adult day vouchers, caregiver training, and counseling. You do not have to be enrolled in Medicaid to use them, and any costs or limits are set locally, so ask what your local provider offers. Reach the Aging Division at 1-800-442-2766, or find local services through the Eldercare Locator at 1-800-677-1116.

State Medicaid programs and waivers can also authorize respite within the care plan. For the full respite guide, see: Respite Care in Wyoming.

Where to Get Help in Wyoming

These offices are the front doors for caregiver support in Wyoming. Every call below is free and carries no obligation.

Wyoming Department of Health Aging Division The state's front door to National Family Caregiver Support Program respite, adult day referrals, caregiver training, and counseling. As Wyoming's single Planning and Service Area, it performs the Area Agency on Aging functions itself and delivers services through local grantees. 1-800-442-2766
Eldercare Locator A free federal service that connects you to your local Area Agency on Aging and other aging services anywhere in the country. 1-800-677-1116 eldercare.acl.gov/home
Wyoming Medicaid (Division of Healthcare Financing) Questions about the HCBS waiver, consumer-directed personal care, and whether a family member can be the paid caregiver. 1-307-777-7531
VA Caregiver Support Line Help understanding and enrolling in VA caregiver programs, including the PCAFC stipend, for veterans of any era. 1-855-260-3274

VA Caregiver Benefits in Wyoming

Veterans connected to VA health care in Wyoming can access caregiver support programs that are separate from Medicaid and often more generous.

VA Program of Comprehensive Assistance for Family Caregivers (PCAFC)

The PCAFC pays a monthly stipend to the Primary Family Caregiver of an eligible veteran. It is federal tax-free and can pay a spouse. To qualify, the veteran needs a service-connected disability rating of 70% or higher and a need for in-person personal care assistance. The stipend is monthly rather than hourly: it starts from the federal GS-4, Step 1 annual rate for the veteran's locality, divided by 12, and that monthly base is then multiplied by a factor. 38 CFR 71.40(c)(4)(i) sets four factors, and which one applies turns first on whether the veteran is in the current program or is a legacy participant or legacy applicant.

  • Current program, meaning the veteran meets 38 CFR 71.20(a): the multiplier is 0.625, or 1.00 if the VA determines the veteran is "unable to self-sustain in the community."
  • Legacy participant or legacy applicant under 38 CFR 71.20(b) or (c): the multiplier is set by the sum of the veteran's 2019 clinical ratings, with no self-sustain determination required. A sum of 21 or higher pays 1.00, 13 through 20 pays 0.625, and 1 through 12 pays 0.25.
  • A veteran who meets both sets of criteria is paid whichever of the two amounts is higher.
  • A legacy participant also has a floor: the stipend cannot drop below what the caregiver was eligible to receive the day before October 1, 2020, while the veteran remains at the address on record. The legacy schedule itself lapses October 1, 2028.

If yours is a legacy Wyoming household, the 2019 rating sum alone can reach the full 1.00 multiplier, so do not assume the "unable to self-sustain" finding is the only route to the top amount.

VA Aid and Attendance Pension

Veterans and surviving spouses who meet the pension's service and functional criteria and have countable assets and income under the net-worth limit ($163,699 in 2026) may receive the Aid and Attendance pension. In 2026, a single veteran with Aid and Attendance receives up to $29,093 per year; a veteran with one dependent up to $34,488 per year. The VA sets these as maximum annual rates, cut by the claimant's countable income before payment. The pension goes to the veteran, who typically pays a family caregiver from it.

The Wyoming state veterans agency and county or town Veterans Service Officers help file at no cost. You can also call the VA Caregiver Support Line at 1-855-260-3274.

Taxes for Wyoming Caregivers

IRS Notice 2014-7

If you live in the same home as the person you care for and are paid through a Medicaid program, your wages may be excluded from federal gross income under IRS Notice 2014-7. This applies to many Wyoming self-directed caregiving arrangements. Talk to a tax preparer familiar with the rule before filing.

Wyoming State Income Tax

Wyoming does not levy a state personal income tax, so state income tax is not a factor for caregiver wages earned in Wyoming. Confirm how any federal rules apply to your situation with a tax preparer.

VA PCAFC Stipend

The PCAFC monthly stipend is federal tax-free and is not reported on a W-2.

Not sure which Wyoming caregiver program fits your family? Chat with Brevy's care navigator for a personalized comparison based on your loved one's Medicaid enrollment, veteran status, and whether you are a spouse or non-spouse caregiver.

Frequently Asked Questions

Can I get paid to care for my spouse in Wyoming?

Wyoming's family-member payment rules depend on the waiver's consumer-direction option. Adult children and other relatives can typically be hired; whether a spouse can be the paid worker must be confirmed with Wyoming Medicaid at 1-307-777-7531. If your loved one is a veteran, the VA PCAFC program can pay a spouse.

Is there respite in Wyoming without Medicaid?

Yes. The National Family Caregiver Support Program provides respite care through the Wyoming Department of Health Aging Division, and you do not need to be enrolled in Medicaid to use it. Costs and limits are set locally, so ask your local provider; many services are free or low-cost. Reach the Aging Division at 1-800-442-2766.

What if I don't qualify for Medicaid and there is no veteran in my family?

You still have options. NFCSP respite is open to caregivers regardless of Medicaid status. For paid care, some families use a written personal-care agreement and private pay, or explore long-term care insurance and other benefits. Start by calling the Wyoming Department of Health Aging Division at 1-800-442-2766 or the Eldercare Locator at 1-800-677-1116 to map local options, and see How to Get Paid as a Family Caregiver in Wyoming for pathways that don't depend on Medicaid.

Which VA programs pay family caregivers in Wyoming?

The PCAFC stipend (for veterans with a 70% or higher service-connected disability rating, tax-free, pays spouses) and the Aid and Attendance pension (for veterans and surviving spouses under the net-worth limit). Call the VA Caregiver Support Line at 1-855-260-3274.,

How do I reach aging and caregiver services in Wyoming?

Wyoming has no separate regional Area Agencies on Aging; the Wyoming Department of Health Aging Division performs those functions statewide. Call it at 1-800-442-2766, or use the Eldercare Locator at 1-800-677-1116. They handle NFCSP respite, adult day referrals, and caregiver training.

Learn More

CaregiverCaregiver Programs: The 50-State GuideA directory of caregiver programs in all 50 states: paid family caregiver pathways, respite, NFCSP grants, and VA benefits. Find your state's complete guide. CaregiverMedicaid Self-Direction and Consumer-Directed ServicesHow Medicaid self-direction lets a family member be your paid caregiver: employer authority, budget authority, the 1915(j) spouse rule, and how to get started. CaregiverThe National Family Caregiver Support Program (NFCSP): A Complete GuideWhat the National Family Caregiver Support Program funds, who is eligible, and how to reach respite and caregiver support through your Area Agency on Aging. CaregiverHow to Get Paid as a Family Caregiver in WyomingWyoming's HCBS waiver and VA benefits are the main routes to paid family caregiving. Confirm family-hire rules with WY Medicaid at 1-307-777-7531. CaregiverRespite Care in WyomingFree, no-income-test NFCSP respite and Community Choices Waiver attendant pay for Wyoming caregivers, plus adult day costs, VA respite, and how to start. CaregiverCaregiver Burnout: Signs, Stages, and How to Get SupportHow to recognize caregiver burnout, why it happens, and what actually helps, from respite care to evidence-based programs like REACH II and Powerful Tools. VA BenefitsVA Benefits for Seniors in WyomingVA Aid and Attendance in Wyoming for 2026: who qualifies, maximum rates up to $34,488 a year, how to apply, and free help from Wyoming service officers. MedicaidMedicaid Planning StrategiesSee which assets you keep, how the 5-year look-back works, and the legal moves that qualify you for Medicaid long-term care without losing the house.
Your next step Find personalized help navigating Wyoming caregiver programs at brevy.com.

The information on Brevy.com is for educational purposes only and is not a substitute for professional legal, financial, or medical advice. Rules vary by state and program and change frequently. Always verify with the relevant agency or a qualified professional. Brevy is not a law firm, financial advisor, or healthcare provider.

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Brevy Care Team

Expert eldercare guidance from Brevy's team of healthcare professionals and researchers.