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 the Community Choices Waiver (CCW), its Medicaid Home and Community Based Services (HCBS) waiver.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy Under the waiver renewal CMS approved effective July 1, 2026, the waiver allows a relative, such as an adult child, or a spouse to be paid under the CCW's participant-directed option to do the caring, as long as that person is not the participant's legal guardian or Employer of Record, and a spouse has to meet two extra conditions.Wyoming Department of Health. (1915). CMS approval letter, WY.0236.R07.00 1915(c) Community Choices Waiver renewal (March 26, 2026; effective July 1, 2026), posted by Wyoming Department of Health. health.wyo.gov. Retrieved Oct 14, 2026, from https://health.wyo.gov/wp-content/uploads/2026/06/Approval-Letter-WY.0236.R07.00-3-26-2026-signed-1.pdf
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
- Which Wyoming Caregiver Programs Pay Family Caregivers?
- How to Get Respite Care in Wyoming
- Where to Get Help in Wyoming
- VA Caregiver Benefits in Wyoming
- Is Caregiver Pay Taxed in Wyoming?
- Frequently Asked Questions
- Learn More
Wyoming Caregiver Programs at a Glance
| Program | What It Offers | Pay a spouse? | Cost to You |
|---|---|---|---|
| CCW participant direction | Allows a relative, such as an adult child, or a spouse to be paid to provide in-home care | Relative: yes, if qualified and not guardian or EOR. Spouse: only if care exceeds ordinary spousal help and no financial authority | Covered by Medicaid |
| NFCSP (Aging Division) | Respite support, support groups, and help with specific needed services | Not a wage program | Ask the Aging Division |
| VA PCAFC | Monthly stipend to the Primary Family Caregiver (nontaxable, per VA's 2020 proposed rule) | Yes | Free (VA benefit) |
| VA Aid and Attendance | Monthly payments added to the veteran's VA pension | Pension to veteran | Free help filing from an accredited VSO |
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. Covered services include personal support services, homemaker, adult day services, home health aide, and respite.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
The question most Wyoming families ask first is whether they can be the paid one, and the waiver itself answers it. Wyoming Medicaid Chapter 34 lets the Employer of Record hire a participant's relative or spouse when the CMS-approved waiver agreement authorizes it, and the CCW renewal CMS approved effective July 1, 2026 (WY.0236.R07.00) does. A relative or spouse of a participant may be reimbursed for Personal Support Services, Adult Day Services, Respite, Homemaker Services, Companion Services, and Non-Medical Transportation delivered under the participant-directed option, as long as they meet the waiver's provider qualifications.Wyoming Department of Health. (1915). CMS approval letter, WY.0236.R07.00 1915(c) Community Choices Waiver renewal (March 26, 2026; effective July 1, 2026), posted by Wyoming Department of Health. health.wyo.gov. Retrieved Oct 14, 2026, from https://health.wyo.gov/wp-content/uploads/2026/06/Approval-Letter-WY.0236.R07.00-3-26-2026-signed-1.pdf
Who that covers, and who it does not:
- An adult child or other relative may be paid if qualified and not the participant's legal guardian or Employer of Record.Wyoming Department of Health. (1915). CMS approval letter, WY.0236.R07.00 1915(c) Community Choices Waiver renewal (March 26, 2026; effective July 1, 2026), posted by Wyoming Department of Health. health.wyo.gov. Retrieved Oct 14, 2026, from https://health.wyo.gov/wp-content/uploads/2026/06/Approval-Letter-WY.0236.R07.00-3-26-2026-signed-1.pdf
- A spouse can be hired only if there is no evidence the spouse is authorized to make financial decisions for the participant, and only if the participant needs care that exceeds what a spouse would ordinarily do in the household for a person of the same age without a disability or chronic illness, care that is necessary to assure their health and welfare and avoid institutionalization. The Department's training adds that a hired spouse cannot have legal authority to sign financial agreements or documents on the participant's behalf or manage the participant-directed budget, and that case managers must document these criteria before spousal hiring can be authorized.Wyoming Department of Health. (1915). CMS approval letter, WY.0236.R07.00 1915(c) Community Choices Waiver renewal (March 26, 2026; effective July 1, 2026), posted by Wyoming Department of Health. health.wyo.gov. Retrieved Oct 14, 2026, from https://health.wyo.gov/wp-content/uploads/2026/06/Approval-Letter-WY.0236.R07.00-3-26-2026-signed-1.pdf
- A relative or spouse who is the participant's legal guardian cannot be the paid worker.Wyoming Department of Health. (1915). CMS approval letter, WY.0236.R07.00 1915(c) Community Choices Waiver renewal (March 26, 2026; effective July 1, 2026), posted by Wyoming Department of Health. health.wyo.gov. Retrieved Oct 14, 2026, from https://health.wyo.gov/wp-content/uploads/2026/06/Approval-Letter-WY.0236.R07.00-3-26-2026-signed-1.pdf
The Employer of Record (EOR) is the participant, a legal guardian, or another appropriate person the participant designates, and this is the rule that costs families money when they miss it. Section 18(c) of Chapter 34 provides that the EOR "cannot delegate or assign the responsibilities of the EOR to another person or entity and cannot be reimbursed to provide CCW services to the participant." So the paid caregiver and the Employer of Record have to be two different people. If you want to be the paid one, someone else signs on as Employer of Record.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
The waiver says the circumstances in which paying a relative may be appropriate may include a lack of available non-related providers in remote areas, the participant's extraordinary care needs, or the need for specialized medical skills a relative has acquired. Services follow the plan of care and need prior authorization, a participant-directed employee cannot work more than 40 hours a week (per employer, in the Department's training), and Electronic Visit Verification (EVV) is required for all participant-directed services.Wyoming Department of Health. (1915). CMS approval letter, WY.0236.R07.00 1915(c) Community Choices Waiver renewal (March 26, 2026; effective July 1, 2026), posted by Wyoming Department of Health. health.wyo.gov. Retrieved Oct 14, 2026, from https://health.wyo.gov/wp-content/uploads/2026/06/Approval-Letter-WY.0236.R07.00-3-26-2026-signed-1.pdf
Three things the cited sources do not settle: the hourly rate the CCW pays a hired relative, whether a relative who lives with the participant faces any separate rule, and whether a relative can be paid as an employee of a CCW provider agency rather than through participant direction.Wyoming Department of Health. (1915). CMS approval letter, WY.0236.R07.00 1915(c) Community Choices Waiver renewal (March 26, 2026; effective July 1, 2026), posted by Wyoming Department of Health. health.wyo.gov. Retrieved Oct 14, 2026, from https://health.wyo.gov/wp-content/uploads/2026/06/Approval-Letter-WY.0236.R07.00-3-26-2026-signed-1.pdf Ask the HCBS Section at 1-800-510-0280 about each before you plan around it.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy For the step-by-step mechanics of getting hired, see how family caregivers get hired and paid under Wyoming's Community Choices Waiver. As a rough benchmark only, the Bureau of Labor Statistics estimates the median wage for home health and personal care aides in Wyoming at $15.96 an hour (May 2025); that is what employers pay aides, so the waiver's actual pay may differ.data.bls.gov. (2025). BLS OEWS Profiles, May 2025, 31-1120 Home Health and Personal Care Aides (national estimates). Retrieved Oct 14, 2026, from https://data.bls.gov/oesprofile/?year=2025&major_group=310000&occupation=311120&measure=01&areas=INDUSTRY,STATE,MSA
Do You Qualify for the CCW?
Being 65, or being an adult with a disability, is not the whole test. The CCW fact sheet says an individual "must meet the general criteria and the criteria for all three target population groups," so all four gates have to be met.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
- General criteria: U.S. citizenship or immigration status, and Wyoming residency.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
- Target group: aged 65 or older, or an adult 19 to 64 years old with a disability.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
- Level of care: a trained public health nurse evaluates the person with the Long-Term Care 101 (LT-101) assessment tool, and the Department must determine that they require nursing facility level of care. That determination happens before enrollment and at least once a year afterward.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
- Financial group: the person must already be eligible for Wyoming Medicaid (a Supplemental Security Income recipient, for example) or qualify for the Special HCBS Waiver Group, and the fact sheet says that in general income must be at or below 300% of the Federal Benefit Rate, with limited countable resources.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
The LT-101 visit is the gate families are least prepared for. A public health nurse assesses the person, and the Department, not the nurse and not the family, decides whether the need rises to nursing facility level of care.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
Wyoming's Three Waivers
The CCW is not Wyoming's only waiver. The HCBS Section manages three: the CCW plus the Comprehensive and Supports Waivers, often called the DD Waivers.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
- Supports Waiver: it "helps people of all ages who have an intellectual disability or ages 21-64 with an acquired brain injury."Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
- Comprehensive Waiver: it serves qualifying people of all ages who have an intellectual disability or an acquired brain injury, but "individuals must meet additional emergency criteria to receive services under this waiver."Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
If the person you care for is an older adult with an intellectual or developmental disability, ask the HCBS Section at 1-800-510-0280 which waiver they can be assessed for.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
How a Wyoming Family Starts
Call the HCBS Section about the waiver
The CCW fact sheet sends people who want more information or to apply to the Division of Healthcare Financing's HCBS Section at 1-800-510-0280. Say you want to apply for the Community Choices Waiver and use participant direction.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
Ask for the LT-101 assessment
A trained public health nurse evaluates the person, and the Department determines whether they require nursing facility level of care. That has to be settled before enrollment, and again at least once a year.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
Ask a separate desk about the money
For CCW financial eligibility, the Department of Health points families to the Long-Term Care Eligibility Unit at 1-855-203-2936.Centers for Medicare & Medicaid Services. (1915). Medicaid.gov - WY Community Choices Waiver (CCW) (0236.R07.00): 1915(c) authority, Approved, waiver dates. medicaid.gov. Retrieved Oct 13, 2026, from https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83651
Know how past transfers are treated
Under federal Medicaid rules, people who need long-term services "will be denied LTSS coverage if they have transferred assets for less than fair market value during the five-year period preceding their Medicaid application," and that reaches people who wish to receive home and community-based waiver services, not only nursing-home applicants.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
Choose participant direction, then settle who holds which role
Decide early who will be the Employer of Record, because that person cannot also be the paid caregiver.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy If a spouse will be the paid caregiver, the case manager must document the spousal criteria before the hire can be authorized.Wyoming Department of Health. (1915). CMS approval letter, WY.0236.R07.00 1915(c) Community Choices Waiver renewal (March 26, 2026; effective July 1, 2026), posted by Wyoming Department of Health. health.wyo.gov. Retrieved Oct 14, 2026, from https://health.wyo.gov/wp-content/uploads/2026/06/Approval-Letter-WY.0236.R07.00-3-26-2026-signed-1.pdf
For the full guide to who can be paid and how, see: How to Get Paid as a Family Caregiver in Wyoming.
How to Get Respite Care in Wyoming
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.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
The Division's own program page describes the help as respite support, support group connections, and help to provide specific, needed services. It does not describe a wage paid to the caregiver, and it sends questions about being a paid caregiver to (307) 777-7531 or 1-800-510-0280 instead.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
Under federal law, when the person you care for is an older adult, the program's respite and supplemental services are available only if that person can't do at least two daily activities without substantial help, or, because of a cognitive or other mental impairment, needs substantial supervision because they behave in a manner that poses a serious health or safety hazard to themselves or to another person. Information, help getting services, counseling, support groups, and caregiver training carry no such condition. Respite is one of five service categories the program funds, so ask the Aging Division what respite help is available where you live.U.S. Government Publishing Office. (2024). 42 U.S.C. §3030s-1 — Program authorized (Older Americans Act, Title III Part E; U.S. Code 2024 ed., govinfo.gov). govinfo.gov. Retrieved Oct 12, 2026, from https://www.govinfo.gov/link/uscode/42/3030s-1?link-type=html
Reach the Aging Division toll free at 1-800-442-2766, or find local services through the Eldercare Locator at 1-800-677-1116.Wyoming Department of Health. (n.d.). Aging Division - Wyoming Department of Health. health.wyo.gov. Retrieved Sep 2, 2026, from https://health.wyo.gov/aging/,eldercare.acl.gov https://eldercare.acl.gov/home · Accessed Sep 2, 2026
The CCW also covers respite for waiver participants. For the full respite guide, see: Respite Care in Wyoming.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
Where to Get Help in Wyoming
These offices are the front doors for caregiver support in Wyoming.
VA Caregiver Benefits in Wyoming
Veterans connected to VA health care in Wyoming can use VA caregiver programs that are separate from Medicaid.
VA Program of Comprehensive Assistance for Family Caregivers (PCAFC)
The PCAFC pays a monthly stipend to the Primary Family Caregiver of an eligible veteran. In the preamble to its 2020 proposed PCAFC rule, VA described the stipend as a nontaxable benefit, and a spouse can be the caregiver.U.S. Government Publishing Office. (2018). Program of Comprehensive Assistance for Family Caregivers Improvements and Amendments Under the VA MISSION Act of 2018 — Proposed Rule, 85 FR 13356 (March 6, 2020) (govinfo.gov / Federal Register). govinfo.gov. Retrieved Sep 2, 2026, from https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04464.pdf 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 five rungs using three multipliers, and which one applies turns first on whether the veteran is in the current program or is a legacy participant or legacy applicant.U.S. Government Publishing Office. (2018). Program of Comprehensive Assistance for Family Caregivers Improvements and Amendments Under the VA MISSION Act of 2018 — Proposed Rule, 85 FR 13356 (March 6, 2020) (govinfo.gov / Federal Register). govinfo.gov. Retrieved Sep 2, 2026, from https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04464.pdf
- 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.U.S. Government Publishing Office. (2018). Program of Comprehensive Assistance for Family Caregivers Improvements and Amendments Under the VA MISSION Act of 2018 — Proposed Rule, 85 FR 13356 (March 6, 2020) (govinfo.gov / Federal Register). govinfo.gov. Retrieved Sep 2, 2026, from https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04464.pdf
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.U.S. Government Publishing Office. (2018). Program of Comprehensive Assistance for Family Caregivers Improvements and Amendments Under the VA MISSION Act of 2018 — Proposed Rule, 85 FR 13356 (March 6, 2020) (govinfo.gov / Federal Register). govinfo.gov. Retrieved Sep 2, 2026, from https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04464.pdf
Veteran eligibility: VA publishes four conditions, and they are the first screen rather than the decision. The veteran must meet all four:U.S. Government Publishing Office. (2018). Program of Comprehensive Assistance for Family Caregivers Improvements and Amendments Under the VA MISSION Act of 2018 — Proposed Rule, 85 FR 13356 (March 6, 2020) (govinfo.gov / Federal Register). govinfo.gov. Retrieved Sep 2, 2026, from https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04464.pdf
- A VA disability rating, individual or combined, of 70 percent or higher.U.S. Government Publishing Office. (2018). Program of Comprehensive Assistance for Family Caregivers Improvements and Amendments Under the VA MISSION Act of 2018 — Proposed Rule, 85 FR 13356 (March 6, 2020) (govinfo.gov / Federal Register). govinfo.gov. Retrieved Sep 2, 2026, from https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04464.pdf
- Discharge from the U.S. military, or a date of medical discharge.U.S. Government Publishing Office. (2018). Program of Comprehensive Assistance for Family Caregivers Improvements and Amendments Under the VA MISSION Act of 2018 — Proposed Rule, 85 FR 13356 (March 6, 2020) (govinfo.gov / Federal Register). govinfo.gov. Retrieved Sep 2, 2026, from https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04464.pdf
- A need for at least six months of continuous, in-person personal care services.U.S. Government Publishing Office. (2018). Program of Comprehensive Assistance for Family Caregivers Improvements and Amendments Under the VA MISSION Act of 2018 — Proposed Rule, 85 FR 13356 (March 6, 2020) (govinfo.gov / Federal Register). govinfo.gov. Retrieved Sep 2, 2026, from https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04464.pdf
- Enrollment in VA health care.U.S. Government Publishing Office. (2018). Program of Comprehensive Assistance for Family Caregivers Improvements and Amendments Under the VA MISSION Act of 2018 — Proposed Rule, 85 FR 13356 (March 6, 2020) (govinfo.gov / Federal Register). govinfo.gov. Retrieved Sep 2, 2026, from https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04464.pdf
Meeting those four is necessary, not sufficient. The binding test is 38 CFR 71.20(a), which states seven requirements and requires every one of them. VA assesses the other four during the application process:U.S. Government Publishing Office. (2018). Program of Comprehensive Assistance for Family Caregivers Improvements and Amendments Under the VA MISSION Act of 2018 — Proposed Rule, 85 FR 13356 (March 6, 2020) (govinfo.gov / Federal Register). govinfo.gov. Retrieved Sep 2, 2026, from https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04464.pdf
- Participating in the program is in the veteran's best interest.U.S. Government Publishing Office. (2018). Program of Comprehensive Assistance for Family Caregivers Improvements and Amendments Under the VA MISSION Act of 2018 — Proposed Rule, 85 FR 13356 (March 6, 2020) (govinfo.gov / Federal Register). govinfo.gov. Retrieved Sep 2, 2026, from https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04464.pdf
- The personal care services the family caregiver would provide are not simultaneously and regularly provided by or through another individual or entity.U.S. Government Publishing Office. (2018). Program of Comprehensive Assistance for Family Caregivers Improvements and Amendments Under the VA MISSION Act of 2018 — Proposed Rule, 85 FR 13356 (March 6, 2020) (govinfo.gov / Federal Register). govinfo.gov. Retrieved Sep 2, 2026, from https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04464.pdf
- The veteran receives care at home, or will do so if VA designates a family caregiver.U.S. Government Publishing Office. (2018). Program of Comprehensive Assistance for Family Caregivers Improvements and Amendments Under the VA MISSION Act of 2018 — Proposed Rule, 85 FR 13356 (March 6, 2020) (govinfo.gov / Federal Register). govinfo.gov. Retrieved Sep 2, 2026, from https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04464.pdf
- The veteran receives ongoing care from a primary care team, or will do so if VA designates a family caregiver.U.S. Government Publishing Office. (2018). Program of Comprehensive Assistance for Family Caregivers Improvements and Amendments Under the VA MISSION Act of 2018 — Proposed Rule, 85 FR 13356 (March 6, 2020) (govinfo.gov / Federal Register). govinfo.gov. Retrieved Sep 2, 2026, from https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04464.pdf
A household already receiving regular personal care through another program or entity can fail PCAFC on that ground alone.U.S. Government Publishing Office. (2018). Program of Comprehensive Assistance for Family Caregivers Improvements and Amendments Under the VA MISSION Act of 2018 — Proposed Rule, 85 FR 13356 (March 6, 2020) (govinfo.gov / Federal Register). govinfo.gov. Retrieved Sep 2, 2026, from https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04464.pdf
VA Aid and Attendance Pension
Aid and Attendance increases a monthly VA pension: veterans and survivors may be eligible if they get a VA pension and meet at least one of VA's added requirements, such as needing another person's help with daily activities like bathing, feeding, and dressing.U.S. Government Publishing Office. (2018). Program of Comprehensive Assistance for Family Caregivers Improvements and Amendments Under the VA MISSION Act of 2018 — Proposed Rule, 85 FR 13356 (March 6, 2020) (govinfo.gov / Federal Register). govinfo.gov. Retrieved Sep 2, 2026, from https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04464.pdf VA's Veterans Pension itself is for wartime veterans who also meet age-or-disability, income and net-worth limits ($163,699 net worth).U.S. Department of Veterans Affairs. (n.d.). Eligibility For Veterans Pension. va.gov. Retrieved Jul 31, 2026, from https://www.va.gov/pension/eligibility/ In 2026, a single veteran with Aid and Attendance can receive 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.U.S. Department of Veterans Affairs. (n.d.). Current Pension Rates For Veterans. va.gov. Retrieved Sep 3, 2026, from https://www.va.gov/pension/veterans-pension-rates/
The Wyoming Veterans Commission's Veteran Service Officers help Wyoming veterans with pension claims, and VA says an accredited VSO's help on a VA benefit claim is always free. The Commission's Wyoming Veterans Hotline is 1-800-833-5987.U.S. Department of Veterans Affairs. (n.d.). VA Sheridan Health Care - Wyoming Veteran service officers. va.gov. Retrieved Sep 3, 2026, from https://www.va.gov/sheridan-health-care/programs/wyoming-veteran-service-officers/ You can also call the VA Caregiver Support Line at 1-855-260-3274.U.S. Department of Veterans Affairs. (n.d.). VA's National Caregiver Support Line (CSL) - VA Caregiver Support Program. caregiver.va.gov. Retrieved Aug 1, 2026, from https://www.caregiver.va.gov/help_landing.asp
Is Caregiver Pay Taxed in Wyoming?
IRS Notice 2014-7
If the person you care for lives in your home and you are paid through a Medicaid Section 1915(c) waiver program, your pay may be excluded from federal gross income under IRS Notice 2014-7. The exclusion does not apply if you have a separate home where you live.Internal Revenue Service. (n.d.). Certain Medicaid waiver payments may be excludable from income. irs.gov. Retrieved Aug 1, 2026, from https://www.irs.gov/individuals/certain-medicaid-waiver-payments-may-be-excludable-from-income The CCW is a Section 1915(c) waiver, so a CCW-paid family caregiver who shares the participant's home should ask about it. Talk to a tax preparer familiar with the rule before filing.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
Wyoming State Income Tax
The State of Wyoming says it does not have an individual income tax, so state income tax is not a factor for caregiver wages earned in Wyoming. Federal income tax still applies.wyo.gov. (n.d.). State of Wyoming — About Wyoming (Wyoming's Economy: no individual or corporate income tax). Retrieved Sep 4, 2026, from https://www.wyo.gov/about-wyoming
VA PCAFC Stipend
In the preamble to its March 2020 proposed PCAFC rule, VA described the monthly personal caregiver stipend as a nontaxable benefit.U.S. Government Publishing Office. (2018). Program of Comprehensive Assistance for Family Caregivers Improvements and Amendments Under the VA MISSION Act of 2018 — Proposed Rule, 85 FR 13356 (March 6, 2020) (govinfo.gov / Federal Register). govinfo.gov. Retrieved Sep 2, 2026, from https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04464.pdf
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 parent in Wyoming?
Yes, through the Community Choices Waiver's participant-directed option, if your parent qualifies for the waiver. Under the renewal effective July 1, 2026, a relative such as an adult child may be paid for services including personal support, homemaker, respite and companion services, as long as you meet the waiver's provider qualifications and are not your parent's legal guardian or Employer of Record. A participant-directed employee cannot work more than 40 hours a week.Wyoming Department of Health. (1915). CMS approval letter, WY.0236.R07.00 1915(c) Community Choices Waiver renewal (March 26, 2026; effective July 1, 2026), posted by Wyoming Department of Health. health.wyo.gov. Retrieved Oct 14, 2026, from https://health.wyo.gov/wp-content/uploads/2026/06/Approval-Letter-WY.0236.R07.00-3-26-2026-signed-1.pdf Ask the HCBS Section at 1-800-510-0280 how to set it up.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy
Can I get paid to care for my spouse in Wyoming?
Yes, under conditions. The CCW renewal effective July 1, 2026 lets a spouse be paid under participant direction only if there is no evidence the spouse is authorized to make financial decisions for the participant, and only if the participant needs care beyond what a spouse would ordinarily do in the household for a person of the same age without a disability or chronic illness, care necessary to assure their health and welfare and avoid institutionalization. A hired spouse cannot serve as the Participant-Direction Employer, cannot have legal authority to sign financial agreements or documents for the participant, and cannot manage the participant-directed budget, and case managers must document these criteria before the hire is authorized.Wyoming Department of Health. (1915). CMS approval letter, WY.0236.R07.00 1915(c) Community Choices Waiver renewal (March 26, 2026; effective July 1, 2026), posted by Wyoming Department of Health. health.wyo.gov. Retrieved Oct 14, 2026, from https://health.wyo.gov/wp-content/uploads/2026/06/Approval-Letter-WY.0236.R07.00-3-26-2026-signed-1.pdf When you call the HCBS Section at 1-800-510-0280, ask whether your situation meets those criteria.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy If your loved one is a veteran, the VA PCAFC program can also pay a spouse.U.S. Government Publishing Office. (2018). Program of Comprehensive Assistance for Family Caregivers Improvements and Amendments Under the VA MISSION Act of 2018 — Proposed Rule, 85 FR 13356 (March 6, 2020) (govinfo.gov / Federal Register). govinfo.gov. Retrieved Sep 2, 2026, from https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04464.pdf
Is there respite in Wyoming without Medicaid?
Yes. The National Family Caregiver Support Program, an Older Americans Act program, offers respite support through the Wyoming Aging Division in every county except Albany, Niobrara, Park, Platte, Sublette, Washakie and Weston.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy When the person you care for is an older adult, federal law makes respite available only if they need substantial help with at least two daily activities, or, because of a cognitive or other mental impairment, need substantial supervision because they behave in a manner that poses a serious health or safety hazard to themselves or to another person.U.S. Government Publishing Office. (2024). 42 U.S.C. §3030s-1 — Program authorized (Older Americans Act, Title III Part E; U.S. Code 2024 ed., govinfo.gov). govinfo.gov. Retrieved Oct 12, 2026, from https://www.govinfo.gov/link/uscode/42/3030s-1?link-type=html Reach the Aging Division toll free at 1-800-442-2766.Wyoming Department of Health. (n.d.). Aging Division - Wyoming Department of Health. health.wyo.gov. Retrieved Sep 2, 2026, from https://health.wyo.gov/aging/
What if I don't qualify for Medicaid and there is no veteran in my family?
You still have options. NFCSP is an Older Americans Act program, and ACL defines who can use it by who you care for, such as an adult family member or other informal caregiver of someone 60 or older, not by Medicaid enrollment.U.S. Government Publishing Office. (2024). 42 U.S.C. §3030s-1 — Program authorized (Older Americans Act, Title III Part E; U.S. Code 2024 ed., govinfo.gov). govinfo.gov. Retrieved Oct 12, 2026, from https://www.govinfo.gov/link/uscode/42/3030s-1?link-type=html 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,Wyoming Department of Health. (n.d.). Aging Division - Wyoming Department of Health. health.wyo.gov. Retrieved Sep 2, 2026, from https://health.wyo.gov/aging/,eldercare.acl.gov https://eldercare.acl.gov/home · Accessed Sep 2, 2026 and see How to Get Paid as a Family Caregiver in Wyoming for other pathways.
Which VA programs pay family caregivers in Wyoming?
The PCAFC stipend (for veterans meeting all of VA's PCAFC conditions, not the rating alone; VA called it nontaxable in its 2020 proposed rule; can pay a spouse) and the Aid and Attendance pension (a possible pension increase for veterans and survivors on a VA pension, based for a veteran on wartime service, who meet a VA need test). Call the VA Caregiver Support Line at 1-855-260-3274.U.S. Government Publishing Office. (2018). Program of Comprehensive Assistance for Family Caregivers Improvements and Amendments Under the VA MISSION Act of 2018 — Proposed Rule, 85 FR 13356 (March 6, 2020) (govinfo.gov / Federal Register). govinfo.gov. Retrieved Sep 2, 2026, from https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04464.pdf,U.S. Department of Veterans Affairs. (n.d.). Current Pension Rates For Veterans. va.gov. Retrieved Sep 3, 2026, from https://www.va.gov/pension/veterans-pension-rates/,U.S. Department of Veterans Affairs. (n.d.). Eligibility For Veterans Pension. va.gov. Retrieved Jul 31, 2026, from https://www.va.gov/pension/eligibility/,U.S. Department of Veterans Affairs. (n.d.). VA's National Caregiver Support Line (CSL) - VA Caregiver Support Program. caregiver.va.gov. Retrieved Aug 1, 2026, from https://www.caregiver.va.gov/help_landing.asp
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 and delivers services through grants to local providers.Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy Call the Division toll free at 1-800-442-2766, or use the Eldercare Locator at 1-800-677-1116.Wyoming Department of Health. (n.d.). Aging Division - Wyoming Department of Health. health.wyo.gov. Retrieved Sep 2, 2026, from https://health.wyo.gov/aging/,eldercare.acl.gov https://eldercare.acl.gov/home · Accessed Sep 2, 2026 The Medicaid waiver is a different office: the HCBS Section at 1-800-510-0280 for the Community Choices Waiver and participant direction,Centers for Medicare & Medicaid Services. (n.d.). Eligibility Policy - Medicaid.gov. medicaid.gov. Retrieved Sep 2, 2026, from https://www.medicaid.gov/medicaid/eligibility-policy and the Long-Term Care Eligibility Unit at 1-855-203-2936 for financial eligibility.Centers for Medicare & Medicaid Services. (1915). Medicaid.gov - WY Community Choices Waiver (CCW) (0236.R07.00): 1915(c) authority, Approved, waiver dates. medicaid.gov. Retrieved Oct 13, 2026, from https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83651
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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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