Who can be a paid family caregiver in Virginia?

Can my adult child be my paid caregiver?

An adult child may be considered for an authorized personal care role if the applicable requirements are met. The agency must review both the member’s care arrangement and the person applying to provide care. Being related does not remove employment or training requirements.

Can my sister, brother, or grandchild provide care?

Siblings and grandchildren may also be considered under applicable rules. Tell us exactly how the people are related and whether they share a home. A relative who is willing to help still needs the ability, training, and availability to perform the approved tasks.

For a grandchild helping a grandparent, discuss whether the proposed schedule fits school, another job, or other responsibilities. The review concerns the real care arrangement, not simply adding a relative’s name to paperwork.

What is different for a spouse or parent of a minor?

Spouses and parents or legal guardians of minors are legally responsible individuals. Current DMAS guidance describes a separate extraordinary-care pathway with additional limitations. Do not apply an adult-child example to these relationships.

The DMAS guidance also states that respite is not available when a paid legally responsible individual provides personal care or assistance. These arrangements require careful review of current rules and the individual plan.

What if we live in the same home?

Shared residence adds questions about the arrangement and documentation. Living together does not mean every hour at home can be billed, and it does not remove the need for an approved service and visit records. Read our live-in caregiver guide for the questions to ask.

How A to Z can help

We review the relationship, the person’s care needs and authorization, and the proposed aide’s readiness. Our family caregiver page explains agency-directed onboarding. Start with the qualification guide if you are unsure about the member’s approval.