What the Program Allows
Arizona's parents as paid caregivers program is part of the state's Section 1115(a) Medicaid waiver. Under this program, parents of minor children with qualifying disabilities can receive pay through AHCCCS.
The federal Centers for Medicare and Medicaid Services approved the waiver change on February 16, 2024. The program covers attendant care and related home and community services.
Beginning from and after June 30, 2025, pursuant to the parents as paid caregivers program amendment approval by the centers for medicare and medicaid services to this state's section 1115(a) demonstration waiver dated February 16, 2024, the administration and the department shall implement the forty hours of care services per week per child limit.
A.R.S. § 36-3311The statute sets a clear cap: 40 hours of care services per week per child. This limit applies to the paid care under the program.
It took effect after June 30, 2025. This gave AHCCCS and DES time to set up the systems needed to run the program.
Why This Matters for Families
Caring for a child with major medical or developmental needs is often a full-time job. It frequently keeps parents from holding other work.
This program recognizes that reality. It lets parents receive pay for the care they already provide.
The 40 hours weekly cap creates structure for both the program and the families in it. It sets the maximum paid care while keeping the broader long-term care system intact. Families who provide care beyond the cap are not penalized. The pay just does not extend past that point.
Connection to Long-Term Care Planning
Many families find that this program fits into a broader plan for their child's care. A child enrolled in ALTCS may receive services beyond what this program covers.
Social security benefits, other state programs, and private resources may all play a role. Knowing how the 40 hours cap works with other services helps caregivers plan ahead.