How to Get Paid for Taking Care of Your Child in Florida
Originally published February 1, 2024. Last updated: August 10, 2026.
Caring for a medically fragile child can be both deeply rewarding and financially challenging. Fortunately, Florida offers programs that allow eligible family caregivers to receive compensation while providing the support their children need at home. In this guide, we'll walk you through the essentials—why family caregiving matters, how Medicaid can help, and the steps to become a paid caregiver.
Why Family Caregivers Matter
When you care for a medically fragile child, you're more than just a parent; you're a hands-on advocate, nurse, therapist, and companion. This constant care can mean juggling medical appointments, administering medications, and providing ongoing emotional support. Because of these demands, family caregivers often find it tough to maintain a traditional job. Recognizing this, Florida's Medicaid program compensates qualified family members for the critical work they do, through House Bill 391 and the Family Home Health Aide (FHHA) Program — you may also see this program referred to by its earlier name, AMFC.
Florida Medicaid & The AMFC Program
One key pathway to receiving compensation is through Florida Medicaid's FHHA Program, which allows trained family members or legal guardians to work as paid caregivers under approved home health agencies. Here's what that usually involves:
Eligibility: The child must be under 21 and qualify for skilled nursing under Medicaid, meaning they have complex medical needs that require regular care.
Training & Certification: Once eligibility is confirmed, family caregivers must complete a state-regulated training program, combining coursework with hands-on clinical skills, and pass any required agency background checks or screenings.
Ongoing Support: As a paid caregiver, you'll track your hours, maintain basic documentation, and stay in touch with the agency to ensure your child's needs are met.
Who Qualifies for Payment?
To receive compensation under the FHHA program, you generally must:
Be a parent, grandparent, or legal guardian and be at least 18.
Have a child who's under 21, medically fragile, and approved for skilled nursing under Medicaid.
Complete the required training through a licensed home health agency.
If your child is enrolled in another Medicaid plan (like Florida KidCare), different eligibility rules may apply. Be sure to confirm with the agency.
How to Enroll and Get Started
Verify Your Child’s Eligibility
Contact a Medicaid representative or a participating home health agency like Home Heart Florida. They'll help review your child's current medical condition, existing Medicaid coverage, and any documentation you may need.
Choose an Approved Home Health Agency
Once you confirm your child's eligibility, select an agency that offers the FHHA program. They'll assist with paperwork, coordinate with Medicaid, and provide the necessary training.
Complete Your Training
Family caregivers complete a state-regulated training program — currently 76 hours, combining classroom coursework with hands-on clinical and safety skills tailored to your child's specific plan of care, and validated by a registered nurse, per Florida's 2025 "Glitch Bill" update.
Pacing varies by family and agency — talk to your agency about the schedule that works for you.
Provide Care and Track Hours
After your training is done, you're ready to officially care for your child as a paid caregiver. Keep track of your hours and any relevant documentation as required by the agency and Medicaid.
Tips for a Smooth Process
Stay Organized: Keep medical records, training certificates, and contact information for healthcare providers in one place.
Communicate Often: Regularly check in with your agency to update them on your child's condition and any changing needs.
Ask Questions: If you're unsure about any part of the process—eligibility, billing, hours—don't hesitate to reach out.
Plan Ahead: If you anticipate hospital stays or changes in your child's treatment plan, let your agency know to maintain continuous coverage.
Conclusion: A Path to Relief and Quality Care
Getting paid to care for your medically fragile child can ease financial stress and help you focus on what matters most—your child's well-being. Through Florida's Medicaid FHHA Program, parents and guardians can receive the training, support, and compensation they deserve for providing this crucial in-home care.
If you think your family might qualify or you'd like more information on how to enroll, reach out to Home Heart Florida. We're here to guide you every step of the way and ensure your child receives the compassionate, specialized care they need—right in the comfort of home.
Need Help Getting Started?
Contact Home Heart Florida today — call or text us at 844-721-1433, or fill out our Caregiver Inquiry Form — to learn more about eligibility, training programs, and how to become a paid caregiver for your child in Florida. We're committed to making the journey smoother, so you can focus on providing the best care possible.
Clinically reviewed by Christina Viamontes, MSN, RN