This Adult Child Caregiver Exemption allows an adult child who cares for their parent in their home the option of receiving their house in exchange for payment. There are two advantages to this agreement. The first is that the value of the house will not affect their Medicaid status. The second is that the adult child will be allowed to be compensated for their care. You may be able to use this exemption after you have been caring for the parent for at least two years. Since navigating Medicaid and estate laws can be complicated, it is recommended that you work with an attorney who specializes in elder care and medicaid. As with most elder care situations, you'll benefit from keeping detailed records about the care you provide for your parent.