Can a caregiver be paid in a non-Medicaid situation?

Medicare only pays for Medical care provided by licensed professionals--such as MD's, RN's, PT/OT/ST, etc. It never ever pays for caregivers to do things like housekeeping or take someone to the store. Medicaid in SOME states will provide caregivers and sometimes even reimburse family members, but Medicare never provides anything but licensed medical care. In fact the in-home Medicare PT provider for example, will be extremely careful not to do anything even remotely non-medical like take out the trash or make a sandwich. They are only there to provide professional services.