Can I get paid to care for my spouse at home if he cannot be left alone? He is blind and finds it difficult to get around, so I had to be home.

CWillie offers good advice. Our state has a Commission to address blindness. I haven't checked it out but I believe there are some suggestions on adapting, such as to changing and low vision, movement of furniture and placement within the house to avoid obstacles, etc.

There may also be some transportation issues, such as adapting to special paratransit vehicles.

Those termed "blind" are not often completely without any sight, although I assume his vision loss is pretty severe. You haven't shared how old he is or if he has any other disabilities that are making it difficult for him to cope alone so perhaps my advice is not going to be helpful, but you should look at getting him training in how to cope with his vision loss. My mom was legally blind after a massive bleed left her with 90% vision loss in one eye and advanced macular degeneration in the other, but she lived on her own for 15 years and managed so well people often forgot she couldn't see.

A few states pay family caregivers (a small amount) of indigent patients. Check with your state's Medicaid program.