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I suggest that you contact social services for your county and ask for a needs assessment. (You may need to wait awhile for an appointment.) When the assessment worker comes out to your house he or she will be able to tell what services may be available, and if you can get paid for providing them.
I don't think it is very common for a spouse to get paid. But I do have a cousin whose wife was disabled in a car accident. She was in her 30s at the time. They lived in a rural community and my cousin was commuting some distance for a fairly low-paying job. He continued that for a while and the county supplied quite a bit of in-home care for the wife. Finally all parties concerned figured out that it would be better all the way around if Cousin stayed home and was paid instead of a caregiver. His is the only case I know of, but I guess that demonstrates that it is at least possible in some locations.
Check it out with your Social Services office!