In-Home Support for Adults With Disabilities in Ashland, MO
Support at home for adults under 65 with a physical, intellectual or developmental disability, so they can live as independently as they choose. Post what you need in Ashland for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Ashland, MO: the local picture
About 355 Ashland residents aged 18 to 64 report a disability (12%; 11% in Boone County).
56 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
4.6% of Ashland households have no vehicle (5.9% in Boone County); say in your posting if you need a caregiver who drives.
Ashland compared with Boone County and Missouri
| Census figure | Ashland | Boone County | Missouri |
|---|---|---|---|
| Residents 18 to 64 with a disability | 12% | 11% | 13% |
| Residents 18 to 64 with difficulty doing errands alone | 1.8% | 3.5% | 4.7% |
| Households with no vehicle | 4.6% | 5.9% | 6.6% |
| Residents 5+ who speak a language other than English at home | 3.2% | 9.1% | 6.7% |
| Residents 65+ with a disability | 37% | 29% | 34% |
| Residents 65+ below the poverty line (approx.) | 1.6% | 8.6% | 10% |
| Median income, households headed by someone 65+ | $72,179 | $64,058 | — |
Older residents in towns around Ashland
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Columbia, MO | 10 mi | 14,883 | 11% |
| Holts Summit, MO | 13 mi | 758 | 7.0% |
| Fulton, MO | 16 mi | 1,891 | 18% |
| Jefferson City, MO | 17 mi | 7,426 | 12% |
| California, MO | 22 mi | 862 | 12% |
| Centralia, MO | 28 mi | 986 | 15% |
Home health agencies serving Ashland
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Columbia, MO | 11 mi | 5 of 5 | nursing, physical therapy, occupational therapy | (573) 256-4705 |
| Elara Caring | Jefferson City, MO | 16 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 690-1753 |
| Central Missouri Home Health | Jefferson City, MO | 16 mi | 4 of 5 | nursing, physical therapy, occupational therapy, home health aides | (573) 681-3777 |
| Phoenix Home Care | Jefferson City, MO | 19 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (573) 635-3900 |
| Capital Region Home Health | Jefferson City, MO | 16 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (573) 632-5750 |
Straight-line miles from the center of Ashland. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a disability support caregiver can help with
- Personal care, on the person’s terms
- Cooking, shopping and housekeeping
- Getting to work, school, appointments and activities
- Keeping routines the person sets
What disability care for adults costs in Ashland
At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 23% of the $6,015 monthly median income of Ashland households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).
Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Consumer Directed Services in Missouri: how a relative becomes a paid caregiver.
What to know before hiring a disability support caregiver
Many state Medicaid programs let adults with disabilities direct their own care: they, or a representative, hire and supervise the caregiver.
Questions worth asking: Have you supported adults with a disability like mine (or my family member’s)? How do you support someone to do things themselves? Can you drive to work, school or day programs? More in our disability care for adults guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Disability Care for Adults in Ashland: common questions
How much does disability care for adults cost in Ashland?
At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 23% of the $6,015 monthly median income of Ashland households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).
Can an adult with a disability hire their own caregiver?
Yes. Many state Medicaid programs offer self-direction, where the person or a representative hires and supervises the caregiver. Our guide Consumer Directed Services in Missouri: how a relative becomes a paid caregiver covers Missouri.
More senior care near Ashland
Disability Care for Adults in nearby cities
- Disability Care for Adults in Columbia, MO
- Disability Care for Adults in Holts Summit, MO
- Disability Care for Adults in Fulton, MO
- Disability Care for Adults in Jefferson City, MO
- Disability Care for Adults in California, MO
- Disability Care for Adults in Centralia, MO
- Disability Care for Adults in Boonville, MO
- Disability Care for Adults in Tipton, MO
- Disability Care for Adults in Mexico, MO
- Disability Care for Adults in Fayette, MO
- Disability Care for Adults in Eldon, MO
- Disability Care for Adults in Montgomery City, MO
- Disability Care for Adults in Versailles, MO
- Disability Care for Adults in Moberly, MO
- Disability Care for Adults in Owensville, MO
- Disability Care for Adults in Osage Beach, MO
Other care in Ashland
- Companion Care in Ashland
- Dementia Care in Ashland
- Respite Care in Ashland
- Live-In Caregivers in Ashland
- Post-Surgery Care in Ashland
- Senior Transportation in Ashland
- Home Health Aides in Ashland
- Nursing Assistants in Ashland
- Personal Care in Ashland
- Overnight Caregivers in Ashland
- 24-Hour Home Care in Ashland
- Mobility Assistance in Ashland
- Parkinson’s Care in Ashland
- Stroke Recovery Support in Ashland
- Hospice Support in Ashland
- Senior Meal Preparation in Ashland
- Senior Housekeeping in Ashland
- Medication Reminders in Ashland
- Veterans’ Home Care in Ashland
Sources
Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.
Find disability care for adults in Ashland
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