Ashton-Sandy Spring, Maryland

In-Home Support for Adults With Disabilities in Ashton-Sandy Spring, MD

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 Ashton-Sandy Spring for free and hire a caregiver directly, with no agency mark-up.

A caregiver helping an older man with a meal at a kitchen table
Local figures

Disability Care for Adults in Ashton-Sandy Spring, MD: the local picture

3.7%
of residents aged 18 to 64 have a disability (7.0% in Montgomery County)
85
residents aged 18 to 64 have difficulty doing errands alone
1.4%
of households have no vehicle (8.5% in Montgomery County)
13
Medicare-certified home health agencies list Ashton-Sandy Spring ZIP codes in their service area

About 101 Ashton-Sandy Spring residents aged 18 to 64 report a disability (3.7%; 7.0% in Montgomery County).

85 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

1.4% of Ashton-Sandy Spring households have no vehicle (8.5% in Montgomery County); say in your posting if you need a caregiver who drives.

Ashton-Sandy Spring compared with Montgomery County and Maryland

Census figureAshton-Sandy SpringMontgomery CountyMaryland
Residents 18 to 64 with a disability3.7%7.0%9.5%
Residents 18 to 64 with difficulty doing errands alone3.1%2.1%3.2%
Households with no vehicle1.4%8.5%8.8%
Residents 5+ who speak a language other than English at home17%43%21%
Residents 65+ with a disability14%26%30%
Residents 65+ below the poverty line (approx.)2.2%7.4%9.5%
Median income, households headed by someone 65+$128,404$109,242—

Older residents in towns around Ashton-Sandy Spring

TownDistanceResidents 65+Disability (18 to 64)
Cloverly, MD3.1 mi3,3928.3%
Burtonsville, MD3.9 mi1,7536.1%
Olney, MD3.9 mi5,9156.6%
Layhill, MD4.6 mi1,0447.5%
Fulton, MD4.7 mi4418.9%
Leisure World, MD4.8 mi6,8746.5%

Home health agencies serving Ashton-Sandy Spring

AgencyOfficeDistanceCMS quality starsServices listedPhone
Centerwell Home HealthColumbia, MD9.8 mi5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(410) 997-5257
Americare In Home NursingFort Washington, MD27 mi5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(800) 296-9002
Adventist Home Health Services, Inc.Silver Spring, MD5.7 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(301) 592-4400
Holy Cross Home Care And HospiceSilver Spring, MD9.0 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(301) 754-4663
Amedisys Home Health CareLargo, MD22 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(301) 322-6023

Straight-line miles from the center of Ashton-Sandy Spring. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

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
Cost

What disability care for adults costs in Ashton-Sandy Spring

At the Maryland median aide wage of $18.29 an hour, 20 hours of help a week comes to about $1,585 a month in wages, which is 15% of the $10,700 monthly median income of Ashton-Sandy Spring households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Maryland'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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

Before you hire

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.

Questions

Disability Care for Adults in Ashton-Sandy Spring: common questions

How much does disability care for adults cost in Ashton-Sandy Spring?

At the Maryland median aide wage of $18.29 an hour, 20 hours of help a week comes to about $1,585 a month in wages, which is 15% of the $10,700 monthly median income of Ashton-Sandy Spring households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Maryland'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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states covers Maryland.

More near Ashton-Sandy Spring

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Disability Care for Adults in nearby cities

Other care in Ashton-Sandy Spring

More for Ashton-Sandy Spring families

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.

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