Adult Disability Care in Bethesda, MD: In-Home Support

Local figures

Disability Care for Adults in Bethesda, MD: the local picture

5.2%

of residents aged 18 to 64 have a disability (7.0% in Montgomery County)

524

residents aged 18 to 64 have difficulty doing errands alone

9.6%

of households have no vehicle (8.5% in Montgomery County)

15

Medicare-certified home health agencies list Bethesda ZIP codes in their service area

About 2,047 Bethesda residents aged 18 to 64 report a disability (5.2%; 7.0% in Montgomery County).

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

9.6% of Bethesda households have no vehicle (8.5% in Montgomery County); say in your posting if you need a caregiver who drives.

Bethesda compared with Montgomery County and Maryland

Census figure	Bethesda	Montgomery County	Maryland
Residents 18 to 64 with a disability	5.2%	7.0%	9.5%
Residents 18 to 64 with difficulty doing errands alone	1.3%	2.1%	3.2%
Households with no vehicle	9.6%	8.5%	8.8%
Residents 5+ who speak a language other than English at home	30%	43%	21%
Residents 65+ with a disability	22%	26%	30%
Residents 65+ below the poverty line (approx.)	4.7%	7.4%	9.5%
Median income, households headed by someone 65+	$173,565	$109,242	—

Older residents in towns around Bethesda

Town	Distance	Residents 65+	Disability (18 to 64)
Friendship Heights Village, MD	2.3 mi	1,292	6.1%
Chevy Chase, MD	2.4 mi	2,265	2.8%
Brookmont, MD	2.4 mi	649	1.3%
North Bethesda, MD	3.4 mi	8,632	5.1%
South Kensington, MD	3.4 mi	1,612	4.9%
North Kensington, MD	4.4 mi	1,825	11%

Home health agencies serving Bethesda

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Americare In Home Nursing	Fort Washington, MD	17 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 296-9002
Centerwell Home Health	Columbia, MD	22 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(410) 997-5257
Holy Cross Home Care And Hospice	Silver Spring, MD	6.4 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(301) 754-4663
Adventist Home Health Services, Inc.	Silver Spring, MD	8.5 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(301) 592-4400
Amedisys Home Health Care	Largo, MD	18 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(301) 322-6023

Straight-line miles from the center of Bethesda. 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 Bethesda

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 11% of the $14,464 monthly median income of Bethesda 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 Bethesda: common questions

How much does disability care for adults cost in Bethesda?

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 11% of the $14,464 monthly median income of Bethesda 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 Bethesda

More senior care near Bethesda

Disability Care for Adults in nearby cities

Other care in Bethesda

More for Bethesda 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.

In-Home Support for Adults With Disabilities in Bethesda, MD