Adult Disability Care in Boston, MA: In-Home Support

Local figures

Disability Care for Adults in Boston, MA: the local picture

9.4%

of residents aged 18 to 64 have a disability

13,839

residents aged 18 to 64 have difficulty doing errands alone

33%

of households have no vehicle

85

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

About 44,851 Boston residents aged 18 to 64 report a disability (9.4%).

13,839 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

33% of Boston households have no vehicle; say in your posting if you need a caregiver who drives.

Boston compared with Massachusetts

Census figure	Boston	Massachusetts
Residents 18 to 64 with a disability	9.4%	9.7%
Residents 18 to 64 with difficulty doing errands alone	2.9%	3.7%
Households with no vehicle	33%	12%
Residents 5+ who speak a language other than English at home	36%	25%
Residents 65+ with a disability	37%	30%
Residents 65+ below the poverty line (approx.)	21%	11%
Median income, households headed by someone 65+	$51,082	—

Older residents in towns around Boston

Town	Distance	Residents 65+	Disability (18 to 64)
Winthrop Town, MA	3.5 mi	3,631	8.6%
Chelsea, MA	4.1 mi	4,188	11%
Everett, MA	5.0 mi	5,660	8.1%
Quincy, MA	5.4 mi	18,123	8.0%
Somerville, MA	5.5 mi	8,108	6.0%
Cambridge, MA	5.7 mi	14,440	5.8%

Home health agencies serving Boston

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	Braintree, MA	9.0 mi	5 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(617) 969-7517
Central Home Health Care, Inc	Needham, MA	11 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(617) 559-0200
Patient Care Solutions, LLC	Danvers, MA	16 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(781) 595-0311
Caring Hearts Homecare Inc	Wilmington, MA	17 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(978) 658-5104
Legacy Lifecare Visiting Nurse Agency	Chelsea, MA	4.1 mi	4.5 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(617) 887-0826

Straight-line miles from the center of Boston. 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 Boston

At the Massachusetts median aide wage of $19.67 an hour, 20 hours of help a week comes to about $1,705 a month in wages, which is 40% of the $4,257 monthly median income of Boston households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Massachusetts'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 Boston: common questions

How much does disability care for adults cost in Boston?

At the Massachusetts median aide wage of $19.67 an hour, 20 hours of help a week comes to about $1,705 a month in wages, which is 40% of the $4,257 monthly median income of Boston households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Massachusetts'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 Massachusetts.

More near Boston

More senior care near Boston

Disability Care for Adults in nearby cities

Other care in Boston

More for Boston 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 Boston, MA