Adult Disability Care in Columbia, MO: In-Home Support

Local figures

Disability Care for Adults in Columbia, MO: the local picture

11%

of residents aged 18 to 64 have a disability (11% in Boone County)

3,184

residents aged 18 to 64 have difficulty doing errands alone

7.1%

of households have no vehicle (5.9% in Boone County)

9

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

About 9,842 Columbia residents aged 18 to 64 report a disability (11%; 11% in Boone County).

3,184 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

7.1% of Columbia households have no vehicle (5.9% in Boone County); say in your posting if you need a caregiver who drives.

Columbia compared with Boone County and Missouri

Census figure	Columbia	Boone County	Missouri
Residents 18 to 64 with a disability	11%	11%	13%
Residents 18 to 64 with difficulty doing errands alone	3.6%	3.5%	4.7%
Households with no vehicle	7.1%	5.9%	6.6%
Residents 5+ who speak a language other than English at home	11%	9.1%	6.7%
Residents 65+ with a disability	30%	29%	34%
Residents 65+ below the poverty line (approx.)	11%	8.6%	10%
Median income, households headed by someone 65+	$60,506	$64,058	—

Older residents in towns around Columbia

Town	Distance	Residents 65+	Disability (18 to 64)
Ashland, MO	10 mi	733	12%
Centralia, MO	21 mi	986	15%
Fulton, MO	21 mi	1,891	18%
Boonville, MO	23 mi	1,531	15%
Holts Summit, MO	24 mi	758	7.0%
Fayette, MO	24 mi	352	9.6%

Home health agencies serving Columbia

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Columbia, MO	2.2 mi	5 of 5	nursing, physical therapy, occupational therapy	(573) 256-4705
Elara Caring	Jefferson City, MO	26 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	26 mi	4 of 5	nursing, physical therapy, occupational therapy, home health aides	(573) 681-3777
Phoenix Home Care	Jefferson City, MO	29 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(573) 635-3900
Hometown Homecare	Fayette, MO	22 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(660) 248-2100

Straight-line miles from the center of Columbia. 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 Columbia

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 27% of the $5,042 monthly median income of Columbia 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.

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 Columbia: common questions

How much does disability care for adults cost in Columbia?

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 27% of the $5,042 monthly median income of Columbia 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 near Columbia

More senior care near Columbia

Disability Care for Adults in nearby cities

Other care in Columbia

More for Columbia 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 Columbia, MO