Adult Disability Care in Lewistown, MT: In-Home Support

Local figures

Disability Care for Adults in Lewistown, MT: the local picture

18%

of residents aged 18 to 64 have a disability (12% in Fergus County)

179

residents aged 18 to 64 have difficulty doing errands alone

15%

of households have no vehicle (9.4% in Fergus County)

1

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

About 557 Lewistown residents aged 18 to 64 report a disability (18%; 12% in Fergus County).

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

15% of Lewistown households have no vehicle (9.4% in Fergus County); say in your posting if you need a caregiver who drives.

Lewistown compared with Fergus County and Montana

Census figure	Lewistown	Fergus County	Montana
Residents 18 to 64 with a disability	18%	12%	12%
Residents 18 to 64 with difficulty doing errands alone	5.7%	3.8%	4.1%
Households with no vehicle	15%	9.4%	4.7%
Residents 5+ who speak a language other than English at home	4.3%	4.5%	4.2%
Residents 65+ with a disability	29%	27%	32%
Residents 65+ below the poverty line (approx.)	13%	11%	9.9%
Median income, households headed by someone 65+	$38,652	$48,348	—

Home health agencies serving Lewistown

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Central Montana Mc Home Health	Lewistown, MT	1.5 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(406) 538-6302

Straight-line miles from the center of Lewistown. 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 Lewistown

At the Montana median aide wage of $17.61 an hour, 20 hours of help a week comes to about $1,526 a month in wages, which is 47% of the $3,221 monthly median income of Lewistown households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Montana's minimum wage is $10.85 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 Lewistown: common questions

How much does disability care for adults cost in Lewistown?

At the Montana median aide wage of $17.61 an hour, 20 hours of help a week comes to about $1,526 a month in wages, which is 47% of the $3,221 monthly median income of Lewistown households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Montana's minimum wage is $10.85 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 Montana.

More near Lewistown

More senior care near Lewistown

Other care in Lewistown

More for Lewistown 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 Lewistown, MT