In-Home Support for Adults With Disabilities in Louisiana, MO
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 Louisiana for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Louisiana, MO: the local picture
About 366 Louisiana residents aged 18 to 64 report a disability (21%; 17% in Pike County).
205 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
11% of Louisiana households have no vehicle (7.4% in Pike County); say in your posting if you need a caregiver who drives.
Louisiana compared with Pike County and Missouri
| Census figure | Louisiana | Pike County | Missouri |
|---|---|---|---|
| Residents 18 to 64 with a disability | 21% | 17% | 13% |
| Residents 18 to 64 with difficulty doing errands alone | 12% | 7.5% | 4.7% |
| Households with no vehicle | 11% | 7.4% | 6.6% |
| Residents 5+ who speak a language other than English at home | 1.0% | 4.1% | 6.7% |
| Residents 65+ with a disability | 41% | 34% | 34% |
| Residents 65+ below the poverty line (approx.) | 10% | 14% | 10% |
| Median income, households headed by someone 65+ | $36,694 | $41,649 | — |
Older residents in towns around Louisiana
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Bowling Green, MO | 10 mi | 636 | 29% |
| Pittsfield, IL | 17 mi | 1,079 | 12% |
| Vandalia, MO | 25 mi | 467 | 14% |
| Hannibal, MO | 26 mi | 3,298 | 19% |
| Troy, MO | 33 mi | 2,050 | 12% |
| Palmyra, MO | 35 mi | 701 | 13% |
Home health agencies serving Louisiana
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Elara Caring | Bridgeton, MO | 59 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 381-5931 |
| Hannibal Regional Hospital Home Health Agency | Hannibal, MO | 25 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (573) 221-6515 |
| Pike County Health Dept/Home Health & Hospice | Bowling Green, MO | 10 mi | 2 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (573) 324-2111 |
Straight-line miles from the center of Louisiana. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What disability care for adults costs in Louisiana
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 45% of the $3,058 monthly median income of Louisiana 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.
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.
Disability Care for Adults in Louisiana: common questions
How much does disability care for adults cost in Louisiana?
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 45% of the $3,058 monthly median income of Louisiana 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 senior care near Louisiana
Disability Care for Adults in nearby cities
- Disability Care for Adults in Bowling Green, MO
- Disability Care for Adults in Pittsfield, IL
- Disability Care for Adults in Vandalia, MO
- Disability Care for Adults in Hannibal, MO
- Disability Care for Adults in Troy, MO
- Disability Care for Adults in Palmyra, MO
- Disability Care for Adults in Moscow Mills, MO
- Disability Care for Adults in Quincy, IL
- Disability Care for Adults in Monroe City, MO
- Disability Care for Adults in Montgomery City, MO
- Disability Care for Adults in Wright City, MO
- Disability Care for Adults in Warrenton, MO
- Disability Care for Adults in Wentzville, MO
- Disability Care for Adults in St. Paul, MO
- Disability Care for Adults in Jerseyville, IL
- Disability Care for Adults in Mexico, MO
Other care in Louisiana
- Companion Care in Louisiana
- Dementia Care in Louisiana
- Respite Care in Louisiana
- Live-In Caregivers in Louisiana
- Post-Surgery Care in Louisiana
- Senior Transportation in Louisiana
- Home Health Aides in Louisiana
- Nursing Assistants in Louisiana
- Personal Care in Louisiana
- Overnight Caregivers in Louisiana
- 24-Hour Home Care in Louisiana
- Mobility Assistance in Louisiana
- Parkinson’s Care in Louisiana
- Stroke Recovery Support in Louisiana
- Hospice Support in Louisiana
- Senior Meal Preparation in Louisiana
- Senior Housekeeping in Louisiana
- Medication Reminders in Louisiana
- Veterans’ Home Care in Louisiana
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.
Find disability care for adults in Louisiana
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