Adult Disability Care in Madison, AL: In-Home Support

Local figures

Disability Care for Adults in Madison, AL: the local picture

8.1%

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

927

residents aged 18 to 64 have difficulty doing errands alone

2.0%

of households have no vehicle (4.0% in Madison County)

19

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

About 2,865 Madison residents aged 18 to 64 report a disability (8.1%; 12% in Madison County).

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

2.0% of Madison households have no vehicle (4.0% in Madison County); say in your posting if you need a caregiver who drives.

Madison compared with Madison County and Alabama

Census figure	Madison	Madison County	Alabama
Residents 18 to 64 with a disability	8.1%	12%	14%
Residents 18 to 64 with difficulty doing errands alone	2.6%	3.7%	5.0%
Households with no vehicle	2.0%	4.0%	5.4%
Residents 5+ who speak a language other than English at home	12%	7.7%	6.0%
Residents 65+ with a disability	25%	35%	38%
Residents 65+ below the poverty line (approx.)	8.8%	9.5%	12%
Median income, households headed by someone 65+	$88,500	$65,028	—

Older residents in towns around Madison

Town	Distance	Residents 65+	Disability (18 to 64)
Huntsville, AL	4.9 mi	36,541	12%
Triana, AL	8.5 mi	325	15%
Harvest, AL	10.0 mi	957	12%
Athens, AL	12 mi	5,066	16%
Priceville, AL	14 mi	461	14%
Meridianville, AL	15 mi	1,424	12%

Home health agencies serving Madison

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Huntsville, AL	5.7 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 881-3266
Prohealth Home Health, LLC	Huntsville, AL	12 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(256) 945-9100
Centerwell Home Health	Moulton, AL	30 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 974-2741
Preferred Home Health	Florence, AL	51 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 246-9972
Amedisys Home Health Of Walker	Jasper, AL	68 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 295-2434

Straight-line miles from the center of Madison. 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 Madison

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 16% of the $7,375 monthly median income of Madison households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 Madison: common questions

How much does disability care for adults cost in Madison?

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 16% of the $7,375 monthly median income of Madison households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 Alabama.

More near Madison

More senior care near Madison

Disability Care for Adults in nearby cities

Other care in Madison

More for Madison 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 Madison, AL