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

Local figures

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

22%

of residents aged 18 to 64 have a disability (14% in Madison County)

161

residents aged 18 to 64 have difficulty doing errands alone

12%

of households have no vehicle (5.7% in Madison County)

14

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

About 435 Madison residents aged 18 to 64 report a disability (22%; 14% in Madison County).

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

12% of Madison households have no vehicle (5.7% in Madison County); say in your posting if you need a caregiver who drives.

Madison compared with Madison County and Illinois

Census figure	Madison	Madison County	Illinois
Residents 18 to 64 with a disability	22%	14%	9.7%
Residents 18 to 64 with difficulty doing errands alone	8.3%	5.1%	3.5%
Households with no vehicle	12%	5.7%	11%
Residents 5+ who speak a language other than English at home	7.3%	3.6%	24%
Residents 65+ with a disability	62%	35%	32%
Residents 65+ below the poverty line (approx.)	39%	9.0%	10%

Older residents in towns around Madison

Town	Distance	Residents 65+	Disability (18 to 64)
Pontoon Beach, IL	3.2 mi	794	14%
Granite City, IL	3.2 mi	5,153	21%
East St. Louis, IL	5.1 mi	4,154	22%
Collinsville, IL	5.2 mi	4,375	14%
Caseyville, IL	5.4 mi	828	24%
Riverview, MO	7.1 mi	188	21%

Home health agencies serving Madison

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Aw Health Care	Saint Louis, MO	12 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 726-5600
Adoration Home Health	O Fallon, IL	14 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(618) 622-8854
Evertrue Home Health	St. Louis, MO	14 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 352-7889
Elara Caring V	Springfield, IL	78 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(217) 718-4889
Anderson Home Health Services	Maryville, IL	7.6 mi	4 of 5	nursing, physical therapy, occupational therapy, medical social work	(618) 391-5731

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 Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois'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 Madison: common questions

How much does disability care for adults cost in Madison?

At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois'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 Illinois.

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, IL