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

Local figures

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

8.3%

of residents aged 18 to 64 have a disability (23% in Boone County)

50

residents aged 18 to 64 have difficulty doing errands alone

11%

of households have no vehicle (7.4% in Boone County)

4

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

About 127 Madison residents aged 18 to 64 report a disability (8.3%; 23% in Boone County).

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

11% of Madison households have no vehicle (7.4% in Boone County); say in your posting if you need a caregiver who drives.

Madison compared with Boone County and West Virginia

Census figure	Madison	Boone County	West Virginia
Residents 18 to 64 with a disability	8.3%	23%	17%
Residents 18 to 64 with difficulty doing errands alone	3.3%	8.4%	6.4%
Households with no vehicle	11%	7.4%	8.0%
Residents 5+ who speak a language other than English at home	1.5%	1.0%	2.5%
Residents 65+ with a disability	47%	52%	39%
Residents 65+ below the poverty line (approx.)	4.1%	11%	12%
Median income, households headed by someone 65+	$47,484	$44,131	—

Older residents in towns around Madison

Town	Distance	Residents 65+	Disability (18 to 64)
South Charleston, WV	20 mi	2,876	14%
Dunbar, WV	21 mi	1,618	18%
St. Albans, WV	22 mi	2,646	16%
Charleston, WV	22 mi	10,007	18%
Nitro, WV	24 mi	1,330	16%
Cross Lanes, WV	26 mi	2,226	15%

Home health agencies serving Madison

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Dignity Home Health	Chapmanville, WV	13 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(304) 855-4764
Centerwell Home Health	Chapmanville, WV	13 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(304) 855-7104
Adoration Home Health	Charleston, WV	21 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(304) 343-2047
Boone Memorial Homecare	Danville, WV	2.0 mi	3.5 of 5	nursing, physical therapy	(304) 369-1385

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 West Virginia median aide wage of $13.47 an hour, 20 hours of help a week comes to about $1,167 a month in wages, which is 30% of the $3,957 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. West Virginia's minimum wage is $8.75 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 How to get paid to care for a family member in West Virginia: ADW and Personal Options.

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 West Virginia median aide wage of $13.47 an hour, 20 hours of help a week comes to about $1,167 a month in wages, which is 30% of the $3,957 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. West Virginia's minimum wage is $8.75 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 How to get paid to care for a family member in West Virginia: ADW and Personal Options covers West Virginia.

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, WV