Adult Disability Care in Madisonville, KY: In-Home Support

Local figures

Disability Care for Adults in Madisonville, KY: the local picture

23%

of residents aged 18 to 64 have a disability (27% in Hopkins County)

636

residents aged 18 to 64 have difficulty doing errands alone

9.0%

of households have no vehicle (7.1% in Hopkins County)

4

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

About 2,453 Madisonville residents aged 18 to 64 report a disability (23%; 27% in Hopkins County).

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

9.0% of Madisonville households have no vehicle (7.1% in Hopkins County); say in your posting if you need a caregiver who drives.

Madisonville compared with Hopkins County and Kentucky

Census figure	Madisonville	Hopkins County	Kentucky
Residents 18 to 64 with a disability	23%	27%	16%
Residents 18 to 64 with difficulty doing errands alone	6.0%	6.0%	5.9%
Households with no vehicle	9.0%	7.1%	6.8%
Residents 5+ who speak a language other than English at home	5.0%	2.6%	6.8%
Residents 65+ with a disability	40%	45%	39%
Residents 65+ below the poverty line (approx.)	9.4%	13%	13%
Median income, households headed by someone 65+	$53,580	$46,798	—

Older residents in towns around Madisonville

Town	Distance	Residents 65+	Disability (18 to 64)
Providence, KY	14 mi	404	28%
Greenville, KY	20 mi	1,082	34%
Central City, KY	21 mi	763	16%
Princeton, KY	27 mi	1,254	20%
Morganfield, KY	32 mi	839	31%
Marion, KY	32 mi	718	43%

Home health agencies serving Madisonville

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Hopkinsville, KY	33 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(270) 885-7887
Centerwell Home Health	Owensboro, KY	34 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(270) 827-4842
Baptist Health Deaconess Health At Home	Madisonville, KY	1.2 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(270) 824-3470
Caretenders	Owensboro, KY	37 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(270) 685-3876

Straight-line miles from the center of Madisonville. 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 Madisonville

At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 34% of the $4,465 monthly median income of Madisonville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Kentucky's minimum wage is $7.25 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 Kentucky: Participant Directed Services.

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 Madisonville: common questions

How much does disability care for adults cost in Madisonville?

At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 34% of the $4,465 monthly median income of Madisonville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Kentucky's minimum wage is $7.25 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 Kentucky: Participant Directed Services covers Kentucky.

More near Madisonville

More senior care near Madisonville

Disability Care for Adults in nearby cities

Other care in Madisonville

More for Madisonville 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 Madisonville, KY