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

Disability Care for Adults in Madisonville, TN: the local picture
About 548 Madisonville residents aged 18 to 64 report a disability (19%; 19% in Monroe County).
157 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
7.2% of Madisonville households have no vehicle (5.5% in Monroe County); say in your posting if you need a caregiver who drives.
Madisonville compared with Monroe County and Tennessee
| Census figure | Madisonville | Monroe County | Tennessee |
|---|---|---|---|
| Residents 18 to 64 with a disability | 19% | 19% | 13% |
| Residents 18 to 64 with difficulty doing errands alone | 5.5% | 7.7% | 4.5% |
| Households with no vehicle | 7.2% | 5.5% | 5.2% |
| Residents 5+ who speak a language other than English at home | 0.9% | 5.4% | 8.6% |
| Residents 65+ with a disability | 60% | 46% | 36% |
| Residents 65+ below the poverty line (approx.) | 33% | 17% | 11% |
| Median income, households headed by someone 65+ | $23,875 | $41,875 | — |
Older residents in towns around Madisonville
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Sweetwater, TN | 8.3 mi | 1,620 | 17% |
| Tellico Village, TN | 13 mi | 5,049 | 10% |
| Athens, TN | 14 mi | 2,590 | 14% |
| Loudon, TN | 15 mi | 1,354 | 9.5% |
| Etowah, TN | 16 mi | 842 | 19% |
| Lenoir City, TN | 21 mi | 2,332 | 12% |
Home health agencies serving Madisonville
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Chattanooga, TN | 60 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (423) 892-1122 |
| Amedisys Home Health Chattanooga | Chattanooga, TN | 56 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (423) 472-3069 |
| Nhc Homecare Athens | Athens, TN | 14 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (423) 745-4246 |
| Covenant Homecare | Knoxville, TN | 35 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (865) 374-0600 |
| Adoration Home Health And Hospice Care East TN | Cleveland, TN | 35 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (423) 337-3833 |
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 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 Madisonville
At the Tennessee median aide wage of $15.45 an hour, 20 hours of help a week comes to about $1,339 a month in wages, which is 67% of the $1,990 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. Tennessee 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 TennCare CHOICES: how to get paid to care for a family member in Tennessee.
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 Madisonville: common questions
How much does disability care for adults cost in Madisonville?
At the Tennessee median aide wage of $15.45 an hour, 20 hours of help a week comes to about $1,339 a month in wages, which is 67% of the $1,990 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. Tennessee 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 TennCare CHOICES: how to get paid to care for a family member in Tennessee covers Tennessee.
More senior care near Madisonville
Disability Care for Adults in nearby cities
- Disability Care for Adults in Sweetwater, TN
- Disability Care for Adults in Tellico Village, TN
- Disability Care for Adults in Athens, TN
- Disability Care for Adults in Loudon, TN
- Disability Care for Adults in Etowah, TN
- Disability Care for Adults in Lenoir City, TN
- Disability Care for Adults in Kingston, TN
- Disability Care for Adults in Farragut, TN
- Disability Care for Adults in Maryville, TN
- Disability Care for Adults in Louisville, TN
- Disability Care for Adults in Rockwood, TN
- Disability Care for Adults in Alcoa, TN
- Disability Care for Adults in Eagleton Village, TN
- Disability Care for Adults in Harriman, TN
- Disability Care for Adults in Oak Ridge, TN
- Disability Care for Adults in Karns, TN
Other care in Madisonville
- Companion Care in Madisonville
- Dementia Care in Madisonville
- Respite Care in Madisonville
- Live-In Caregivers in Madisonville
- Post-Surgery Care in Madisonville
- Senior Transportation in Madisonville
- Home Health Aides in Madisonville
- Nursing Assistants in Madisonville
- Personal Care in Madisonville
- Overnight Caregivers in Madisonville
- 24-Hour Home Care in Madisonville
- Mobility Assistance in Madisonville
- Parkinson’s Care in Madisonville
- Stroke Recovery Support in Madisonville
- Hospice Support in Madisonville
- Senior Meal Preparation in Madisonville
- Senior Housekeeping in Madisonville
- Medication Reminders in Madisonville
- Veterans’ Home Care in Madisonville
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 Madisonville
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