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

Local figures

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

11%

of residents aged 18 to 64 have a disability (13% in Madison County)

160

residents aged 18 to 64 have difficulty doing errands alone

5.5%

of households have no vehicle (3.7% in Madison County)

15

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

About 285 Madisonville residents aged 18 to 64 report a disability (11%; 13% in Madison County).

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

5.5% of Madisonville households have no vehicle (3.7% in Madison County); say in your posting if you need a caregiver who drives.

Madisonville compared with Madison County and Texas

Census figure	Madisonville	Madison County	Texas
Residents 18 to 64 with a disability	11%	13%	10%
Residents 18 to 64 with difficulty doing errands alone	6.3%	5.5%	3.4%
Households with no vehicle	5.5%	3.7%	5.4%
Residents 5+ who speak a language other than English at home	21%	19%	35%
Residents 65+ with a disability	30%	36%	35%
Residents 65+ below the poverty line (approx.)	19%	17%	12%
Median income, households headed by someone 65+	$65,063	$53,693	—

Older residents in towns around Madisonville

Town	Distance	Residents 65+	Disability (18 to 64)
Huntsville, TX	27 mi	5,567	12%
College Station, TX	34 mi	9,017	7.1%
Bryan, TX	34 mi	10,833	10%
Crockett, TX	37 mi	1,281	19%
Navasota, TX	41 mi	1,359	6.7%
Hearne, TX	41 mi	802	19%

Home health agencies serving Madisonville

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	Teague, TX	52 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 723-1657
Doctor's Choice Home Care	Lufkin, TX	69 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(833) 365-2464
Angels Care Home Health Of College Station	Georgetown, TX	107 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(979) 690-8399
Elara Caring	Round Rock, TX	110 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(512) 733-1515
Stat Home Health Houston LLC	Huntsville, TX	20 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(936) 291-1979

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 Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 19% of the $5,422 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. Texas'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 STAR+PLUS in Texas: using consumer directed services to pay a family caregiver.

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 Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 19% of the $5,422 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. Texas'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 STAR+PLUS in Texas: using consumer directed services to pay a family caregiver covers Texas.

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, TX