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

Local figures

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

8.9%

of residents aged 18 to 64 have a disability (9.3% in Midland County)

1,908

residents aged 18 to 64 have difficulty doing errands alone

5.0%

of households have no vehicle (4.4% in Midland County)

26

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

About 7,212 Midland residents aged 18 to 64 report a disability (8.9%; 9.3% in Midland County).

1,908 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

5.0% of Midland households have no vehicle (4.4% in Midland County); say in your posting if you need a caregiver who drives.

Midland compared with Midland County and Texas

Census figure	Midland	Midland County	Texas
Residents 18 to 64 with a disability	8.9%	9.3%	10%
Residents 18 to 64 with difficulty doing errands alone	2.4%	2.4%	3.4%
Households with no vehicle	5.0%	4.4%	5.4%
Residents 5+ who speak a language other than English at home	32%	32%	35%
Residents 65+ with a disability	41%	40%	35%
Residents 65+ below the poverty line (approx.)	12%	10%	12%
Median income, households headed by someone 65+	$56,408	$56,256	—

Older residents in towns around Midland

Town	Distance	Residents 65+	Disability (18 to 64)
Odessa, TX	17 mi	11,642	8.1%
Stanton, TX	20 mi	211	14%
West Odessa, TX	26 mi	3,274	12%
Andrews, TX	33 mi	1,287	12%
Big Spring, TX	40 mi	2,905	19%
Crane, TX	46 mi	314	5.8%

Home health agencies serving Midland

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Midland Health At Home	Midland, TX	3.8 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(432) 218-7996
Centerwell Home Health	Big Spring, TX	42 mi	5 of 5	nursing, physical therapy, home health aides	(432) 714-4510
St Josephs Home Health Inc	Midland, TX	3.8 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(432) 684-5858
Accentcare Health	Odessa, TX	3.8 mi	4.5 of 5	nursing, physical therapy, occupational therapy	(432) 550-1700
Accentcare Health And Personal Care Services Of Texas	Odessa, TX	17 mi	4.5 of 5	nursing, physical therapy, home health aides	(432) 550-1700

Straight-line miles from the center of Midland. 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 Midland

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 21% of the $4,701 monthly median income of Midland 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 Midland: common questions

How much does disability care for adults cost in Midland?

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 21% of the $4,701 monthly median income of Midland 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 Midland

More senior care near Midland

Disability Care for Adults in nearby cities

Other care in Midland

More for Midland 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 Midland, TX