In-Home Support for Adults With Disabilities in Miles City, MT
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 Miles City for free and hire a caregiver directly, with no agency mark-up.
Disability Care for Adults in Miles City, MT: the local picture
About 1,147 Miles City residents aged 18 to 64 report a disability (22%; 20% in Custer County).
382 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
6.8% of Miles City households have no vehicle (5.1% in Custer County); say in your posting if you need a caregiver who drives.
Miles City compared with Custer County and Montana
| Census figure | Miles City | Custer County | Montana |
|---|---|---|---|
| Residents 18 to 64 with a disability | 22% | 20% | 12% |
| Residents 18 to 64 with difficulty doing errands alone | 7.5% | 7.4% | 4.1% |
| Households with no vehicle | 6.8% | 5.1% | 4.7% |
| Residents 5+ who speak a language other than English at home | 3.3% | 2.8% | 4.2% |
| Residents 65+ with a disability | 43% | 43% | 32% |
| Residents 65+ below the poverty line (approx.) | 5.8% | 9.1% | 9.9% |
| Median income, households headed by someone 65+ | $58,854 | $52,292 | — |
Home health agencies serving Miles City
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Granite Peak Home Health | Miles City, MT | 0.3 mi | 2 of 5 | nursing, physical therapy, home health aides | (406) 874-5134 |
Straight-line miles from the center of Miles City. 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 Miles City
At the Montana median aide wage of $17.61 an hour, 20 hours of help a week comes to about $1,526 a month in wages, which is 31% of the $4,905 monthly median income of Miles City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Montana's minimum wage is $10.85 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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.
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 Miles City: common questions
How much does disability care for adults cost in Miles City?
At the Montana median aide wage of $17.61 an hour, 20 hours of help a week comes to about $1,526 a month in wages, which is 31% of the $4,905 monthly median income of Miles City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Montana's minimum wage is $10.85 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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states covers Montana.
More senior care near Miles City
Other care in Miles City
- Companion Care in Miles City
- Dementia Care in Miles City
- Respite Care in Miles City
- Live-In Caregivers in Miles City
- Post-Surgery Care in Miles City
- Senior Transportation in Miles City
- Home Health Aides in Miles City
- Nursing Assistants in Miles City
- Personal Care in Miles City
- Overnight Caregivers in Miles City
- 24-Hour Home Care in Miles City
- Mobility Assistance in Miles City
- Parkinson’s Care in Miles City
- Stroke Recovery Support in Miles City
- Hospice Support in Miles City
- Senior Meal Preparation in Miles City
- Senior Housekeeping in Miles City
- Medication Reminders in Miles City
- Veterans’ Home Care in Miles City
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 Miles City
Posting is free and takes about ten minutes. Caregivers near Miles City can see it as soon as it is live.
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