In-Home Support for Adults With Disabilities in Monroe City, MO
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 Monroe City for free and hire a caregiver directly, with no agency mark-up.
Disability Care for Adults in Monroe City, MO: the local picture
About 346 Monroe City residents aged 18 to 64 report a disability (20%; 16% in Monroe County).
216 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
12% of Monroe City households have no vehicle (7.0% in Monroe County); say in your posting if you need a caregiver who drives.
Monroe City compared with Monroe County and Missouri
| Census figure | Monroe City | Monroe County | Missouri |
|---|---|---|---|
| Residents 18 to 64 with a disability | 20% | 16% | 13% |
| Residents 18 to 64 with difficulty doing errands alone | 13% | 8.4% | 4.7% |
| Households with no vehicle | 12% | 7.0% | 6.6% |
| Residents 5+ who speak a language other than English at home | 1.5% | 2.2% | 6.7% |
| Residents 65+ with a disability | 43% | 35% | 34% |
| Residents 65+ below the poverty line (approx.) | 12% | 17% | 10% |
| Median income, households headed by someone 65+ | $32,000 | $35,987 | — |
Older residents in towns around Monroe City
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Palmyra, MO | 15 mi | 701 | 13% |
| Hannibal, MO | 18 mi | 3,298 | 19% |
| Quincy, IL | 27 mi | 7,928 | 16% |
| Vandalia, MO | 27 mi | 467 | 14% |
| Canton, MO | 35 mi | 343 | 6.5% |
| Mexico, MO | 35 mi | 2,173 | 24% |
Home health agencies serving Monroe City
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Columbia, MO | 60 mi | 5 of 5 | nursing, physical therapy, occupational therapy | (573) 256-4705 |
| Elara Caring | Jefferson City, MO | 79 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 690-1753 |
| Blessing Home Care | Quincy, IL | 31 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (217) 223-8400 |
| Hannibal Regional Hospital Home Health Agency | Hannibal, MO | 19 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (573) 221-6515 |
| Orthopaedic And Medical Home Health, LLC | Columbia, MO | 58 mi | 3 of 5 | nursing, physical therapy, occupational therapy, medical social work, home health aides | (573) 474-1786 |
Straight-line miles from the center of Monroe 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 Monroe City
At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 52% of the $2,667 monthly median income of Monroe City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri's minimum wage is $15.00 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 Consumer Directed Services in Missouri: how a relative becomes a paid caregiver.
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 Monroe City: common questions
How much does disability care for adults cost in Monroe City?
At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 52% of the $2,667 monthly median income of Monroe City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri's minimum wage is $15.00 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 Consumer Directed Services in Missouri: how a relative becomes a paid caregiver covers Missouri.
More senior care near Monroe City
Disability Care for Adults in nearby cities
- Disability Care for Adults in Palmyra, MO
- Disability Care for Adults in Hannibal, MO
- Disability Care for Adults in Quincy, IL
- Disability Care for Adults in Vandalia, MO
- Disability Care for Adults in Canton, MO
- Disability Care for Adults in Mexico, MO
- Disability Care for Adults in Bowling Green, MO
- Disability Care for Adults in Centralia, MO
- Disability Care for Adults in Louisiana, MO
- Disability Care for Adults in Macon, MO
- Disability Care for Adults in Moberly, MO
- Disability Care for Adults in Montgomery City, MO
- Disability Care for Adults in Pittsfield, IL
- Disability Care for Adults in Hamilton, IL
- Disability Care for Adults in Keokuk, IA
- Disability Care for Adults in Fulton, MO
Other care in Monroe City
- Companion Care in Monroe City
- Dementia Care in Monroe City
- Respite Care in Monroe City
- Live-In Caregivers in Monroe City
- Post-Surgery Care in Monroe City
- Senior Transportation in Monroe City
- Home Health Aides in Monroe City
- Nursing Assistants in Monroe City
- Personal Care in Monroe City
- Overnight Caregivers in Monroe City
- 24-Hour Home Care in Monroe City
- Mobility Assistance in Monroe City
- Parkinson’s Care in Monroe City
- Stroke Recovery Support in Monroe City
- Hospice Support in Monroe City
- Senior Meal Preparation in Monroe City
- Senior Housekeeping in Monroe City
- Medication Reminders in Monroe City
- Veterans’ Home Care in Monroe 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 Monroe City
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