Adult Disability Care in Orange, MA: In-Home Support

Local figures

Disability Care for Adults in Orange, MA: the local picture

26%

of residents aged 18 to 64 have a disability (14% in Franklin County)

209

residents aged 18 to 64 have difficulty doing errands alone

11%

of households have no vehicle (7.9% in Franklin County)

13

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

About 599 Orange residents aged 18 to 64 report a disability (26%; 14% in Franklin County).

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

11% of Orange households have no vehicle (7.9% in Franklin County); say in your posting if you need a caregiver who drives.

Orange compared with Franklin County and Massachusetts

Census figure	Orange	Franklin County	Massachusetts
Residents 18 to 64 with a disability	26%	14%	9.7%
Residents 18 to 64 with difficulty doing errands alone	9.1%	5.4%	3.7%
Households with no vehicle	11%	7.9%	12%
Residents 5+ who speak a language other than English at home	8.6%	6.7%	25%
Residents 65+ with a disability	51%	31%	30%
Residents 65+ below the poverty line (approx.)	22%	9.3%	11%
Median income, households headed by someone 65+	$31,441	$58,674	—

Older residents in towns around Orange

Town	Distance	Residents 65+	Disability (18 to 64)
Athol, MA	3.3 mi	1,317	22%
Baldwinville, MA	11 mi	375	5.2%
Turners Falls, MA	13 mi	881	24%
Winchendon, MA	14 mi	672	16%
Gardner, MA	15 mi	4,135	17%
Greenfield, MA	16 mi	4,129	20%

Home health agencies serving Orange

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	Braintree, MA	72 mi	5 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(617) 969-7517
Care Central Vna & Hospice Inc	Gardner, MA	16 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(978) 632-1230
Caretenders	Needham Heights, MA	58 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(617) 332-5015
Complete Vna	Worcester, MA	34 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(508) 244-1530
Aveanna Healthcare	Worcester, MA	33 mi	2.5 of 5	nursing, physical therapy, occupational therapy, home health aides	(508) 421-6800

Straight-line miles from the center of Orange. 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 Orange

At the Massachusetts median aide wage of $19.67 an hour, 20 hours of help a week comes to about $1,705 a month in wages, which is 65% of the $2,620 monthly median income of Orange households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Massachusetts'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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

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 Orange: common questions

How much does disability care for adults cost in Orange?

At the Massachusetts median aide wage of $19.67 an hour, 20 hours of help a week comes to about $1,705 a month in wages, which is 65% of the $2,620 monthly median income of Orange households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Massachusetts'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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states covers Massachusetts.

More near Orange

More senior care near Orange

Disability Care for Adults in nearby cities

Other care in Orange

More for Orange 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 Orange, MA