Adult Disability Care in Roanoke, AL: In-Home Support

Local figures

Disability Care for Adults in Roanoke, AL: the local picture

16%

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

219

residents aged 18 to 64 have difficulty doing errands alone

9.9%

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

6

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

About 445 Roanoke residents aged 18 to 64 report a disability (16%; 13% in Randolph County).

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

9.9% of Roanoke households have no vehicle (4.4% in Randolph County); say in your posting if you need a caregiver who drives.

Roanoke compared with Randolph County and Alabama

Census figure	Roanoke	Randolph County	Alabama
Residents 18 to 64 with a disability	16%	13%	14%
Residents 18 to 64 with difficulty doing errands alone	8.0%	4.8%	5.0%
Households with no vehicle	9.9%	4.4%	5.4%
Residents 5+ who speak a language other than English at home	2.0%	2.2%	6.0%
Residents 65+ with a disability	46%	40%	38%
Residents 65+ below the poverty line (approx.)	14%	17%	12%
Median income, households headed by someone 65+	$40,372	$37,976	—

Older residents in towns around Roanoke

Town	Distance	Residents 65+	Disability (18 to 64)
La Fayette, AL	17 mi	615	22%
LaGrange, GA	21 mi	4,747	16%
West Point, GA	22 mi	349	27%
Lanett, AL	22 mi	1,163	12%
Huguley, AL	22 mi	523	8.3%
Lineville, AL	25 mi	686	30%

Home health agencies serving Roanoke

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Amedisys Home Health Of Anniston	Anniston, AL	48 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 820-2503
Enhabit Home Health	Valley, AL	26 mi	4 of 5	nursing, physical therapy, speech therapy, home health aides	(334) 768-6225
Eamc - Lanier Home Health	Valley, AL	26 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(334) 756-1950
Centerwell Home Health	Phenix City, AL	49 mi	4 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(334) 297-6900
Alabama Department Of Public Health Home Care	Montgomery, AL	76 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(334) 206-5341

Straight-line miles from the center of Roanoke. 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 Roanoke

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 34% of the $3,364 monthly median income of Roanoke households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 Roanoke: common questions

How much does disability care for adults cost in Roanoke?

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 34% of the $3,364 monthly median income of Roanoke households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 Alabama.

More near Roanoke

More senior care near Roanoke

Disability Care for Adults in nearby cities

Other care in Roanoke

More for Roanoke 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 Roanoke, AL