Silver Spring, Maryland

In-Home Support for Adults With Disabilities in Silver Spring, MD

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 Silver Spring for free and hire a caregiver directly, with no agency mark-up.

A smiling caregiver with her arm around an older woman in a bright room at home
Local figures

Disability Care for Adults in Silver Spring, MD: the local picture

6.7%
of residents aged 18 to 64 have a disability (7.0% in Montgomery County)
725
residents aged 18 to 64 have difficulty doing errands alone
16%
of households have no vehicle (8.5% in Montgomery County)
18
Medicare-certified home health agencies list Silver Spring ZIP codes in their service area

About 3,566 Silver Spring residents aged 18 to 64 report a disability (6.7%; 7.0% in Montgomery County).

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

16% of Silver Spring households have no vehicle (8.5% in Montgomery County); say in your posting if you need a caregiver who drives.

Silver Spring compared with Montgomery County and Maryland

Census figureSilver SpringMontgomery CountyMaryland
Residents 18 to 64 with a disability6.7%7.0%9.5%
Residents 18 to 64 with difficulty doing errands alone1.4%2.1%3.2%
Households with no vehicle16%8.5%8.8%
Residents 5+ who speak a language other than English at home44%43%21%
Residents 65+ with a disability25%26%30%
Residents 65+ below the poverty line (approx.)6.7%7.4%9.5%
Median income, households headed by someone 65+$94,154$109,242—

Older residents in towns around Silver Spring

TownDistanceResidents 65+Disability (18 to 64)
Four Corners, MD1.6 mi1,1165.4%
Forest Glen, MD1.7 mi1,2875.0%
Takoma Park, MD1.8 mi2,6357.4%
Langley Park, MD2.3 mi1,2315.1%
Burnt Mills, MD2.5 mi50012%
South Kensington, MD2.6 mi1,6124.9%

Home health agencies serving Silver Spring

AgencyOfficeDistanceCMS quality starsServices listedPhone
Americare In Home NursingFort Washington, MD17 mi5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(800) 296-9002
Centerwell Home HealthColumbia, MD17 mi5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(410) 997-5257
Holy Cross Home Care And HospiceSilver Spring, MD1.4 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(301) 754-4663
Adventist Home Health Services, Inc.Silver Spring, MD4.6 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(301) 592-4400
Amedisys Home Health CareLargo, MD14 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(301) 322-6023

Straight-line miles from the center of Silver Spring. 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 Silver Spring

At the Maryland median aide wage of $18.29 an hour, 20 hours of help a week comes to about $1,585 a month in wages, which is 20% of the $7,846 monthly median income of Silver Spring households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Maryland'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 Silver Spring: common questions

How much does disability care for adults cost in Silver Spring?

At the Maryland median aide wage of $18.29 an hour, 20 hours of help a week comes to about $1,585 a month in wages, which is 20% of the $7,846 monthly median income of Silver Spring households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Maryland'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 Maryland.

More near Silver Spring

More senior care near Silver Spring

Disability Care for Adults in nearby cities

Other care in Silver Spring

More for Silver Spring 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.

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