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.

Disability Care for Adults in Silver Spring, MD: the local picture
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 figure | Silver Spring | Montgomery County | Maryland |
|---|---|---|---|
| Residents 18 to 64 with a disability | 6.7% | 7.0% | 9.5% |
| Residents 18 to 64 with difficulty doing errands alone | 1.4% | 2.1% | 3.2% |
| Households with no vehicle | 16% | 8.5% | 8.8% |
| Residents 5+ who speak a language other than English at home | 44% | 43% | 21% |
| Residents 65+ with a disability | 25% | 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
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Four Corners, MD | 1.6 mi | 1,116 | 5.4% |
| Forest Glen, MD | 1.7 mi | 1,287 | 5.0% |
| Takoma Park, MD | 1.8 mi | 2,635 | 7.4% |
| Langley Park, MD | 2.3 mi | 1,231 | 5.1% |
| Burnt Mills, MD | 2.5 mi | 500 | 12% |
| South Kensington, MD | 2.6 mi | 1,612 | 4.9% |
Home health agencies serving Silver Spring
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Americare In Home Nursing | Fort Washington, MD | 17 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 296-9002 |
| Centerwell Home Health | Columbia, MD | 17 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (410) 997-5257 |
| Holy Cross Home Care And Hospice | Silver Spring, MD | 1.4 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (301) 754-4663 |
| Adventist Home Health Services, Inc. | Silver Spring, MD | 4.6 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (301) 592-4400 |
| Amedisys Home Health Care | Largo, MD | 14 mi | 4.5 of 5 | nursing, 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 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 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.
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 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 senior care near Silver Spring
Disability Care for Adults in nearby cities
- Disability Care for Adults in Four Corners, MD
- Disability Care for Adults in Forest Glen, MD
- Disability Care for Adults in Takoma Park, MD
- Disability Care for Adults in Langley Park, MD
- Disability Care for Adults in Burnt Mills, MD
- Disability Care for Adults in South Kensington, MD
- Disability Care for Adults in Kemp Mill, MD
- Disability Care for Adults in Adelphi, MD
- Disability Care for Adults in Hillandale, MD
- Disability Care for Adults in Chevy Chase, MD
- Disability Care for Adults in Chillum, MD
- Disability Care for Adults in White Oak, MD
- Disability Care for Adults in North Kensington, MD
- Disability Care for Adults in Wheaton, MD
- Disability Care for Adults in Hyattsville, MD
- Disability Care for Adults in Friendship Heights Village, MD
Other care in Silver Spring
- Companion Care in Silver Spring
- Dementia Care in Silver Spring
- Respite Care in Silver Spring
- Live-In Caregivers in Silver Spring
- Post-Surgery Care in Silver Spring
- Senior Transportation in Silver Spring
- Home Health Aides in Silver Spring
- Nursing Assistants in Silver Spring
- Personal Care in Silver Spring
- Overnight Caregivers in Silver Spring
- 24-Hour Home Care in Silver Spring
- Mobility Assistance in Silver Spring
- Parkinson’s Care in Silver Spring
- Stroke Recovery Support in Silver Spring
- Hospice Support in Silver Spring
- Senior Meal Preparation in Silver Spring
- Senior Housekeeping in Silver Spring
- Medication Reminders in Silver Spring
- Veterans’ Home Care in Silver Spring
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 Silver Spring
Posting is free and takes about ten minutes. Caregivers near Silver Spring can see it as soon as it is live.
Create your free family accountLooking for caregiving work instead? Create a free caregiver profile.
