In-Home Support for Adults With Disabilities in St. Paul, MN
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 St. Paul for free and hire a caregiver directly, with no agency mark-up.
Disability Care for Adults in St. Paul, MN: the local picture
About 23,437 St. Paul residents aged 18 to 64 report a disability (12%; 11% in Ramsey County).
9,889 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
13% of St. Paul households have no vehicle (10% in Ramsey County); say in your posting if you need a caregiver who drives.
St. Paul compared with Ramsey County and Minnesota
| Census figure | St. Paul | Ramsey County | Minnesota |
|---|---|---|---|
| Residents 18 to 64 with a disability | 12% | 11% | 9.7% |
| Residents 18 to 64 with difficulty doing errands alone | 5.0% | 4.5% | 3.7% |
| Households with no vehicle | 13% | 10% | 6.7% |
| Residents 5+ who speak a language other than English at home | 28% | 23% | 12% |
| Residents 65+ with a disability | 30% | 29% | 28% |
| Residents 65+ below the poverty line (approx.) | 12% | 9.3% | 8.8% |
| Median income, households headed by someone 65+ | $57,592 | $63,225 | — |
Older residents in towns around St. Paul
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| West St. Paul, MN | 3.3 mi | 4,393 | 14% |
| Falcon Heights, MN | 4.4 mi | 789 | 7.7% |
| Mendota Heights, MN | 5.1 mi | 3,057 | 6.9% |
| Roseville, MN | 5.2 mi | 8,066 | 8.6% |
| South St. Paul, MN | 5.2 mi | 3,091 | 13% |
| Little Canada, MN | 5.2 mi | 1,905 | 9.7% |
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 St. Paul
At the Minnesota median aide wage of $18.45 an hour, 20 hours of help a week comes to about $1,599 a month in wages, which is 33% of the $4,799 monthly median income of St. Paul households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Minnesota's minimum wage is $11.41 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 St. Paul: common questions
How much does disability care for adults cost in St. Paul?
At the Minnesota median aide wage of $18.45 an hour, 20 hours of help a week comes to about $1,599 a month in wages, which is 33% of the $4,799 monthly median income of St. Paul households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Minnesota's minimum wage is $11.41 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 Minnesota.
More senior care near St. Paul
Disability Care for Adults in nearby cities
- Disability Care for Adults in West St. Paul, MN
- Disability Care for Adults in Falcon Heights, MN
- Disability Care for Adults in Mendota Heights, MN
- Disability Care for Adults in Roseville, MN
- Disability Care for Adults in South St. Paul, MN
- Disability Care for Adults in Little Canada, MN
- Disability Care for Adults in Maplewood, MN
- Disability Care for Adults in North St. Paul, MN
- Disability Care for Adults in Newport, MN
- Disability Care for Adults in Oakdale, MN
- Disability Care for Adults in Vadnais Heights, MN
- Disability Care for Adults in St. Anthony, MN
- Disability Care for Adults in Minneapolis, MN
- Disability Care for Adults in Inver Grove Heights, MN
- Disability Care for Adults in Arden Hills, MN
- Disability Care for Adults in White Bear Lake, MN
Other care in St. Paul
- Companion Care in St. Paul
- Dementia Care in St. Paul
- Respite Care in St. Paul
- Live-In Caregivers in St. Paul
- Post-Surgery Care in St. Paul
- Senior Transportation in St. Paul
- Home Health Aides in St. Paul
- Nursing Assistants in St. Paul
- Personal Care in St. Paul
- Overnight Caregivers in St. Paul
- 24-Hour Home Care in St. Paul
- Mobility Assistance in St. Paul
- Parkinson’s Care in St. Paul
- Stroke Recovery Support in St. Paul
- Hospice Support in St. Paul
- Senior Meal Preparation in St. Paul
- Senior Housekeeping in St. Paul
- Medication Reminders in St. Paul
- Veterans’ Home Care in St. Paul
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 St. Paul
Posting is free and takes about ten minutes. Caregivers near St. Paul can see it as soon as it is live.
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