Adult Disability Care in Troy, MO: In-Home Support

Local figures

Disability Care for Adults in Troy, MO: the local picture

12%

of residents aged 18 to 64 have a disability (12% in Lincoln County)

225

residents aged 18 to 64 have difficulty doing errands alone

6.3%

of households have no vehicle (4.5% in Lincoln County)

15

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

About 950 Troy residents aged 18 to 64 report a disability (12%; 12% in Lincoln County).

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

6.3% of Troy households have no vehicle (4.5% in Lincoln County); say in your posting if you need a caregiver who drives.

Troy compared with Lincoln County and Missouri

Census figure	Troy	Lincoln County	Missouri
Residents 18 to 64 with a disability	12%	12%	13%
Residents 18 to 64 with difficulty doing errands alone	2.9%	3.9%	4.7%
Households with no vehicle	6.3%	4.5%	6.6%
Residents 5+ who speak a language other than English at home	4.5%	2.7%	6.7%
Residents 65+ with a disability	50%	37%	34%
Residents 65+ below the poverty line (approx.)	15%	12%	10%
Median income, households headed by someone 65+	$45,805	$55,188	—

Older residents in towns around Troy

Town	Distance	Residents 65+	Disability (18 to 64)
Moscow Mills, MO	2.9 mi	389	18%
Wright City, MO	10 mi	799	12%
Wentzville, MO	12 mi	6,519	8.9%
Warrenton, MO	14 mi	1,425	19%
St. Paul, MO	15 mi	418	11%
Lake St. Louis, MO	16 mi	3,712	7.9%

Home health agencies serving Troy

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Phoenix Home Care And Hospice	Saint Louis, MO	33 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(636) 695-4330
Elara Caring	Bridgeton, MO	33 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 381-5931
Aw Health Care	Saint Louis, MO	41 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 726-5600
Cooperative Home Care, Inc	Saint Louis, MO	45 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(314) 772-8585
Amedisys Home Health Of Missouri	Hillsboro, MO	54 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(636) 789-4715

Straight-line miles from the center of Troy. 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 Troy

At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 36% of the $3,817 monthly median income of Troy households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri'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 Consumer Directed Services in Missouri: how a relative becomes a paid caregiver.

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 Troy: common questions

How much does disability care for adults cost in Troy?

At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 36% of the $3,817 monthly median income of Troy households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri'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 Consumer Directed Services in Missouri: how a relative becomes a paid caregiver covers Missouri.

More near Troy

More senior care near Troy

Disability Care for Adults in nearby cities

Other care in Troy

More for Troy 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 Troy, MO