Worcester, Massachusetts

In-Home Support for Adults With Disabilities in Worcester, MA

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 Worcester 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 Worcester, MA: the local picture

14%
of residents aged 18 to 64 have a disability (11% in Worcester County)
6,879
residents aged 18 to 64 have difficulty doing errands alone
16%
of households have no vehicle (8.3% in Worcester County)
68
Medicare-certified home health agencies list Worcester ZIP codes in their service area

About 19,386 Worcester residents aged 18 to 64 report a disability (14%; 11% in Worcester County).

6,879 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

16% of Worcester households have no vehicle (8.3% in Worcester County); say in your posting if you need a caregiver who drives.

Worcester compared with Worcester County and Massachusetts

Census figureWorcesterWorcester CountyMassachusetts
Residents 18 to 64 with a disability14%11%9.7%
Residents 18 to 64 with difficulty doing errands alone5.0%4.3%3.7%
Households with no vehicle16%8.3%12%
Residents 5+ who speak a language other than English at home39%22%25%
Residents 65+ with a disability38%32%30%
Residents 65+ below the poverty line (approx.)17%10%11%
Median income, households headed by someone 65+$46,808$61,599—

Older residents in towns around Worcester

TownDistanceResidents 65+Disability (18 to 64)
Northborough, MA8.7 mi1,39912%
Spencer, MA9.6 mi1,47914%
Westborough, MA9.7 mi7909.1%
Oxford, MA11 mi97117%
Upton, MA12 mi64914%
Clinton, MA12 mi1,1429.3%

Home health agencies serving Worcester

AgencyOfficeDistanceCMS quality starsServices listedPhone
Elara CaringBraintree, MA42 mi5 of 5nursing, physical therapy, occupational therapy, medical social work, home health aides(617) 969-7517
Aveanna Home HealthWorcester, MA2.9 mi4.5 of 5nursing, physical therapy, occupational therapy, medical social work, home health aides(508) 213-1236
Pivot Point Homecare Services LLCWestborough, MA9.7 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(508) 873-1358
Centerwell Home HealthMarlborough, MA15 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy(508) 481-4930
Metrowest Homecare And Hospice, An Amedisys CompanyMarlborough, MA15 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work(508) 383-7000

Straight-line miles from the center of Worcester. 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 Worcester

At the Massachusetts median aide wage of $19.67 an hour, 20 hours of help a week comes to about $1,705 a month in wages, which is 44% of the $3,901 monthly median income of Worcester households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Massachusetts'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 Worcester: common questions

How much does disability care for adults cost in Worcester?

At the Massachusetts median aide wage of $19.67 an hour, 20 hours of help a week comes to about $1,705 a month in wages, which is 44% of the $3,901 monthly median income of Worcester households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Massachusetts'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 Massachusetts.

More near Worcester

More senior care near Worcester

Disability Care for Adults in nearby cities

Other care in Worcester

More for Worcester 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.

Find disability care for adults in Worcester

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