Home Health Aides in Madison, AL: Hire In-Home Help

Local figures

Home Health Aides in Madison, AL: the local picture

19

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

$13.39

median hourly wage of home care aides in Alabama (BLS, May 2025)

7,628

residents 65 or older (13% of Madison)

25%

of residents 65+ report a disability (35% in Madison County)

19 Medicare-certified home health agencies list Madison ZIP codes in their service area; the highest-rated are below, and 7 of those list home health aide services. Agency aides are usually part of care a doctor orders. For help beyond those visits, families hire an aide directly.

Home health and personal care aides in Alabama earn a median $13.39 an hour (BLS, May 2025), with the middle half between $12.59 and $14.51.

Madison has about 7,628 residents aged 65 or older, 25% of whom report a disability.

Madison compared with Madison County and Alabama

Census figure	Madison	Madison County	Alabama
Residents 65+ with a disability	25%	35%	38%
Residents 65 or older	13%	16%	18%
Residents 85 or older	1.0%	1.7%	1.7%
Residents 65+ in households who live alone	27%	29%	29%
Residents 65+ below the poverty line (approx.)	8.8%	9.5%	12%
Residents 5+ who speak a language other than English at home	12%	7.7%	6.0%
Median income, households headed by someone 65+	$88,500	$65,028	—

Older residents in towns around Madison

Town	Distance	Residents 65+	65+ with a disability
Huntsville, AL	4.9 mi	36,541	35%
Triana, AL	8.5 mi	325	53%
Harvest, AL	10.0 mi	957	36%
Athens, AL	12 mi	5,066	32%
Priceville, AL	14 mi	461	44%
Meridianville, AL	15 mi	1,424	37%

Medicare-certified home health agencies serving Madison

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Huntsville, AL	5.7 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 881-3266
Prohealth Home Health, LLC	Huntsville, AL	12 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(256) 945-9100
Centerwell Home Health	Moulton, AL	30 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 974-2741
Preferred Home Health	Florence, AL	51 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 246-9972
Amedisys Home Health Of Walker	Jasper, AL	68 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 295-2434
Aveanna Home Health	Huntsville, AL	5.7 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	—
Amedisys Home Health Of Huntsville	Huntsville, AL	11 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 885-1665
Aveanna Home Health	Athens, AL	14 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 427-4657

Straight-line miles from the center of Madison. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a home health aide can help with

Bathing, grooming, dressing and toileting
Transfers, walking and positioning
Meals and help with eating
Medication reminders

Cost

What home health aides costs in Madison

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 16% of the $7,375 monthly median income of Madison households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 home health aide

Federal rules require home health aides who work for Medicare-certified agencies to complete at least 75 hours of training, including 16 hours of supervised practical training, or pass a competency evaluation (42 CFR 484.80). Many states add their own requirements.

Questions worth asking: Where did you train, and can I see the certificate? Have you worked for a home health agency? Which transfers and equipment are you trained on? More in our home health aides guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Home Health Aides in Madison: common questions

Which home health agencies serve Madison?

Medicare lists 19 certified agencies whose service area includes Madison ZIP codes. The highest-rated on Medicare’s quality stars include Centerwell Home Health (5 of 5), Prohealth Home Health, LLC (4.5 of 5), Centerwell Home Health (4.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Madison?

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 16% of the $7,375 monthly median income of Madison households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

What is the difference between a home health aide and a CNA?

Both are trained in personal care. A certified nursing assistant (CNA) has passed a state exam and is on the state nurse aide registry, and often works in nursing homes and hospitals. A home health aide is trained for care in the home. Neither does skilled nursing.

More near Madison

More senior care near Madison

Home Health Aides in nearby cities

Other care in Madison

More for Madison 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.

Home Health Aides in Madison, AL