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Get paid to care for family in Shelby County

Most of the 42,300 people in Shelby County who are 65 or older are cared for at home, by a relative. Alabama Medicaid can pay you for that work.

Shelby County at a glance

Aged 65+
42,300

18% of residents

Aged 85+
4,150

when daily help usually starts

Rank in AL
5th

of 67 counties, by residents 65+

Median age
40.6

close to the national average

The front porch of an ordinary home, typical of Shelby County

U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Shelby County is a metro county (Rural-Urban Continuum Code 1).

50 + DC
states covered
3,144
counties with local data
$0
it is always free to apply
2 min
to see if you qualify

Population figures from the U.S. Census Bureau · Rules from each state's published Medicaid program

Care in Shelby

What being a paid caregiver looks like here

About 42,300 people in Shelby County are 65 or older — 18% of everyone who lives here. That tracks with Alabama as a whole. Roughly 4,150 are 85 or older, the age when daily help usually starts. Agencies operate in Shelby County, though families still run into gaps: no weekend coverage, a new aide every few weeks, hours that don't match real life.

Statewide, 955,900 people in Alabama are 65 or older — 19% of the state, across 67 counties.

What Alabama pays family caregivers

$2,320/month

Rates vary — check with the program.

Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.

Source: Alabama Medicaid program data · Updated September 2026

Alabama's programs at a glance

  • Personal Choices
  • E&D Waiver
  • ACT Waiver
  • SAIL Waiver
Spouse paid?
Sometimes
Parent paid for a child?
Not right now
Waitlist
Some programs have no waitlist.

These rules are set by the state, so they are the same in every county. Read the full Alabama guide →

Towns and cities in Shelby County

Alabama sets eligibility, not your town — so a family in Alabaster and a family at the far edge of the county apply the same way. The largest communities in Shelby County:

  • Alabaster34,460
  • Hoover27,590
  • Pelham25,396
  • Helena19,622
  • Calera18,452
  • Chelsea17,293
  • Montevallo7,761
  • Columbiana4,904

Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.

How families in Shelby apply

You do not need a county office to start. Families in Shelby County start with Alabama's program:

Contact your local Area Agency on Aging via AgeLine 1-800-243-5463 (or 1-877-425-2243), or submit Form 204/205 to your Medicaid District Office; enrollees then opt into Personal Choices.

Or skip the phone tag — our free 2-minute check tells you which Alabama program fits your family, then we help with the forms.

See if you qualify →

Shelby questions, answered honestly

Can I get paid to care for a family member in Shelby County?

Yes. Alabama runs real Medicaid programs — like Personal Choices — that pay family caregivers, and they cover families in Shelby County. We help you enroll, and applying costs you nothing.

How much do family caregivers earn in Shelby County?

Reported figures in Alabama are around $2,320/month, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.

Where do families in Shelby County apply?

Families in Shelby County start with the state, not the county. Contact your local Area Agency on Aging via AgeLine 1-800-243-5463 (or 1-877-425-2243), or submit Form 204/205 to your Medicaid District Office; enrollees then opt into Personal Choices.

Can I get paid to care for my spouse in Shelby County?

Sometimes — it depends on the program. The fine print for Alabama: limited — Personal Choices allows sons, daughters, adult grandchildren, nieces/nephews and 'in some cases, spouses'; caregiver must be 18+ and pass background screening

How many people in Shelby County might need this?

42,300 residents of Shelby County are 65 or older and about 4,150 are 85 or older, according to the U.S. Census Bureau's 2024 population estimates. Most of them are cared for at home by a relative rather than in a facility. Alabama's programs exist to pay for exactly that care.

Which towns in Shelby do you cover?

All of Shelby County — including Alabaster, Hoover, Pelham, Helena and Calera. Eligibility is set by Alabama, not by your town, so where you live inside the county does not change whether you qualify.

Program facts come from Alabama's published Medicaid program rules · Population figures from the U.S. Census Bureau · Updated September 2026. Rules change — always confirm with the program.

Nearby

Counties next to Shelby

The counties Shelby touches, by Census boundaries — a few of those borders run across water.

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