Get paid to care for family in Butler County
Most of the 3,430 people in Butler County who are 65 or older are cared for at home, by a relative. Iowa Medicaid can pay you for that work.
Butler County at a glance
- Aged 65+
- 3,430
- Aged 85+
- 462
- Rank in IA
- 51st
- Median age
- 44.0
24% of residents
when daily help usually starts
of 99 counties, by residents 65+
older than the country
U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Butler County is one of the most rural counties in the country (Rural-Urban Continuum Code 8).
- 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 Butler
What being a paid caregiver looks like here
About 3,430 people in Butler County are 65 or older — 24% of everyone who lives here. That is an older county than Iowa overall, so more families here are already doing this work. Roughly 462 are 85 or older, the age when daily help usually starts. Out here, hiring an outside agency often is not realistic at all. Being paid to do the care yourself is not a workaround — it is how these programs were designed to work.
Statewide, 612,400 people in Iowa are 65 or older — 19% of the state, across 99 counties.
What Iowa pays family caregivers
$2,691/month
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: Iowa Medicaid program data · Updated September 2026
Iowa's programs at a glance
- Consumer Choices Option (CCO)
- CDAC (agency-delivered)
- Spouse paid?
- Not right now
- 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 Iowa guide →
Towns and cities in Butler County
Iowa sets eligibility, not your town — so a family in Parkersburg and a family at the far edge of the county apply the same way. The largest communities in Butler County:
- Parkersburg1,986
- Shell Rock1,265
- Clarksville1,238
- Aplington1,088
- Greene971
- Allison937
- Dumont614
- New Hartford555
Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.
How families in Butler apply
You do not need a county office to start. Families in Butler County start with Iowa's program:
Apply for Medicaid and the appropriate HCBS waiver through Iowa HHS (hhs.iowa.gov or a local office, 800-338-8366); after waiver approval and level-of-care assessment, ask the case manager to enroll in the Consumer Choices Option.
Or skip the phone tag — our free 2-minute check tells you which Iowa program fits your family, then we help with the forms.
See if you qualify →Butler questions, answered honestly
Can I get paid to care for a family member in Butler County?
Yes. Iowa runs real Medicaid programs — like Consumer Choices Option (CCO) — that pay family caregivers, and they cover families in Butler County. We help you enroll, and applying costs you nothing.
How much do family caregivers earn in Butler County?
Reported figures in Iowa are around $2,691/month, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.
Where do families in Butler County apply?
Families in Butler County start with the state, not the county. Apply for Medicaid and the appropriate HCBS waiver through Iowa HHS (hhs.iowa.gov or a local office, 800-338-8366); after waiver approval and level-of-care assessment, ask the case manager to enroll in the Consumer Choices Option.
Can I get paid to care for my spouse in Butler County?
Not right now — but other family members often can be. The fine print for Iowa: no — a spouse cannot be the paid attendant under CDAC or CCO
How many people in Butler County might need this?
3,430 residents of Butler County are 65 or older and about 462 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. Iowa's programs exist to pay for exactly that care.
Which towns in Butler do you cover?
All of Butler County — including Parkersburg, Shell Rock, Clarksville, Aplington and Greene. Eligibility is set by Iowa, not by your town, so where you live inside the county does not change whether you qualify.
Program facts come from Iowa's published Medicaid program rules · Population figures from the U.S. Census Bureau · Updated September 2026. Rules change — always confirm with the program.
Guides
For families in Butler County
Start with the Iowa caregiver program, then read how the pieces fit together.
Nearby
Counties next to Butler
The counties Butler touches, by Census boundaries — a few of those borders run across water.
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