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Get paid to care for family in Dubuque County

Most of the 20,200 people in Dubuque County who are 65 or older are cared for at home, by a relative. Iowa Medicaid can pay you for that work.

Dubuque County at a glance

Aged 65+
20,200

20% of residents

Aged 85+
2,620

when daily help usually starts

Rank in IA
6th

of 99 counties, by residents 65+

Median age
39.6

older than the country

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

U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Dubuque County is a smaller-city county (Rural-Urban Continuum Code 3).

50 + DC
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counties with local data
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Population figures from the U.S. Census Bureau · Rules from each state's published Medicaid program

Care in Dubuque

What being a paid caregiver looks like here

About 20,200 people in Dubuque County are 65 or older — 20% of everyone who lives here. That tracks with Iowa as a whole. Roughly 2,620 are 85 or older, the age when daily help usually starts. There are only so many home-care agencies in a county this size, and the ones that are here do not always cover evenings, weekends, or the far end of the county.

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

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: 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 Dubuque County

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

  • Dubuque58,987
  • Asbury6,051
  • Dyersville4,250
  • Peosta2,195
  • Epworth2,042
  • Cascade1,998
  • Farley1,723
  • New Vienna384

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

How families in Dubuque apply

You do not need a county office to start. Families in Dubuque 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 →

Dubuque questions, answered honestly

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

Yes. Iowa runs real Medicaid programs — like Consumer Choices Option (CCO) — that pay family caregivers, and they cover families in Dubuque County. We help you enroll, and applying costs you nothing.

How much do family caregivers earn in Dubuque 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 Dubuque County apply?

Families in Dubuque 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 Dubuque 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 Dubuque County might need this?

20,200 residents of Dubuque County are 65 or older and about 2,620 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 Dubuque do you cover?

All of Dubuque County — including Dubuque, Asbury, Dyersville, Peosta and Epworth. 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.

Nearby

Counties next to Dubuque

The counties Dubuque touches, by Census boundaries — a few of those borders run across water. Ones marked with a state abbreviation are across the line, and their rules are their state's, not this one's.

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