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Get paid to care for family in Monona County

Most of the 2,110 people in Monona County who are 65 or older are cared for at home, by a relative. Iowa Medicaid can pay you for that work.

Monona County at a glance

Aged 65+
2,110

25% of residents

Aged 85+
319

when daily help usually starts

Rank in IA
80th

of 99 counties, by residents 65+

Median age
44.4

older than the country

A farmhouse set back from a gravel road, typical of Monona County

U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Monona 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
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Population figures from the U.S. Census Bureau · Rules from each state's published Medicaid program

Care in Monona

What being a paid caregiver looks like here

About 2,110 people in Monona County are 65 or older — 25% of everyone who lives here. That is an older county than Iowa overall, so more families here are already doing this work. Roughly 319 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

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 Monona County

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

  • Onawa2,795
  • Mapleton1,114
  • Whiting725
  • Ute326
  • Blencoe223
  • Moorhead186
  • Soldier176
  • Castana103

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

How families in Monona apply

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

Monona questions, answered honestly

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

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

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

Families in Monona 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 Monona 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 Monona County might need this?

2,110 residents of Monona County are 65 or older and about 319 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 Monona do you cover?

All of Monona County — including Onawa, Mapleton, Whiting, Ute and Blencoe. 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 Monona

The counties Monona 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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