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Get paid to care for family in Breathitt County

Most of the 2,510 people in Breathitt County who are 65 or older are cared for at home, by a relative. Kentucky Medicaid can pay you for that work.

Breathitt County at a glance

Aged 65+
2,510

20% of residents

Aged 85+
167

when daily help usually starts

Rank in KY
86th

of 120 counties, by residents 65+

Median age
43.4

close to the national average

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

U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Breathitt County is one of the most rural counties in the country (Rural-Urban Continuum Code 9).

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

Care in Breathitt

What being a paid caregiver looks like here

About 2,510 people in Breathitt County are 65 or older — 20% of everyone who lives here. That tracks with Kentucky as a whole. Roughly 167 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, 826,700 people in Kentucky are 65 or older — 18% of the state, across 120 counties.

What Kentucky pays family caregivers

$29.04/hr

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: Kentucky Medicaid program data · Updated September 2026

Kentucky's programs at a glance

  • Participant Directed Services (PDS)
  • HCB Waiver
  • Michelle P. Waiver
Spouse paid?
Sometimes
Parent paid for a child?
Sometimes
Waitlist
Waitlists can be long — apply early.

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

How families in Breathitt apply

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

Apply via kynect.ky.gov, phone 855-306-8959, or in person; PDS enrollment goes through the case manager or the regional Area Development District/AAA.

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

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Breathitt questions, answered honestly

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

Yes. Kentucky runs real Medicaid programs — like Participant Directed Services (PDS) — that pay family caregivers, and they cover families in Breathitt County. We help you enroll, and applying costs you nothing.

How much do family caregivers earn in Breathitt County?

Reported figures in Kentucky are around $29.04/hr, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.

Where do families in Breathitt County apply?

Families in Breathitt County start with the state, not the county. Apply via kynect.ky.gov, phone 855-306-8959, or in person; PDS enrollment goes through the case manager or the regional Area Development District/AAA.

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

Sometimes — it depends on the program. The fine print for Kentucky: limited — under the HCB waiver a spouse can be paid through Participant Directed Services only with written state approval (907 KAR 7:010); the Michelle P. waiver allows spouses, up to 40 hours a week

How many people in Breathitt County might need this?

2,510 residents of Breathitt County are 65 or older and about 167 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. Kentucky's programs exist to pay for exactly that care.

Program facts come from Kentucky'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 Breathitt

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

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