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Get paid to care for family in Hart County

Most of the 3,640 people in Hart County who are 65 or older are cared for at home, by a relative. Kentucky Medicaid can pay you for that work.

Hart County at a glance

Aged 65+
3,640

18% of residents

Aged 85+
301

when daily help usually starts

Rank in KY
62nd

of 120 counties, by residents 65+

Median age
40.5

close to the national average

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

U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Hart County is one of the most rural counties in the country (Rural-Urban Continuum Code 8).

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

Care in Hart

What being a paid caregiver looks like here

About 3,640 people in Hart County are 65 or older — 18% of everyone who lives here. That tracks with Kentucky as a whole. Roughly 301 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 →

Towns and cities in Hart County

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

  • Horse Cave2,270
  • Munfordville1,721
  • Bonnieville276

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

How families in Hart apply

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

See if you qualify →

Hart questions, answered honestly

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

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

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

Families in Hart 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 Hart 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 Hart County might need this?

3,640 residents of Hart County are 65 or older and about 301 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.

Which towns in Hart do you cover?

All of Hart County — including Horse Cave, Munfordville and Bonnieville. Eligibility is set by Kentucky, not by your town, so where you live inside the county does not change whether you qualify.

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 Hart

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

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