Madison County, KY
Get paid to care for your family member in Madison County, Kentucky
About 15,000 people in Madison County are 65 or older — 15% of everyone who lives here. Madison County skews younger than Kentucky overall, but the families caring for an older parent here face the same bills. Roughly 1,340 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.
Who needs care in Madison
- People 65 and older
- 15,000
- People 85 and older
- 1,340
- Median age
- 34.6
- Rank in Kentucky
- 10th
15% of Madison residents
the age daily help usually starts
younger than the country as a whole
of 120 counties, by residents 65+
Source: U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Madison County is a smaller-city county (USDA Rural-Urban Continuum Code 4). Kentucky as a whole is 18% aged 65 or older.
What Kentucky pays family caregivers
$29.04/hr
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?
- Yes
- 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 Madison County
Kentucky sets eligibility, not your town — so a family in Richmond and a family at the far edge of the county apply the same way. The largest communities in Madison County:
- Richmond39,581
- Berea16,436
Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.
How families in Madison apply
You do not need a county office to start. Families in Madison 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 →Madison questions, answered honestly
Can I get paid to care for a family member in Madison County?
Yes. Kentucky runs real Medicaid programs — like Participant Directed Services (PDS) — that pay family caregivers, and they cover families in Madison County. We help you enroll, and applying costs you nothing.
How much do family caregivers earn in Madison 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 Madison County apply?
Families in Madison 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 Madison County?
Yes — a spouse can be paid here. The fine print for Kentucky: yes — friends and relatives including adult children and spouses can be hired under PDS
How many people in Madison County might need this?
15,000 residents of Madison County are 65 or older and about 1,340 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 Madison do you cover?
All of Madison County — including Richmond and Berea. 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.
More Kentucky counties
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