Get paid to care for family in Franklin County
Most of the 21,800 people in Franklin County who are 65 or older are cared for at home, by a relative. Missouri Medicaid can pay you for that work.
Franklin County at a glance
- Aged 65+
- 21,800
- Aged 85+
- 2,170
- Rank in MO
- 9th
- Median age
- 42.0
20% of residents
when daily help usually starts
of 115 counties, by residents 65+
older than the country
U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Franklin County is a metro county (Rural-Urban Continuum Code 1).
- 50 + DC
- states covered
- 3,144
- counties with local data
- $0
- it is always free to apply
- 2 min
- to see if you qualify
Population figures from the U.S. Census Bureau · Rules from each state's published Medicaid program
Care in Franklin
What being a paid caregiver looks like here
About 21,800 people in Franklin County are 65 or older — 20% of everyone who lives here. That tracks with Missouri as a whole. Roughly 2,170 are 85 or older, the age when daily help usually starts. Agencies operate in Franklin County, though families still run into gaps: no weekend coverage, a new aide every few weeks, hours that don't match real life.
Statewide, 1.2 million people in Missouri are 65 or older — 19% of the state, across 115 counties.
What Missouri pays family caregivers
$12–$20/hr
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: Missouri Medicaid program data · Updated September 2026
Missouri's programs at a glance
- Consumer Directed Services (CDS)
- Structured Family Caregiving Waiver
- Spouse paid?
- Sometimes
- 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 Missouri guide →
Towns and cities in Franklin County
Missouri sets eligibility, not your town — so a family in Washington and a family at the far edge of the county apply the same way. The largest communities in Franklin County:
- Washington15,521
- Union13,198
- Pacific6,770
- Sullivan5,423
- St. Clair4,748
- New Haven2,399
- Gerald1,359
- Parkway642
Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.
How families in Franklin apply
You do not need a county office to start. Families in Franklin County start with Missouri's program:
Apply for MO HealthNet (myDSS online or 855-373-9994), then submit an HCBS referral (866-835-3505 or online HCBS referral form) for a DSDS in-home assessment.
Or skip the phone tag — our free 2-minute check tells you which Missouri program fits your family, then we help with the forms.
See if you qualify →Franklin questions, answered honestly
Can I get paid to care for a family member in Franklin County?
Yes. Missouri runs real Medicaid programs — like Consumer Directed Services (CDS) — that pay family caregivers, and they cover families in Franklin County. We help you enroll, and applying costs you nothing.
How much do family caregivers earn in Franklin County?
Reported figures in Missouri are around $12–$20/hr, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.
Where do families in Franklin County apply?
Families in Franklin County start with the state, not the county. Apply for MO HealthNet (myDSS online or 855-373-9994), then submit an HCBS referral (866-835-3505 or online HCBS referral form) for a DSDS in-home assessment.
Can I get paid to care for my spouse in Franklin County?
Sometimes — it depends on the program. The fine print for Missouri: limited — CDS bars spouses and legal guardians; SFCW explicitly allows a spouse or legal guardian to be the paid live-in caregiver (dementia diagnosis required)
How many people in Franklin County might need this?
21,800 residents of Franklin County are 65 or older and about 2,170 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. Missouri's programs exist to pay for exactly that care.
Which towns in Franklin do you cover?
All of Franklin County — including Washington, Union, Pacific, Sullivan and St. Clair. Eligibility is set by Missouri, not by your town, so where you live inside the county does not change whether you qualify.
Program facts come from Missouri's published Medicaid program rules · Population figures from the U.S. Census Bureau · Updated September 2026. Rules change — always confirm with the program.
Guides
For families in Franklin County
Start with the Missouri caregiver program, then read how the pieces fit together.
Nearby
Counties next to Franklin
The counties Franklin touches, by Census boundaries — a few of those borders run across water.
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