Get paid to care for family in Jefferson County
Most of the 41,400 people in Jefferson County who are 65 or older are cared for at home, by a relative. Missouri Medicaid can pay you for that work.
Jefferson County at a glance
- Aged 65+
- 41,400
- Aged 85+
- 3,040
- Rank in MO
- 7th
- Median age
- 41.0
18% of residents
when daily help usually starts
of 115 counties, by residents 65+
close to the national average
U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Jefferson 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 Jefferson
What being a paid caregiver looks like here
About 41,400 people in Jefferson County are 65 or older — 18% of everyone who lives here. That tracks with Missouri as a whole. Roughly 3,040 are 85 or older, the age when daily help usually starts. Agencies operate in Jefferson 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 Jefferson County
Missouri sets eligibility, not your town — so a family in Arnold and a family at the far edge of the county apply the same way. The largest communities in Jefferson County:
- Arnold21,036
- Festus13,730
- De Soto6,503
- Pevely6,103
- Herculaneum5,321
- Crystal City4,703
- Hillsboro3,489
- Byrnes Mill3,189
Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.
How families in Jefferson apply
You do not need a county office to start. Families in Jefferson 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 →Jefferson questions, answered honestly
Can I get paid to care for a family member in Jefferson County?
Yes. Missouri runs real Medicaid programs — like Consumer Directed Services (CDS) — that pay family caregivers, and they cover families in Jefferson County. We help you enroll, and applying costs you nothing.
How much do family caregivers earn in Jefferson 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 Jefferson County apply?
Families in Jefferson 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 Jefferson 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 Jefferson County might need this?
41,400 residents of Jefferson County are 65 or older and about 3,040 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 Jefferson do you cover?
All of Jefferson County — including Arnold, Festus, De Soto, Pevely and Herculaneum. 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 Jefferson County
Start with the Missouri caregiver program, then read how the pieces fit together.
Nearby
Counties next to Jefferson
The counties Jefferson 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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