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Get paid to care for family in Dakota County

Most of the 3,140 people in Dakota County who are 65 or older are cared for at home, by a relative. Nebraska Medicaid can pay you for that work.

Dakota County at a glance

Aged 65+
3,140

15% of residents

Aged 85+
287

when daily help usually starts

Rank in NE
19th

of 93 counties, by residents 65+

Median age
33.7

younger than the country

The front porch of an ordinary home, typical of Dakota County

U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Dakota County is a smaller-city county (Rural-Urban Continuum Code 3).

50 + DC
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counties with local data
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Population figures from the U.S. Census Bureau · Rules from each state's published Medicaid program

Care in Dakota

What being a paid caregiver looks like here

About 3,140 people in Dakota County are 65 or older — 15% of everyone who lives here. Dakota County skews younger than Nebraska overall, but the families caring for an older parent here face the same bills. Roughly 287 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.

Statewide, 349,400 people in Nebraska are 65 or older — 17% of the state, across 93 counties.

What Nebraska pays family caregivers

$15/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: Nebraska Medicaid program data · Updated September 2026

Nebraska's programs at a glance

  • Personal Assistance Services (PAS)
  • Aged & Disabled 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 Nebraska guide →

Towns and cities in Dakota County

Nebraska sets eligibility, not your town — so a family in South Sioux City and a family at the far edge of the county apply the same way. The largest communities in Dakota County:

  • South Sioux City13,910
  • Dakota City2,047
  • Homer517
  • Emerson326
  • Jackson215
  • Hubbard172

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

How families in Dakota apply

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

Apply online via iServe Nebraska or at a local DHHS office; for the AD Waiver call 877-667-6266 to request materials.

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

See if you qualify →

Dakota questions, answered honestly

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

Yes. Nebraska runs real Medicaid programs — like Personal Assistance Services (PAS) — that pay family caregivers, and they cover families in Dakota County. We help you enroll, and applying costs you nothing.

How much do family caregivers earn in Dakota County?

Reported figures in Nebraska are around $15/hr, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.

Where do families in Dakota County apply?

Families in Dakota County start with the state, not the county. Apply online via iServe Nebraska or at a local DHHS office; for the AD Waiver call 877-667-6266 to request materials.

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

Sometimes — it depends on the program. The fine print for Nebraska: limited — under the Aged & Disabled Waiver a spouse can be paid through the separate LRI Personal Care service only when care is extraordinary, agency-based, capped at 40 hours a week

How many people in Dakota County might need this?

3,140 residents of Dakota County are 65 or older and about 287 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. Nebraska's programs exist to pay for exactly that care.

Which towns in Dakota do you cover?

All of Dakota County — including South Sioux City, Dakota City, Homer, Emerson and Jackson. Eligibility is set by Nebraska, not by your town, so where you live inside the county does not change whether you qualify.

Program facts come from Nebraska'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 Dakota

The counties Dakota 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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