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Get paid to care for family in Howard County

Most of the 1,520 people in Howard County who are 65 or older are cared for at home, by a relative. Nebraska Medicaid can pay you for that work.

Howard County at a glance

Aged 65+
1,520

23% of residents

Aged 85+
187

when daily help usually starts

Rank in NE
42nd

of 93 counties, by residents 65+

Median age
43.1

older than the country

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

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

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

Care in Howard

What being a paid caregiver looks like here

About 1,520 people in Howard County are 65 or older — 23% of everyone who lives here. That is an older county than Nebraska overall, so more families here are already doing this work. Roughly 187 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 Howard County

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

  • St. Paul2,441
  • Dannebrog273
  • Elba197
  • Howard City (Boelus)177
  • Farwell132
  • Cushing36
  • Cotesfield31

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

How families in Howard apply

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

Howard questions, answered honestly

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

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

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

Families in Howard 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 Howard 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 Howard County might need this?

1,520 residents of Howard County are 65 or older and about 187 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 Howard do you cover?

All of Howard County — including St. Paul, Dannebrog, Elba, Howard City (Boelus) and Farwell. 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 Howard

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

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