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Get paid to care for family in Perkins County

Most of the 675 people in Perkins County who are 65 or older are cared for at home, by a relative. Nebraska Medicaid can pay you for that work.

Perkins County at a glance

Aged 65+
675

24% of residents

Aged 85+
85

when daily help usually starts

Rank in NE
71st

of 93 counties, by residents 65+

Median age
42.4

older than the country

A farmhouse set back from a gravel road, typical of Perkins County

U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Perkins County is one of the most rural counties in the country (Rural-Urban Continuum Code 9).

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 Perkins

What being a paid caregiver looks like here

About 675 people in Perkins County are 65 or older — 24% of everyone who lives here. That is an older county than Nebraska overall, so more families here are already doing this work. Roughly 85 are 85 or older, the age when daily help usually starts. Out here, hiring an outside agency often is not realistic at all. Being paid to do the care yourself is not a workaround — it is how these programs were designed to work.

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 Perkins County

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

  • Grant1,128
  • Madrid231
  • Venango151
  • Elsie100

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

How families in Perkins apply

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

Perkins questions, answered honestly

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

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

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

Families in Perkins 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 Perkins 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 Perkins County might need this?

675 residents of Perkins County are 65 or older and about 85 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 Perkins do you cover?

All of Perkins County — including Grant, Madrid, Venango and Elsie. 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 Perkins

The counties Perkins 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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