Get paid to care for family in Monroe County
Most of the 149,600 people in Monroe County who are 65 or older are cared for at home, by a relative. New York Medicaid can pay you for that work.
Monroe County at a glance
- Aged 65+
- 149,600
- Aged 85+
- 16,800
- Rank in NY
- 9th
- Median age
- 40.0
20% of residents
when daily help usually starts
of 62 counties, by residents 65+
close to the national average
U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Monroe County is a large 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 Monroe
What being a paid caregiver looks like here
About 149,600 people in Monroe County are 65 or older — 20% of everyone who lives here. That tracks with New York as a whole. Roughly 16,800 are 85 or older, the age when daily help usually starts. Monroe County is one of the state's biggest population centers, and home-care agencies do work here — but staffing is thin, schedules change, and a stranger in the house is not what every family wants.
Statewide, 3.8 million people in New York are 65 or older — 19% of the state, across 62 counties.
What New York pays family caregivers
$18.65–$20.65/hr
Source: New York Medicaid program data · Updated September 2026
New York's programs at a glance
- CDPAP
- Spouse paid?
- Not right now
- Parent paid for a child?
- Not right now
- Waitlist
- No waitlist.
These rules are set by the state, so they are the same in every county. Read the full New York guide →
Towns and cities in Monroe County
New York sets eligibility, not your town — so a family in Rochester and a family at the far edge of the county apply the same way. The largest communities in Monroe County:
- Rochester207,282
- Greece94,642
- Irondequoit50,380
- Henrietta49,450
- Perinton46,902
- Webster45,343
- Penfield38,705
- Brighton36,618
Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.
How families in Monroe apply
You do not need a county office to start. Families in Monroe County start with New York's program:
Apply through the county Department of Social Services (or Medicaid Helpline); enrolled members go through their care manager/MLTC plan, then consumer and caregiver register with PPL.
Or skip the phone tag — our free 2-minute check tells you which New York program fits your family, then we help with the forms.
See if you qualify →Monroe questions, answered honestly
Can I get paid to care for a family member in Monroe County?
Yes. New York runs real Medicaid programs — like CDPAP — that pay family caregivers, and they cover families in Monroe County. We help you enroll, and applying costs you nothing.
How much do family caregivers earn in Monroe County?
Family caregivers in New York typically earn $18.65–$20.65/hr. The rate is the same across the state, including Monroe County.
Where do families in Monroe County apply?
Families in Monroe County start with the state, not the county. Apply through the county Department of Social Services (or Medicaid Helpline); enrolled members go through their care manager/MLTC plan, then consumer and caregiver register with PPL.
Can I get paid to care for my spouse in Monroe County?
Not right now — but other family members often can be. The fine print for New York: no — spouses cannot be hired as CDPAP personal assistants
How many people in Monroe County might need this?
149,600 residents of Monroe County are 65 or older and about 16,800 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. New York's programs exist to pay for exactly that care.
Which towns in Monroe do you cover?
All of Monroe County — including Rochester, Greece, Irondequoit, Henrietta and Perinton. Eligibility is set by New York, not by your town, so where you live inside the county does not change whether you qualify.
Program facts come from New York'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 Monroe County
Start with the New York caregiver program, then read how the pieces fit together.
Nearby
Counties next to Monroe
The counties Monroe touches, by Census boundaries — a few of those borders run across water.
Find out in 2 minutes
Answer 5 easy questions. See your programs and pay before you share any contact info.