Get paid to care for family in Orleans County
Most of the 8,420 people in Orleans County who are 65 or older are cared for at home, by a relative. New York Medicaid can pay you for that work.
Orleans County at a glance
- Aged 65+
- 8,420
- Aged 85+
- 761
- Rank in NY
- 55th
- Median age
- 43.6
21% of residents
when daily help usually starts
of 62 counties, by residents 65+
older than the country
U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Orleans County is a smaller-city 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 Orleans
What being a paid caregiver looks like here
About 8,420 people in Orleans County are 65 or older — 21% of everyone who lives here. That is an older county than New York overall, so more families here are already doing this work. Roughly 761 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, 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 Orleans County
New York sets eligibility, not your town — so a family in Albion and a family at the far edge of the county apply the same way. The largest communities in Orleans County:
- Albion7,414
- Ridgeway6,469
- Shelby4,817
- Murray4,731
- Clarendon3,335
- Gaines3,195
- Carlton2,810
- Kendall2,586
Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.
How families in Orleans apply
You do not need a county office to start. Families in Orleans 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 →Orleans questions, answered honestly
Can I get paid to care for a family member in Orleans County?
Yes. New York runs real Medicaid programs — like CDPAP — that pay family caregivers, and they cover families in Orleans County. We help you enroll, and applying costs you nothing.
How much do family caregivers earn in Orleans County?
Family caregivers in New York typically earn $18.65–$20.65/hr. The rate is the same across the state, including Orleans County.
Where do families in Orleans County apply?
Families in Orleans 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 Orleans 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 Orleans County might need this?
8,420 residents of Orleans County are 65 or older and about 761 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 Orleans do you cover?
All of Orleans County — including Albion, Ridgeway, Shelby, Murray and Clarendon. 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 Orleans County
Start with the New York caregiver program, then read how the pieces fit together.
Nearby
Counties next to Orleans
The counties Orleans touches, by Census boundaries — a few of those borders run across water.
Find out in 2 minutes
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