Get paid to care for family in Charleston County
Most of the 80,600 people in Charleston County who are 65 or older are cared for at home, by a relative. South Carolina Medicaid can pay you for that work.
Charleston County at a glance
- Aged 65+
- 80,600
- Aged 85+
- 7,340
- Rank in SC
- 3rd
- Median age
- 39.7
19% of residents
when daily help usually starts
of 46 counties, by residents 65+
close to the national average
U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Charleston County is a metro county (Rural-Urban Continuum Code 2).
- 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 Charleston
What being a paid caregiver looks like here
About 80,600 people in Charleston County are 65 or older — 19% of everyone who lives here. That tracks with South Carolina as a whole. Roughly 7,340 are 85 or older, the age when daily help usually starts. Agencies operate in Charleston County, though families still run into gaps: no weekend coverage, a new aide every few weeks, hours that don't match real life.
Statewide, 1.1 million people in South Carolina are 65 or older — 20% of the state, across 46 counties.
What South Carolina pays family caregivers
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: South Carolina Medicaid program data · Updated September 2026
South Carolina's programs at a glance
- Community Choices Waiver (self-directed)
- Medically Complex Children Waiver
- Spouse paid?
- Sometimes
- Parent paid for a child?
- Yes
- Waitlist
- Some programs have no waitlist.
These rules are set by the state, so they are the same in every county. Read the full South Carolina guide →
Towns and cities in Charleston County
South Carolina sets eligibility, not your town — so a family in Charleston and a family at the far edge of the county apply the same way. The largest communities in Charleston County:
- Charleston141,306
- Mount Pleasant95,604
- North Charleston94,767
- James Island12,451
- Hollywood5,503
- Isle of Palms4,377
- Ravenel2,688
- Summerville2,649
Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.
How families in Charleston apply
You do not need a county office to start. Families in Charleston County start with South Carolina's program:
Contact the regional Community Long Term Care (CLTC) office or Healthy Connections at 888-549-0820 and file the Application for Nursing Home, Residential or In-Home Care; MCC families request self-direction through their Waiver Nurse Case Manager.
Or skip the phone tag — our free 2-minute check tells you which South Carolina program fits your family, then we help with the forms.
See if you qualify →Charleston questions, answered honestly
Can I get paid to care for a family member in Charleston County?
Yes. South Carolina runs real Medicaid programs — like Community Choices Waiver (self-directed) — that pay family caregivers, and they cover families in Charleston County. We help you enroll, and applying costs you nothing.
How much do family caregivers earn in Charleston County?
South Carolina doesn't publish one flat rate. The program sets your exact pay. We'll tell you your real number before you enroll.
Where do families in Charleston County apply?
Families in Charleston County start with the state, not the county. Contact the regional Community Long Term Care (CLTC) office or Healthy Connections at 888-549-0820 and file the Application for Nursing Home, Residential or In-Home Care; MCC families request self-direction through their Waiver Nurse Case Manager.
Can I get paid to care for my spouse in Charleston County?
Sometimes — it depends on the program. The fine print for South Carolina: limited — spouses cannot provide companion care but may provide attendant care services; legal guardians excluded
How many people in Charleston County might need this?
80,600 residents of Charleston County are 65 or older and about 7,340 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. South Carolina's programs exist to pay for exactly that care.
Which towns in Charleston do you cover?
All of Charleston County — including Charleston, Mount Pleasant, North Charleston, James Island and Hollywood. Eligibility is set by South Carolina, not by your town, so where you live inside the county does not change whether you qualify.
Program facts come from South Carolina'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 Charleston County
Start with the South Carolina caregiver program, then read how the pieces fit together.
Nearby
Counties next to Charleston
The counties Charleston touches, by Census boundaries — a few of those borders run across water.
Find out in 2 minutes
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