Get paid to care for family in Franklin County
Most of the 9,590 people in Franklin County who are 65 or older are cared for at home, by a relative. Tennessee Medicaid can pay you for that work.
Franklin County at a glance
- Aged 65+
- 9,590
- Aged 85+
- 881
- Rank in TN
- 34th
- Median age
- 42.1
21% of residents
when daily help usually starts
of 95 counties, by residents 65+
older than the country
U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Franklin County is a rural county (Rural-Urban Continuum Code 7).
- 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 Franklin
What being a paid caregiver looks like here
About 9,590 people in Franklin County are 65 or older — 21% of everyone who lives here. That is an older county than Tennessee overall, so more families here are already doing this work. Roughly 881 are 85 or older, the age when daily help usually starts. In a rural county, an agency aide may be a long drive away — when one is available at all. That is exactly why the state lets you be the paid caregiver instead.
Statewide, 1.3 million people in Tennessee are 65 or older — 18% of the state, across 95 counties.
What Tennessee pays family caregivers
$11–$19.16/hr
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: Tennessee Medicaid program data · Updated September 2026
Tennessee's programs at a glance
- TennCare CHOICES consumer direction
- ECF CHOICES
- Katie Beckett (children)
- Spouse paid?
- Not right now
- Parent paid for a child?
- Sometimes
- Waitlist
- Some programs have no waitlist.
These rules are set by the state, so they are the same in every county. Read the full Tennessee guide →
Towns and cities in Franklin County
Tennessee sets eligibility, not your town — so a family in Winchester and a family at the far edge of the county apply the same way. The largest communities in Franklin County:
- Winchester10,251
- Estill Springs2,698
- Decherd2,479
- Cowan1,816
- Tullahoma1,482
- Huntland890
- Monteagle59
Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.
How families in Franklin apply
You do not need a county office to start. Families in Franklin County start with Tennessee's program:
Current TennCare members contact their managed care organization (health plan); everyone else calls their local Area Agency on Aging and Disability at 1-866-836-6678 to start CHOICES screening.
Or skip the phone tag — our free 2-minute check tells you which Tennessee program fits your family, then we help with the forms.
See if you qualify →Franklin questions, answered honestly
Can I get paid to care for a family member in Franklin County?
Yes. Tennessee runs real Medicaid programs — like TennCare CHOICES consumer direction — that pay family caregivers, and they cover families in Franklin County. We help you enroll, and applying costs you nothing.
How much do family caregivers earn in Franklin County?
Reported figures in Tennessee are around $11–$19.16/hr, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.
Where do families in Franklin County apply?
Families in Franklin County start with the state, not the county. Current TennCare members contact their managed care organization (health plan); everyone else calls their local Area Agency on Aging and Disability at 1-866-836-6678 to start CHOICES screening.
Can I get paid to care for my spouse in Franklin County?
Not right now — but other family members often can be. The fine print for Tennessee: no — spouses, legal guardians, and powers of attorney cannot be hired; adult children and other relatives can
How many people in Franklin County might need this?
9,590 residents of Franklin County are 65 or older and about 881 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. Tennessee's programs exist to pay for exactly that care.
Which towns in Franklin do you cover?
All of Franklin County — including Winchester, Estill Springs, Decherd, Cowan and Tullahoma. Eligibility is set by Tennessee, not by your town, so where you live inside the county does not change whether you qualify.
Program facts come from Tennessee'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 Franklin County
Start with the Tennessee caregiver program, then read how the pieces fit together.
Nearby
Counties next to Franklin
The counties Franklin 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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