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Get paid to care for family in Lewis County

Most of the 2,880 people in Lewis County who are 65 or older are cared for at home, by a relative. Tennessee Medicaid can pay you for that work.

Lewis County at a glance

Aged 65+
2,880

21% of residents

Aged 85+
308

when daily help usually starts

Rank in TN
84th

of 95 counties, by residents 65+

Median age
42.8

older than the country

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

U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Lewis County is one of the most rural counties in the country (Rural-Urban Continuum Code 8).

50 + DC
states covered
3,144
counties with local data
$0
it is always free to apply
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to see if you qualify

Population figures from the U.S. Census Bureau · Rules from each state's published Medicaid program

Care in Lewis

What being a paid caregiver looks like here

About 2,880 people in Lewis 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 308 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, 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

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: 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 →

How families in Lewis apply

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

Lewis questions, answered honestly

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

Yes. Tennessee runs real Medicaid programs — like TennCare CHOICES consumer direction — that pay family caregivers, and they cover families in Lewis County. We help you enroll, and applying costs you nothing.

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

Families in Lewis 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 Lewis 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 Lewis County might need this?

2,880 residents of Lewis County are 65 or older and about 308 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.

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.

Nearby

Counties next to Lewis

The counties Lewis touches, by Census boundaries — a few of those borders run across water.

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