Medina County, TX
Get paid to care for your family member in Medina County, Texas
About 10,200 people in Medina County are 65 or older — 18% of everyone who lives here. That is an older county than Texas overall, so more families here are already doing this work. Roughly 1,030 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.
Who needs care in Medina
- People 65 and older
- 10,200
- People 85 and older
- 1,030
- Median age
- 40.5
- Rank in Texas
- 63rd
18% of Medina residents
the age daily help usually starts
close to the national average
of 254 counties, by residents 65+
Source: U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Medina County is a smaller-city county (USDA Rural-Urban Continuum Code 1). Texas as a whole is 14% aged 65 or older.
What Texas pays family caregivers
$15/hr
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: Texas Medicaid program data · Updated September 2026
Texas's programs at a glance
- Consumer Directed Services (CDS)
- STAR+PLUS HCBS
- CLASS & MDCP Waivers
- Spouse paid?
- Not right now
- Parent paid for a child?
- Not right now
- Waitlist
- Waitlists can be long — apply early.
These rules are set by the state, so they are the same in every county. Read the full Texas guide →
Towns and cities in Medina County
Texas sets eligibility, not your town — so a family in Hondo and a family at the far edge of the county apply the same way. The largest communities in Medina County:
- Hondo8,969
- Devine4,622
- Castroville3,201
- Natalia1,356
- LaCoste1,222
- Lytle920
- San Antonio11
Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.
How families in Medina apply
You do not need a county office to start. Families in Medina County start with Texas's program:
Call 877-438-5658 to join the CLASS or MDCP interest list, or 800-964-2777 for the STAR+PLUS HCBS interest list; benefits applications go through YourTexasBenefits.com or 2-1-1 Texas.
Or skip the phone tag — our free 2-minute check tells you which Texas program fits your family, then we help with the forms.
See if you qualify →Medina questions, answered honestly
Can I get paid to care for a family member in Medina County?
Yes. Texas runs real Medicaid programs — like Consumer Directed Services (CDS) — that pay family caregivers, and they cover families in Medina County. We help you enroll, and applying costs you nothing.
How much do family caregivers earn in Medina County?
Reported figures in Texas are around $15/hr, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.
Where do families in Medina County apply?
Families in Medina County start with the state, not the county. Call 877-438-5658 to join the CLASS or MDCP interest list, or 800-964-2777 for the STAR+PLUS HCBS interest list; benefits applications go through YourTexasBenefits.com or 2-1-1 Texas.
Can I get paid to care for my spouse in Medina County?
Not right now — but other family members often can be. The fine print for Texas: no — spouses cannot be paid attendants in Medicaid CDS programs; reported exception: state-funded CMPAS may allow a spouse
How many people in Medina County might need this?
10,200 residents of Medina County are 65 or older and about 1,030 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. Texas's programs exist to pay for exactly that care.
Which towns in Medina do you cover?
All of Medina County — including Hondo, Devine, Castroville, Natalia and LaCoste. Eligibility is set by Texas, not by your town, so where you live inside the county does not change whether you qualify.
Program facts come from Texas's published Medicaid program rules · Population figures from the U.S. Census Bureau · Updated September 2026. Rules change — always confirm with the program.
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