Orange County, VT

Get paid to care for your family member in Orange County, Vermont

About 7,510 people in Orange County are 65 or older — 25% of everyone who lives here. That is an older county than Vermont overall, so more families here are already doing this work. Roughly 612 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.

Who needs care in Orange

People 65 and older
7,510

25% of Orange residents

People 85 and older
612

the age daily help usually starts

Median age
46.7

older than the country as a whole

Rank in Vermont
9th

of 14 counties, by residents 65+

Source: U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Orange County is one of the most rural counties in the country (USDA Rural-Urban Continuum Code 9). Vermont as a whole is 23% aged 65 or older.

What Vermont pays family caregivers

$15.49–$18/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: Vermont Medicaid program data · Updated September 2026

Vermont's programs at a glance

  • Choices for Care (self-directed)
  • Flexible Choices
Spouse paid?
Yes
Parent paid for a child?
Not right now
Waitlist
There may be a waitlist — apply early.

These rules are set by the state, so they are the same in every county. Read the full Vermont guide →

Towns and cities in Orange County

Vermont sets eligibility, not your town — so a family in Randolph and a family at the far edge of the county apply the same way. The largest communities in Orange County:

Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.

How families in Orange apply

You do not need a county office to start. Families in Orange County start with Vermont's program:

Submit a Vermont Long-Term Care Medicaid application (DAIL does the clinical assessment, ESD at 800-479-6151 the financial eligibility); the Senior HelpLine at 800-642-5119 can help start the process.

Or skip the phone tag — our free 2-minute check tells you which Vermont program fits your family, then we help with the forms.

See if you qualify →

Orange questions, answered honestly

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

Yes. Vermont runs real Medicaid programs — like Choices for Care (self-directed) — that pay family caregivers, and they cover families in Orange County. We help you enroll, and applying costs you nothing.

How much do family caregivers earn in Orange County?

Reported figures in Vermont are around $15.49–$18/hr, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.

Where do families in Orange County apply?

Families in Orange County start with the state, not the county. Submit a Vermont Long-Term Care Medicaid application (DAIL does the clinical assessment, ESD at 800-479-6151 the financial eligibility); the Senior HelpLine at 800-642-5119 can help start the process.

Can I get paid to care for my spouse in Orange County?

Yes — a spouse can be paid here. The fine print for Vermont: yes — relatives including an adult child or spouse can be hired in the Highest Needs group / Flexible Choices; spouses are NOT payable in the Moderate Needs group; legal guardians excluded

How many people in Orange County might need this?

7,510 residents of Orange County are 65 or older and about 612 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. Vermont's programs exist to pay for exactly that care.

Which towns in Orange do you cover?

All of Orange County — including Randolph, Williamstown, Thetford, Bradford and Newbury. Eligibility is set by Vermont, not by your town, so where you live inside the county does not change whether you qualify.

Program facts come from Vermont's published Medicaid program rules · Population figures from the U.S. Census Bureau · Updated September 2026. Rules change — always confirm with the program.

More Vermont counties

The programs are the same statewide — pick your county:

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