Lancaster County, VA
Get paid to care for your family member in Lancaster County, Virginia
About 4,330 people in Lancaster County are 65 or older — 39% of everyone who lives here. That is an older county than Virginia overall, so more families here are already doing this work. Roughly 582 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 Lancaster
- People 65 and older
- 4,330
- People 85 and older
- 582
- Median age
- 58.9
- Rank in Virginia
- 82nd
39% of Lancaster residents
the age daily help usually starts
older than the country as a whole
of 133 counties, by residents 65+
Source: U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Lancaster County is one of the most rural counties in the country (USDA Rural-Urban Continuum Code 9). Virginia as a whole is 18% aged 65 or older.
What Virginia 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: Virginia Medicaid program data · Updated September 2026
Virginia's programs at a glance
- CCC Plus Waiver consumer direction
- LRI option (spouses & parents)
- Spouse paid?
- Sometimes
- 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 Virginia guide →
Towns and cities in Lancaster County
Virginia sets eligibility, not your town — so a family in Kilmarnock and a family at the far edge of the county apply the same way. The largest communities in Lancaster County:
- Kilmarnock1,391
- Irvington479
- White Stone389
Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.
How families in Lancaster apply
You do not need a county office to start. Families in Lancaster County start with Virginia's program:
Apply for Medicaid via Cover Virginia or the local Virginia Department of Social Services (VDSS) office and request a functional (nursing-facility level of care) screening through local DSS.
Or skip the phone tag — our free 2-minute check tells you which Virginia program fits your family, then we help with the forms.
See if you qualify →Lancaster questions, answered honestly
Can I get paid to care for a family member in Lancaster County?
Yes. Virginia runs real Medicaid programs — like CCC Plus Waiver consumer direction — that pay family caregivers, and they cover families in Lancaster County. We help you enroll, and applying costs you nothing.
How much do family caregivers earn in Lancaster County?
Virginia 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 Lancaster County apply?
Families in Lancaster County start with the state, not the county. Apply for Medicaid via Cover Virginia or the local Virginia Department of Social Services (VDSS) office and request a functional (nursing-facility level of care) screening through local DSS.
Can I get paid to care for my spouse in Lancaster County?
Sometimes — it depends on the program. The fine print for Virginia: limited — spouses payable only as Legally Responsible Individuals for 'extraordinary care' (ADLs only, not IADLs/supervision) when circumstances prevent a non-LRI caregiver; capped at 40 hrs/week; LRI rules updated eff. 7/1/2025
How many people in Lancaster County might need this?
4,330 residents of Lancaster County are 65 or older and about 582 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. Virginia's programs exist to pay for exactly that care.
Which towns in Lancaster do you cover?
All of Lancaster County — including Kilmarnock, Irvington and White Stone. Eligibility is set by Virginia, not by your town, so where you live inside the county does not change whether you qualify.
Program facts come from Virginia's published Medicaid program rules · Population figures from the U.S. Census Bureau · Updated September 2026. Rules change — always confirm with the program.
More Virginia counties
The programs are the same statewide — pick your county:
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