Costilla County, CO

Get paid to care for your family member in Costilla County, Colorado

About 1,080 people in Costilla County are 65 or older — 29% of everyone who lives here. That is an older county than Colorado overall, so more families here are already doing this work. Roughly 75 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 Costilla

People 65 and older
1,080

29% of Costilla residents

People 85 and older
75

the age daily help usually starts

Median age
49.3

older than the country as a whole

Rank in Colorado
52nd

of 64 counties, by residents 65+

Source: U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Costilla County is one of the most rural counties in the country (USDA Rural-Urban Continuum Code 9). Colorado as a whole is 16% aged 65 or older.

What Colorado pays family caregivers

$17–$20/hr

Source: Colorado Medicaid program data · Updated September 2026

Colorado's programs at a glance

  • CDASS
  • IHSS
  • Family CNA program
Spouse paid?
Yes
Parent paid for a child?
Yes
Waitlist
No waitlist.

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

Towns and cities in Costilla County

Colorado sets eligibility, not your town — so a family in San Luis and a family at the far edge of the county apply the same way. The largest communities in Costilla County:

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

How families in Costilla apply

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

Contact the local Case Management Agency (Single Entry Point) for a nursing-facility level-of-care assessment; must be enrolled in Health First Colorado (Medicaid) first.

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

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Costilla questions, answered honestly

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

Yes. Colorado runs real Medicaid programs — like CDASS — that pay family caregivers, and they cover families in Costilla County. We help you enroll, and applying costs you nothing.

How much do family caregivers earn in Costilla County?

Family caregivers in Colorado typically earn $17–$20/hr. The rate is the same across the state, including Costilla County.

Where do families in Costilla County apply?

Families in Costilla County start with the state, not the county. Contact the local Case Management Agency (Single Entry Point) for a nursing-facility level-of-care assessment; must be enrolled in Health First Colorado (Medicaid) first.

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

Yes — a spouse can be paid here. The fine print for Colorado: yes — spouses can be hired under CDASS/IHSS; spouse-as-LRP homemaker capped at 7 hrs/week

How many people in Costilla County might need this?

1,080 residents of Costilla County are 65 or older and about 75 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. Colorado's programs exist to pay for exactly that care.

Which towns in Costilla do you cover?

All of Costilla County — including San Luis and Blanca. Eligibility is set by Colorado, not by your town, so where you live inside the county does not change whether you qualify.

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

More Colorado counties

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