Lewis County, ID
Get paid to care for your family member in Lewis County, Idaho
About 1,120 people in Lewis County are 65 or older — 30% of everyone who lives here. That is an older county than Idaho overall, so more families here are already doing this work. Roughly 118 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 Lewis
- People 65 and older
- 1,120
- People 85 and older
- 118
- Median age
- 47.9
- Rank in Idaho
- 39th
30% of Lewis residents
the age daily help usually starts
older than the country as a whole
of 44 counties, by residents 65+
Source: U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Lewis County is one of the most rural counties in the country (USDA Rural-Urban Continuum Code 8). Idaho as a whole is 18% aged 65 or older.
What Idaho pays family caregivers
$2,554/month
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: Idaho Medicaid program data · Updated September 2026
Idaho's programs at a glance
- A&D Waiver self-directed care
- Personal Care Services (PCS)
- Certified Family Home
- 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 Idaho guide →
Towns and cities in Lewis County
Idaho sets eligibility, not your town — so a family in Kamiah and a family at the far edge of the county apply the same way. The largest communities in Lewis County:
- Kamiah1,155
- Craigmont477
- Nezperce475
- Winchester366
- Reubens48
Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.
How families in Lewis apply
You do not need a county office to start. Families in Lewis County start with Idaho's program:
Apply via idalink.idaho.gov, by phone 877-456-1233, or at a local DHW office; the Bureau of Long Term Care performs the nursing-facility level-of-care assessment (allow up to ~3 months).
Or skip the phone tag — our free 2-minute check tells you which Idaho 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. Idaho runs real Medicaid programs — like A&D Waiver self-directed care — 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 Idaho are around $2,554/month, 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. Apply via idalink.idaho.gov, by phone 877-456-1233, or at a local DHW office; the Bureau of Long Term Care performs the nursing-facility level-of-care assessment (allow up to ~3 months).
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 Idaho: no — spouses are prohibited as paid PCS/attendant caregivers except narrow extraordinary-circumstances exceptions; the temporary spousal FPCS program ended 7/15/2025
How many people in Lewis County might need this?
1,120 residents of Lewis County are 65 or older and about 118 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. Idaho's programs exist to pay for exactly that care.
Which towns in Lewis do you cover?
All of Lewis County — including Kamiah, Craigmont, Nezperce, Winchester and Reubens. Eligibility is set by Idaho, not by your town, so where you live inside the county does not change whether you qualify.
Program facts come from Idaho's published Medicaid program rules · Population figures from the U.S. Census Bureau · Updated September 2026. Rules change — always confirm with the program.
More Idaho counties
The programs are the same statewide — pick your county:
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