Monroe County, NY
Get paid to care for your family member in Monroe County, New York
About 149,600 people in Monroe County are 65 or older — 20% of everyone who lives here. That tracks with New York as a whole. Roughly 16,800 are 85 or older, the age when daily help usually starts. Monroe County is one of the state's biggest population centers, and home-care agencies do work here — but staffing is thin, schedules change, and a stranger in the house is not what every family wants.
Who needs care in Monroe
- People 65 and older
- 149,600
- People 85 and older
- 16,800
- Median age
- 40.0
- Rank in New York
- 9th
20% of Monroe residents
the age daily help usually starts
close to the national average
of 62 counties, by residents 65+
Source: U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Monroe County is a large metro county (USDA Rural-Urban Continuum Code 1). New York as a whole is 19% aged 65 or older.
What New York pays family caregivers
$18.65–$20.65/hr
Source: New York Medicaid program data · Updated September 2026
New York's programs at a glance
- CDPAP
- Spouse paid?
- Not right now
- Parent paid for a child?
- Not right now
- Waitlist
- No waitlist.
These rules are set by the state, so they are the same in every county. Read the full New York guide →
Towns and cities in Monroe County
New York sets eligibility, not your town — so a family in Rochester and a family at the far edge of the county apply the same way. The largest communities in Monroe County:
- Rochester207,282
- Greece94,642
- Irondequoit50,380
- Henrietta49,450
- Perinton46,902
- Webster45,343
- Penfield38,705
- Brighton36,618
Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.
How families in Monroe apply
You do not need a county office to start. Families in Monroe County start with New York's program:
Apply through the county Department of Social Services (or Medicaid Helpline); enrolled members go through their care manager/MLTC plan, then consumer and caregiver register with PPL.
Or skip the phone tag — our free 2-minute check tells you which New York program fits your family, then we help with the forms.
See if you qualify →Monroe questions, answered honestly
Can I get paid to care for a family member in Monroe County?
Yes. New York runs real Medicaid programs — like CDPAP — that pay family caregivers, and they cover families in Monroe County. We help you enroll, and applying costs you nothing.
How much do family caregivers earn in Monroe County?
Family caregivers in New York typically earn $18.65–$20.65/hr. The rate is the same across the state, including Monroe County.
Where do families in Monroe County apply?
Families in Monroe County start with the state, not the county. Apply through the county Department of Social Services (or Medicaid Helpline); enrolled members go through their care manager/MLTC plan, then consumer and caregiver register with PPL.
Can I get paid to care for my spouse in Monroe County?
Not right now — but other family members often can be. The fine print for New York: no — spouses cannot be hired as CDPAP personal assistants
How many people in Monroe County might need this?
149,600 residents of Monroe County are 65 or older and about 16,800 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. New York's programs exist to pay for exactly that care.
Which towns in Monroe do you cover?
All of Monroe County — including Rochester, Greece, Irondequoit, Henrietta and Perinton. Eligibility is set by New York, not by your town, so where you live inside the county does not change whether you qualify.
Program facts come from New York'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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