Frederick County, VA
Get paid to care for your family member in Frederick County, Virginia
About 19,400 people in Frederick County are 65 or older — 20% of everyone who lives here. That is an older county than Virginia overall, so more families here are already doing this work. Roughly 2,050 are 85 or older, the age when daily help usually starts. There are only so many home-care agencies in a county this size, and the ones that are here do not always cover evenings, weekends, or the far end of the county.
Who needs care in Frederick
- People 65 and older
- 19,400
- People 85 and older
- 2,050
- Median age
- 41.6
- Rank in Virginia
- 21st
20% of Frederick residents
the age daily help usually starts
close to the national average
of 133 counties, by residents 65+
Source: U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Frederick County is a smaller-city county (USDA Rural-Urban Continuum Code 3). 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 Frederick County
Virginia sets eligibility, not your town — so a family in Stephens City and a family at the far edge of the county apply the same way. The largest communities in Frederick County:
- Stephens City2,160
- Middletown1,444
Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.
How families in Frederick apply
You do not need a county office to start. Families in Frederick 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 →Frederick questions, answered honestly
Can I get paid to care for a family member in Frederick County?
Yes. Virginia runs real Medicaid programs — like CCC Plus Waiver consumer direction — that pay family caregivers, and they cover families in Frederick County. We help you enroll, and applying costs you nothing.
How much do family caregivers earn in Frederick 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 Frederick County apply?
Families in Frederick 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 Frederick 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 Frederick County might need this?
19,400 residents of Frederick County are 65 or older and about 2,050 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 Frederick do you cover?
All of Frederick County — including Stephens City and Middletown. 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:
Find out in 2 minutes
Answer 5 easy questions. See your programs and pay before you share any contact info.