Home care · Miami-Dade County, FL
Home care in Miami-Dade County
Of the 2.7 million people in Miami-Dade County, about 447,000 are 65 or older — one in six residents. Most of them intend to stay in their own homes, and most of the care that makes that possible happens quietly, in living rooms, without anyone calling it "long-term care."
Below is what we'd tell a friend in Miami-Dade County: what care costs here, who provides it, what the facility alternative actually looks like, and which programs pay.
Miami-Dade County, in numbers
Full Florida guide →Residents 65+
446,559
16.6% of the county.
Live with a disability
10.2%
About 271,544 people — the population most likely to need help at home.
Median household income
$66,952
20 hrs/week of care would run about 50% of it.
Certified agencies
328
Medicare-certified home health agencies serving local ZIPs; 180 rated, averaging 3.4★.
Sources: CDC/ATSDR Social Vulnerability Index 2022 (ACS 2018–2022), County Health Rankings 2024, and CMS Care Compare provider files.
What home care costs in Miami-Dade County
Florida's going rate for agency home care is around $32/hr. Twenty hours a week — four hours a day, five days a week, the most common schedule families start with — comes to roughly $2,800 a month, or $33,300 a year.
Median household income in Miami-Dade County is $66,952 — that schedule runs about 50% of it. Manageable for some households here, and still worth checking whether a program can carry part of it.
26.3% of people in Miami-Dade County live below 150% of the federal poverty line — a share high enough that a real portion of local families will qualify for Florida's Medicaid programs rather than pay privately. If money is the obstacle, start with eligibility, not with rates.
Who provides care in Miami-Dade County
328 Medicare-certified home health agencies serve ZIP codes in Miami-Dade County. 180 of them carry a CMS quality star rating, averaging 3.4 out of 5. 252 report offering home health aide services.
One distinction worth getting straight before you call anyone: those are Medicare-certified home health agencies — skilled, doctor-ordered, intermittent care, usually a nurse or therapist visiting for a few weeks after a hospital stay. That is not the same as the hourly, non-medical help most families are actually looking for: bathing, dressing, meals, driving, company. Medicare pays for the first. It does not pay for the second.
The alternative, locally
Miami-Dade County has 54 certified nursing homes holding 8,281 certified beds, averaging 4 out of 5 on CMS's overall rating. About 7,558 people live in them on an average day.
An average of 4 stars is above the Florida average of 3.27. If a facility does turn out to be the right answer for your family, the options here are better than most counties in the state.
The Florida programs that pay for care at home
- Statewide Medicaid Managed Care Long-Term Care (SMMC-LTC)
Florida runs one Medicaid pathway that pays for care at home instead of a nursing home. Each has its own income, asset, and care-need rules, and approval takes weeks to months — so the application is worth starting before the need becomes urgent.
How each Florida program works →Caregiver training in FL
75 hrs
Minimum for certified aides (the federal minimum). Agencies are licensed by the FL Agency for Health Care Administration.
Choosing an agency in Miami-Dade County
- Ask for the license. Florida licenses home care agencies through the FL Agency for Health Care Administration. A legitimate agency shows its license without hesitating. One that changes the subject has told you something.
- Ask what the rate covers. Around $32/hr is typical in Florida. A real agency's rate covers a trained, background-checked, insured caregiver plus supervision and backup staffing when your regular person is sick. A rate well under the local range usually means one of those is missing.
- Don't confuse a fast answer with a good one. With 328 certified agencies serving Miami-Dade County, someone will always pick up. Ask specifically: can you staff the exact hours I need, with the same caregiver, starting when? Vague answers there predict vague service later.
- Ask about Medicaid now, not later. If money is going to be the constraint, ask about Statewide Medicaid Managed Care Long-Term Care at the first call. Approval takes weeks to months, and private pay is what bridges the gap — so the sooner the application starts, the smaller that bridge is.
Want to talk it through?
We provide care in the Milwaukee, WI area — but we’re glad to help any family think through the options in Miami-Dade County.
Miami-Dade County home care questions, answered
How much does home care cost in Miami-Dade County, FL?
Agency home care in Florida runs around $32/hr for private pay. At 20 hours a week that is about $2,800 a month. For context, median household income in Miami-Dade County is $66,952. Rates move with the level of care and the schedule — short daily visits cost more per hour than long shifts.
Does Medicare pay for home care in Miami-Dade County?
Medicare pays for skilled home health — a nurse or therapist, doctor-ordered, for a limited stretch, usually after a hospital stay. 328 Medicare-certified agencies serve Miami-Dade County. Medicare does not pay for the hourly, non-medical help most families want — bathing, dressing, meals, driving, company. For that, the money comes from private pay, long-term care insurance, VA benefits, or Florida Medicaid.
Does Medicaid pay for home care in Miami-Dade County?
Yes — for people who qualify. Florida runs a Medicaid program that pays for care at home instead of a nursing home: Statewide Medicaid Managed Care Long-Term Care (SMMC-LTC). Income, asset, and care-need rules apply, and approval usually takes weeks to months, so apply before you need it. With 26.3% of Miami-Dade County below 150% of the poverty line, a meaningful share of local families do qualify.
How are caregivers trained and vetted in Florida?
Certified home health aides in Florida complete at least 75 hours of training, the federal minimum. The state licenses home care agencies through the FL Agency for Health Care Administration, so ask to see an agency's license before you hire.
Is home care better than a nursing home in Miami-Dade County?
It depends on the level of care needed, not on which one sounds nicer. Miami-Dade County's 54 certified facilities average 4 out of 5 stars on CMS ratings, against a Florida average of 3.27. Round-the-clock skilled nursing is something a facility does that home care cannot. But for help with bathing, meals, medication reminders, and company, care at home usually costs less and keeps someone in their own bed — and most people, asked plainly, say that is what they want.
Does Juniper at Home provide caregivers in Miami-Dade County?
Not directly — our own caregivers serve the Milwaukee area of Wisconsin. This page is a free guide for Miami-Dade County families: what care really costs here, who provides it, and which programs can help pay.
Bordering counties in Florida