Home care · Hot Springs County, WY
Home care in Hot Springs County
Hot Springs County is the third-oldest county in Wyoming: 26.2% of the 4,600 people who live here are 65 or older, about 1,210 residents. That shapes everything about care here — the demand for it, the wait for it, and how far families drive to find it.
Below is what we'd tell a friend in Hot Springs County: what care costs here, who provides it, what the facility alternative actually looks like, and which programs pay.
Hot Springs County, in numbers
Full Wyoming guide →Residents 65+
1,210
26.2% of the county — the third-highest share of Wyoming's 23 counties.
Live with a disability
18.9%
About 858 people — the population most likely to need help at home.
Median household income
$64,734
20 hrs/week of care would run about 74% of it.
Certified agencies
1
Medicare-certified home health agencies serving local ZIPs; 1 rated, averaging 1.5★.
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 Hot Springs County
Wyoming's going rate for agency home care is around $46/hr. Twenty hours a week — four hours a day, five days a week, the most common schedule families start with — comes to roughly $4,000 a month, or $47,800 a year.
Median household income in Hot Springs County is $64,734, so that schedule would consume about 74% of a typical household's entire income. This is the number that sends most families looking for help paying, and it is why the programs below matter more than any brochure.
27.3% of people in Hot Springs County live below 150% of the federal poverty line — a share high enough that a real portion of local families will qualify for Wyoming's Medicaid programs rather than pay privately. If money is the obstacle, start with eligibility, not with rates.
Who provides care in Hot Springs County
1 Medicare-certified home health agency serves ZIP codes in Hot Springs County. One carries a CMS quality star rating, averaging 1.5 out of 5.
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
Hot Springs County has 1 certified nursing home holding 60 certified beds, averaging 3 out of 5 on CMS's overall rating. About 39 people live in them on an average day.
The Wyoming programs that pay for care at home
- Community Choices Waiver (CCW)
Wyoming 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 Wyoming program works →Caregiver training in WY
91 hrs
Minimum for certified aides — above the 75-hour federal floor. WY does not license non-medical agencies, so vet carefully.
Choosing an agency in Hot Springs County
- Vet twice as hard. Wyoming does not license non-medical home care agencies, which means anyone can hang a shingle. Ask who runs background checks, whether caregivers are W-2 employees or contractors, whether the agency carries liability and workers' comp, and who supervises the caregiver you'd get.
- Ask what the rate covers. Around $46/hr is typical in Wyoming. 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.
- Start the clock early. Hot Springs County is served by 1 certified agency, so the honest answer to "when can you start?" is often two to three weeks. If you're planning around a discharge date, call before the discharge, not after.
- Ask about Medicaid now, not later. If money is going to be the constraint, ask about Community Choices Waiver 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 Hot Springs County.
Hot Springs County home care questions, answered
How much does home care cost in Hot Springs County, WY?
Agency home care in Wyoming runs around $46/hr for private pay. At 20 hours a week that is about $4,000 a month. For context, median household income in Hot Springs County is $64,734. 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 Hot Springs County?
Medicare pays for skilled home health — a nurse or therapist, doctor-ordered, for a limited stretch, usually after a hospital stay. 1 Medicare-certified agency serves Hot Springs 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 Wyoming Medicaid.
Does Medicaid pay for home care in Hot Springs County?
Yes — for people who qualify. Wyoming runs a Medicaid program that pays for care at home instead of a nursing home: Community Choices Waiver (CCW). Income, asset, and care-need rules apply, and approval usually takes weeks to months, so apply before you need it. With 27.3% of Hot Springs County below 150% of the poverty line, a meaningful share of local families do qualify.
How are caregivers trained and vetted in Wyoming?
Certified home health aides in Wyoming complete at least 91 hours of training — above the 75-hour federal minimum. Wyoming does not license non-medical home care agencies, so the vetting falls to you: ask about background checks, insurance and bonding, and who supervises the caregivers.
Is home care better than a nursing home in Hot Springs County?
It depends on the level of care needed, not on which one sounds nicer. Hot Springs County's 1 certified facility averages 3 out of 5 stars on CMS ratings, against a Wyoming average of 2.89. 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 Hot Springs County?
Not directly — our own caregivers serve the Milwaukee area of Wisconsin. This page is a free guide for Hot Springs County families: what care really costs here, who provides it, and which programs can help pay.
Bordering counties in Wyoming