S5130 Medicaid reimbursement rates by state
Homemaker service, nos; per 15 minutes. 25 state Medicaid programs publish a fee-for-service rate for S5130 at the aide level. Rates run from $2.07 in Virginia to $31.34 in Montana, with a median of $7.68.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 25
- Median rate
- $7.68units vary by state
- Highest
- $31.34Montana
- Medicare (non-facility)
- —not on the physician fee schedule
S5130 rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| MontanaAide or attendant (HHA, CNA, PCA, home care aide) · Montana Developmental Disabilities Program 0208 Comprehensive Waiver (1915(c), fee-for-service) | $31.34since 2025-07-01 | Staff Hour | — | Not classified | — | Montana Healthcare Programs Fee Schedule |
| IllinoisAgency provider · Illinois Persons with Brain Injury waiver (DHS-DRS Home Services Program, IL.0329) | $30.80since 2026-07-01 | hour | $30.80 | Plans must pay at least this | — | HSP Rates and Fees (Medicaid Waiver Serv |
| New JerseyAide or attendant (HHA, CNA, PCA, home care aide) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $15.50since 2025-01-01 | 15 min | $62.00 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| South DakotaAide or attendant (HHA, CNA, PCA, home care aide) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services) | $11.17since 2026-07-01 | 15 min | $44.68 | Not classified | — | South Dakota Medicaid Personal Care Agen |
| Rhode IslandAide or attendant (HHA, CNA, PCA, home care aide) · Rhode Island Medicaid home care and personal care (fee-for-service) | $10.97since 2026-10-01 | — | — | Plans must pay at least this | — | Home Health Agency Rates 10/1/2026 (Prov |
| HawaiiAide or attendant (HHA, CNA, PCA, home care aide) · Hawaii Med-QUEST HCBS fee-for-service rates (QI memos) | $9.32since 2026-01-01 | 15 min | $37.28 | Plans negotiate; applies out of network | — | Med-QUEST memo QI-2604A: 2026 |
| MissouriAide or attendant (HHA, CNA, PCA, home care aide) · Missouri Aged and Disabled Waiver (DHSS, 1915(c)) | $8.14since 2023-07-01 | 15 min | $32.56 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Aged and Disa |
| MinnesotaAide or attendant (HHA, CNA, PCA, home care aide) · Minnesota Alternative Care (AC, state-funded program for people 65+) | $7.90since 2026-01-01 | 15 min | $31.60 | Not classified | — | Long-Term Services and Supports Service |
| KentuckyAide or attendant (HHA, CNA, PCA, home care aide) · Kentucky Michelle P. 1915(c) waiver | $7.87since 2025-01-01 | 15 min | $31.48 | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| ArizonaAide or attendant (HHA, CNA, PCA, home care aide) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $7.79since 2026-10-01 | 15 min | $31.16 | Plans expected to pay at least this | — | AHCCCS Final FFS Home and Community Base |
| UtahAide or attendant (HHA, CNA, PCA, home care aide) · Utah Medicaid (fee-for-service, Traditional plan) | $7.78since 2019-07-01 | 15 min | $31.12 | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| IndianaIndependent (non-agency) provider · Indiana Money Follows the Person (Health & Wellness / A&D track) | $7.68since 2023-07-01 | 15 min | $30.72 | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| New HampshireAide or attendant (HHA, CNA, PCA, home care aide) · New Hampshire Choices for Independence (CFI) 1915(c) waiver | $7.68since 2024-01-01 | 15 min | $30.72 | Paid by the state, outside plans | — | 2024 Fee Schedule - HCBC CFI Covered Pro |
| FloridaAgency provider · Florida iBudget waiver for people with developmental disabilities (APD) | $6.85since 2026-07-01 | 15 min | $27.40 | Paid by the state, outside plans | — | Florida Medicaid Developmental Disabilit |
| ColoradoAide or attendant (HHA, CNA, PCA, home care aide) · Colorado HCBS waiver: Supported Living Services (SLS) | $6.83since 2023-07-01 | 15 min | $27.32 | Paid by the state, outside plans | — | DD, SLS, CES (effective January 1, 2024) |
| West VirginiaAide or attendant (HHA, CNA, PCA, home care aide) · West Virginia Aged and Disabled 1915(c) Waiver (ADW) | $6.75since 2025-10-01 | 15 min | $27.00 | Paid by the state, outside plans | — | BMS memo 'Rate Increases' (HCBS & PC Rat |
| WyomingAide or attendant (HHA, CNA, PCA, home care aide) · Wyoming Community Choices Waiver (1915(c), elderly and physically disabled) | $6.49since 2023-04-01 | 15 min | $25.96 | Not classified | — | CCW Waiver Fee Schedule - Effective Apri |
| OklahomaAide or attendant (HHA, CNA, PCA, home care aide) · Oklahoma Developmental Disabilities Services 1915(c) waivers (Community, In-Home Supports adults and children, Homeward Bound) | $6.25since 2024-10-01 | 15 min | $25.00 | Paid by the state, outside plans | — | DDS Administrative Letter 24-02: Rate In |
| NevadaAide or attendant (HHA, CNA, PCA, home care aide) · Nevada HCBS Waiver for the Frail Elderly (provider types 48, 57 and 59, fee-for-service) | $6.25since 2024-01-01 | 15 min | $25.00 | Paid by the state, outside plans | — | Provider Type 48 Home and Community Base |
| MassachusettsAide or attendant (HHA, CNA, PCA, home care aide) · MassHealth home- and community-based services waivers (101 CMR 359 / 449) | $6.22since 2022-07-01 | 15 min | $24.88 | Not classified | — | Rates for Certain Home- and Community-Ba |
| TexasAgency provider · Texas Home and Community-Based Services - Adult Mental Health (HCBS-AMH, 1915(i)) | $5.66since 2025-09-01 | 15 min | $22.64 | Not classified | — | HHSC PFD HCBS-AMH payment rates (9-1-202 |
| IowaAny qualified provider (rate does not vary by provider) · Iowa HCBS Elderly 1915(c) waiver | $5.47since 2022-07-01 | — | — | Plans must pay at least this | — | Iowa Medicaid Consumer Choice Option (CC |
| IdahoAide or attendant (HHA, CNA, PCA, home care aide) · Idaho Aged and Disabled 1915(c) Waiver (ID.1076) | $5.26since 2026-07-01 | 15 min | $21.04 | Not classified | — | Aged and Disabled Waiver Services |
| CaliforniaAide or attendant (HHA, CNA, PCA, home care aide) · California Medi-Cal home & community-based waiver services | $3.72since 2026-10-01 | 15 min | $14.88 | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| VirginiaAide or attendant (HHA, CNA, PCA, home care aide) · Virginia Medicaid (fee-for-service, DMAS) | $2.07since 2024-12-01 | 15 min | $8.28 | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for S5130?
It depends on the state. Of the 25 states with a published fee-for-service rate, the median is $7.68. Montana pays the most ($31.34 per Staff Hour) and Virginia the least ($2.07 per 15 min).
Which state pays the highest Medicaid rate for S5130?
Montana, at $31.34 per Staff Hour, effective 2025-07-01.
Do managed-care plans pay the same rate for S5130?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.
Related Personal care & attendant codes
T1019Personal care services, per 15 minutes · 40 statesS5135Companion care, adult (e.g., iadl/adl); per 15 minutes · 22 statesS9122Home health aide or certified nurse assistant · 14 statesS5136Companion care, adult (e.g., iadl/adl); per diem · 13 statesS5120Chore services; per 15 minutes · 10 statesS5126Attendant care services; per diem · 9 statesS5116Home care training, non-family; per session · 6 statesS5111Home care training, family; per session · 5 states
Track S5130 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.