Home care & personal care Medicaid rates by state
Medicaid personal care, attendant, homemaker, companion and respite rates. These are the hourly rates that minimum-wage changes squeeze hardest. For personal care / attendant care (hourly), the median across 10 states is $26.84 an hour. New York pays the most.
- States with rates
- 20
- Median · Personal care / attendant care (hourly)
- $26.84an hour
- Highest
- $35.36New York
- Lowest
- $18.28Texas
Key home care rates across states
Fee-for-service rates, compared like-for-like by provider level. Per-hour figures convert time-based units only.
| Service | Provider level | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|
| Personal care / attendant care (hourly) | Agency provider | $26.84/hr | $18.28 | $35.36 | 10 |
| Homemaker / housekeeping help | Agency provider | $30.80/hr | $17.40 | $35.61 | 5 |
| Companion care | Aide or attendant | $14.65/hr | $8.68 | $27.52 | 4 |
| Respite care (hourly) | Agency provider | $26.36/hr | $14.95 | $74.04 | 13 |
| Respite care (daily) | Agency provider | $214.81/day | $10.59 | $938.09 | 12 |
| Adult day services | Clinical nurse specialist | $15.30/hour | $10.84 | $37.38 | 3 |
| Financial management services (self-direction) | Self-directed worker | $114.40/month | $103.21 | $265.00 | 5 |
Personal care / attendant care (hourly): state ranking
Agency provider level. Each rate links to the state's official fee schedule.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | New York | $35.36 | hour | $35.36 | 2025-01-01 |
| 2 | Indiana | $8.59 | 15 min | $34.36 | 2026-01-01 |
| 3 | Nebraska | $28.00 | hour | $28.00 | 2026-07-01 |
| 4 | Florida | $6.85 | 15 min | $27.40 | 2026-07-01 |
| 5 | Michigan | $27.00 | hour | $27.00 | 2024-11-01 |
| 6 | New Jersey | $26.68 | hour | $26.68 | 2024-07-01 |
| 7 | Tennessee | $6.59 | 15 min | $26.36 | 2025-07-01 |
| 8 | Minnesota | $5.25 | 15 min | $21.00 | 2026-04-01 |
| 9 | Pennsylvania | $4.87 | 15 min | $19.48 | 2018-07-01 |
| 10 | Texas | $4.57 | 15 min | $18.28 | 2025-09-01 |
Home care rates by state
State pages cover every key rate, the wages of the roles that deliver the service, the minimum wage, and recent rate changes.
The workspace adds every modifier, region and provider variant, full rate history, proposed changes, coverage and prior-authorization rules, managed-care plans and a unit-economics calculator. All of it is available through the API.