Alabama Medicaid home care rates
Alabama Medicaid pays $4.06 per 15 min ($16.24 an hour) for companion care delivered by a aide or attendant, effective January 5, 2024, the 16th highest of 20 states with comparable rates. Below: 3 more home care rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Companion care
- $4.06per 15 min · $16.24/hr
- Rank among states
- 16 of 20-37.4% vs median
- Home health / personal care aide median wage
- $13.39BLS May 2025
- Alabama minimum wage
- $7.25
Alabama home care rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Alabama's official fee schedule.
| Service | Provider level | Code | AL rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Personal care / attendant care (hourly) | Agency provider | Not published | $30.52/hr | $18.28 | $84.84 | 27 | ||||
| Homemaker / housekeeping help | Agency provider | Not published | $30.80/hr | $17.40 | $39.00 | 9 | ||||
| Companion care | Aide or attendant | S5135 | $4.06 | 15 min | $16.24 | 16 of 20 | $25.96/hr | $6.72 | $51.92 | 20 |
| Respite care (hourly) | Agency provider | S5150 | $22.00 | hour | — | — | $25.30/hr | $2.24 | $1,161.80 | 40 |
| Respite care (daily) | Agency provider | S5150 | $158.00 | day | — | 25 of 35 | $239.04/day | $10.59 | $938.09 | 35 |
| Adult day services | Clinical nurse specialist | Not published | $64.11/day | $2.63 | $124.44 | 14 | ||||
| Financial management services (self-direction) | Self-directed worker | $80.00 | month | — | 13 of 14 | $113.99/month | $36.75 | $265.00 | 14 | |
Companion care: where Alabama ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Vermont | $12.98 | 15 min | $51.92 | 2026-07-01 |
| 2 | South Dakota | $10.81 | 15 min | $43.24 | 2026-07-01 |
| 3 | Montana | $9.39 | 15 min | $37.56 | 2025-07-01 |
| 4 | Minnesota | $7.90 | 15 min | $31.60 | 2026-01-01 |
| 5 | District of Columbia | $7.89 | 15 min | $31.56 | 2026-01-01 |
| 6 | Wyoming | $7.35 | 15 min | $29.40 | 2026-07-01 |
| 7 | Utah | $7.27 | 15 min | $29.08 | 2019-07-01 |
| 8 | Arizona | $6.88 | 15 min | $27.52 | 2026-10-01 |
| 9 | North Dakota | $6.76 | 15 min | $27.04 | 2026-07-01 |
| 10 | Kentucky | $6.73 | 15 min | $26.92 | 2025-01-01 |
| 11 | Nevada | $6.25 | 15 min | $25.00 | 2024-01-01 |
| 12 | Idaho | $5.54 | 15 min | $22.16 | 2026-07-01 |
| 13 | Kansas | $4.56 | 15 min | $18.24 | 2023-07-01 |
| 14 | Virginia | $17.97 | hour | $17.97 | 2025-07-01 |
| 15 | Connecticut | $17.25 | hour | $17.25 | 2023-01-01 |
| 16 | Alabama | $4.06 | 15 min | $16.24 | 2024-01-05 |
| 17 | Hawaii | $4.00 | 15 min | $16.00 | 2026-01-01 |
| 18 | Nebraska | $11.33 | hour | $11.33 | 2026-07-01 |
| 19 | Iowa | $2.12 | 15 min | $8.48 | 2025-08-01 |
| 20 | Arkansas | $1.68 | 15 min | $6.72 | 2022-08-25 |
What it costs to deliver in Alabama
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | AL median | US median | vs US |
|---|---|---|---|
| Home health / personal care aide | $13.39 | $17.21 | -22.2% |
| Registered nurse | $37.06 | $46.90 | -21.0% |
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.
Rates are taken from Alabama's official Medicaid publications, and each one links to its source. Confirm with the payer before billing. Managed-care plans may pay differently from fee-for-service.