Arkansas Medicaid home care rates
Arkansas Medicaid pays $1.68 per 15 min ($6.72 an hour) for companion care delivered by a aide or attendant, effective August 25, 2022, the 16th highest of 16 states with comparable rates. Below: 2 more home care rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Companion care
- $1.68per 15 min · $6.72/hr
- Rank among states
- 16 of 16-66.7% vs median
- Home health / personal care aide median wage
- $13.30BLS May 2025
- Arkansas minimum wage
- $11.00
Arkansas home care rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Arkansas's official fee schedule.
| Service | Provider level | Code | AR rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Personal care / attendant care (hourly) | Agency provider | Not published | $27.70/hr | $18.28 | $84.84 | 24 | ||||
| Homemaker / housekeeping help | Agency provider | Not published | $30.80/hr | $17.40 | $39.00 | 7 | ||||
| Companion care | Aide or attendant | S5135 | $1.68 | 15 min | $6.72 | 16 of 16 | $20.20/hr | $6.72 | $51.92 | 16 |
| Respite care (hourly) | Agency provider | T1005 | $0.56 | 15 min | $2.24 | 35 of 35 | $25.00/hr | $2.24 | $1,161.80 | 35 |
| Respite care (daily) | Agency provider | Not published | $232.25/day | $10.59 | $938.09 | 31 | ||||
| Adult day services | Clinical nurse specialist | S5100 | $2.47 | 15 min | $9.88 | — | $65.16/day | $2.63 | $124.44 | 13 |
| Financial management services (self-direction) | Self-directed worker | Not published | $113.99/month | $36.75 | $265.00 | 14 | ||||
Companion care: where Arkansas 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 | Montana | $9.39 | 15 min | $37.56 | 2025-07-01 |
| 3 | Minnesota | $7.90 | 15 min | $31.60 | 2026-01-01 |
| 4 | Utah | $7.27 | 15 min | $29.08 | 2019-07-01 |
| 5 | Arizona | $6.88 | 15 min | $27.52 | 2026-10-01 |
| 6 | Kentucky | $6.73 | 15 min | $26.92 | 2025-01-01 |
| 7 | Nevada | $6.25 | 15 min | $25.00 | 2024-01-01 |
| 8 | Idaho | $5.54 | 15 min | $22.16 | 2026-07-01 |
| 9 | Kansas | $4.56 | 15 min | $18.24 | 2023-07-01 |
| 10 | Virginia | $17.97 | hour | $17.97 | 2025-07-01 |
| 11 | Connecticut | $17.25 | hour | $17.25 | 2023-01-01 |
| 12 | Alabama | $4.06 | 15 min | $16.24 | 2024-01-05 |
| 13 | Hawaii | $4.00 | 15 min | $16.00 | 2026-01-01 |
| 14 | Nebraska | $11.33 | hour | $11.33 | 2026-07-01 |
| 15 | Iowa | $2.12 | 15 min | $8.48 | 2025-08-01 |
| 16 | Arkansas | $1.68 | 15 min | $6.72 | 2022-08-25 |
What it costs to deliver in Arkansas
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | AR median | US median | vs US |
|---|---|---|---|
| Home health / personal care aide | $13.30 | $17.21 | -22.7% |
| Registered nurse | $37.95 | $46.90 | -19.1% |
Recent Arkansas home care rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| 2025 Arkansas Living Choices Assisted Living Waiver Rate Study Report (DRAFT, July 31, 2026) | proposed | — | — |
| Living Choices Assisted Living waiver amendment AR.0400.R04.07: single daily rate $86.73 | approved_cms | +3.8% | 2024-07-01 |
| CMS approved SDP AR_Fee_HCBS.BHO.Oth_Amend2_20220101-20221231 (January 1, 2022 - December 31, 2022) | approved_cms | — | 2022-01-01 |
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 Arkansas'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.