Iowa Medicaid home care rates
Iowa Medicaid pays $10.50 per 15 min ($42.00 an hour) for personal care / attendant care (hourly) delivered by a agency provider, effective June 11, 2012, the 3rd highest of 27 states with comparable rates. Below: 5 more home care rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Personal care / attendant care (hourly)
- $10.50per 15 min · $42.00/hr
- Rank among states
- 3 of 27+37.6% vs median
- Home health / personal care aide median wage
- $17.34BLS May 2025
- Iowa minimum wage
- $7.25
Iowa home care rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Iowa's official fee schedule.
| Service | Provider level | Code | IA rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Personal care / attendant care (hourly) | Agency provider | T1019 | $10.50 | 15 min | $42.00 | 3 of 27 | $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 | $2.12 | 15 min | $8.48 | 19 of 20 | $25.96/hr | $6.72 | $51.92 | 20 |
| Respite care (hourly) | Agency provider | T1005 | $3.94 | 15 min | $15.76 | 36 of 40 | $25.30/hr | $2.24 | $1,161.80 | 40 |
| Respite care (daily) | Agency provider | S5150 | $356.93 | Daily Limit | — | — | $239.04/day | $10.59 | $938.09 | 35 |
| Adult day services | Clinical nurse specialist | S5101 | $26.37 | Half Day | — | — | $64.11/day | $2.63 | $124.44 | 14 |
| Financial management services (self-direction) | Self-directed worker | T2040 | $77.51 | Per Member Per Month | — | — | $113.99/month | $36.75 | $265.00 | 14 |
Personal care / attendant care (hourly): where Iowa ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Utah | $21.21 | 15 min | $84.84 | 2026-07-01 |
| 2 | Oregon | $42.24 | hour | $42.24 | 2026-07-01 |
| 3 | Iowa | $10.50 | 15 min | $42.00 | 2012-06-11 |
| 4 | Delaware | $39.35 | hour | $39.35 | 2024-07-01 |
| 5 | Missouri | $9.75 | 15 min | $39.00 | 2024-07-01 |
| 6 | North Dakota | $9.59 | 15 min | $38.36 | 2026-07-01 |
| 7 | Alaska | $9.30 | 15 min | $37.20 | 2026-07-01 |
| 8 | Montana | $9.23 | 15 min | $36.92 | 2026-07-01 |
| 9 | Kentucky | $9.00 | 15 min | $36.00 | 2025-01-01 |
| 10 | New York | $35.36 | hour | $35.36 | 2025-01-01 |
| 11 | Indiana | $8.59 | 15 min | $34.36 | 2026-01-01 |
| 12 | Wyoming | $8.25 | 15 min | $33.00 | 2026-07-22 |
| 13 | New Hampshire | $8.00 | 15 min | $32.00 | 2023-10-01 |
| 14 | Connecticut | $7.63 | 15 min | $30.52 | 2026-01-01 |
| 15 | Nebraska | $28.00 | hour | $28.00 | 2026-07-01 |
| 16 | Florida | $6.85 | 15 min | $27.40 | 2026-07-01 |
| 17 | Michigan | $27.00 | hour | $27.00 | 2024-11-01 |
| 18 | West Virginia | $6.75 | 15 min | $27.00 | 2025-10-01 |
| 19 | New Jersey | $26.68 | hour | $26.68 | 2024-07-01 |
| 20 | Tennessee | $6.59 | 15 min | $26.36 | 2025-07-01 |
| 21 | South Carolina | $6.25 | 15 min | $25.00 | 2025-11-01 |
| 22 | Idaho | $6.11 | 15 min | $24.44 | 2026-07-01 |
| 23 | Minnesota | $5.25 | 15 min | $21.00 | 2026-04-01 |
| 24 | Kansas | $4.98 | 15 min | $19.92 | 2024-07-01 |
| 25 | Pennsylvania | $4.87 | 15 min | $19.48 | 2018-07-01 |
| 26 | Louisiana | $4.77 | 15 min | $19.08 | 2026-10-01 |
| 27 | Texas | $4.57 | 15 min | $18.28 | 2025-09-01 |
What it costs to deliver in Iowa
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | IA median | US median | vs US |
|---|---|---|---|
| Home health / personal care aide | $17.34 | $17.21 | +0.8% |
| Registered nurse | $37.80 | $46.90 | -19.4% |
Recent Iowa home care 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.
Rates are taken from Iowa'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.