Massachusetts Medicaid home care rates
Massachusetts Medicaid pays $56,676.00 per month for respite care (hourly) delivered by a agency provider, effective July 1, 2025. Below: 1 more home care rate compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Respite care (hourly)
- $56,676.00per month
- Rank among states
- —
- Home health / personal care aide median wage
- $19.67BLS May 2025
- Massachusetts minimum wage
- $15.00
Massachusetts home care rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Massachusetts's official fee schedule.
| Service | Provider level | Code | MA 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 | Not published | $20.20/hr | $6.72 | $51.92 | 16 | ||||
| Respite care (hourly) | Agency provider | $56,676.00 | month | — | — | $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 | S5101 | $68.36 | — | — | — | $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 | ||||
Respite care (hourly): where Massachusetts ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | New Jersey | $290.45 | 15 min | $1,161.80 | 2026-01-01 |
| 2 | Virginia | $18.51 | 15 min | $74.04 | 2022-07-01 |
| 3 | New York | $14.83 | 15 min | $59.32 | 2026-04-01 |
| 4 | Maine | $9.87 | 15 min | $39.48 | 2026-01-01 |
| 5 | Maryland | $9.72 | 15 min | $38.88 | 2024-07-01 |
| 6 | Minnesota | $9.64 | 15 min | $38.56 | 2026-01-01 |
| 7 | California | $36.35 | hour | $36.35 | 2026-01-01 |
| 8 | Missouri | $8.14 | 15 min | $32.56 | 2023-07-01 |
| 9 | New Mexico | $7.46 | 15 min | $29.84 | 2026-07-01 |
| 10 | Delaware | $29.51 | hour | $29.51 | 2024-07-01 |
| 11 | Colorado | $7.28 | 15 min | $29.12 | 2026-07-01 |
| 12 | Georgia | $6.89 | 15 min | $27.56 | 2024-07-01 |
| 13 | Kansas | $6.78 | 15 min | $27.12 | 2022-07-01 |
| 14 | Vermont | $6.68 | 15 min | $26.72 | 2018-07-08 |
| 15 | Tennessee | $6.59 | 15 min | $26.36 | 2025-07-01 |
| 16 | Michigan | $6.40 | 15 min | $25.60 | 2019-01-01 |
| 17 | Illinois | $25.00 | hour | $25.00 | 2026-01-01 |
| 18 | Nevada | $6.25 | 15 min | $25.00 | 2024-01-01 |
| 19 | Montana | $6.20 | 15 min | $24.80 | 2025-07-01 |
| 20 | Kentucky | $6.00 | 15 min | $24.00 | 2025-01-01 |
| 21 | Connecticut | $23.56 | hour | $23.56 | 2026-07-01 |
| 22 | Texas | $23.29 | hour | $23.29 | 2025-09-01 |
| 23 | Arizona | $5.63 | 15 min | $22.52 | 2026-10-01 |
| 24 | Oklahoma | $5.50 | 15 min | $22.00 | 2024-10-01 |
| 25 | West Virginia | $5.01 | 15 min | $20.04 | 2024-10-01 |
| 26 | Oregon | $19.50 | hour | $19.50 | 2026-07-01 |
| 27 | Rhode Island | $4.78 | 15 min | $19.12 | 2026-10-01 |
| 28 | New Hampshire | $4.67 | 15 min | $18.68 | 2024-01-01 |
| 29 | Mississippi | $4.52 | 15 min | $18.08 | 2026-01-01 |
| 30 | Pennsylvania | $4.49 | 15 min | $17.96 | 2018-07-01 |
| 31 | Iowa | $3.94 | 15 min | $15.76 | 2025-08-01 |
| 32 | Nebraska | $14.95 | hour | $14.95 | 2026-07-01 |
| 33 | Idaho | $3.51 | 15 min | $14.04 | 2025-09-01 |
| 34 | Indiana | $3.50 | 15 min | $14.00 | 2020-04-01 |
| 35 | Arkansas | $0.56 | 15 min | $2.24 | 2022-08-25 |
What it costs to deliver in Massachusetts
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | MA median | US median | vs US |
|---|---|---|---|
| Home health / personal care aide | $19.67 | $17.21 | +14.3% |
| Registered nurse | $50.27 | $46.90 | +7.2% |
Recent Massachusetts 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 Massachusetts'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.