Michigan Medicaid home care rates
Michigan Medicaid pays $27.00 per hour for personal care / attendant care (hourly) delivered by a agency provider, effective November 1, 2024, the 17th highest of 27 states with comparable rates. Below: 1 more home care rate compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Personal care / attendant care (hourly)
- $27.00per hour
- Rank among states
- 17 of 27-11.5% vs median
- Home health / personal care aide median wage
- $16.83BLS May 2025
- Michigan minimum wage
- $13.73$15.00 from January 1, 2027
Michigan home care rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Michigan's official fee schedule.
| Service | Provider level | Code | MI rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Personal care / attendant care (hourly) | Agency provider | $27.00 | hour | $27.00 | 17 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 | Not published | $25.96/hr | $6.72 | $51.92 | 20 | ||||
| Respite care (hourly) | Agency provider | T1005 | $6.40 | 15 min | $25.60 | 20 of 40 | $25.30/hr | $2.24 | $1,161.80 | 40 |
| Respite care (daily) | Agency provider | Not published | $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 | Not published | $113.99/month | $36.75 | $265.00 | 14 | ||||
Personal care / attendant care (hourly): where Michigan 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 Michigan
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | MI median | US median | vs US |
|---|---|---|---|
| Home health / personal care aide | $16.83 | $17.21 | -2.2% |
| Registered nurse | $45.34 | $46.90 | -3.3% |
Recent Michigan home care rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| L 26-59: Home Help Individual Caregiver Rate Increase State Plan Amendment | proposed | +7.4% | — |
| L 26-47: | effective | — | — |
| Proposed policy 2617-HH: Consultation Summary for Project Number 2617-HH - Revision to Home Help Comprehensive Assessment Policy | proposed | — | — |
| L 25-75: January 2026 Home Help Individual Caregiver Pay Rate Increase | effective | — | 2026-01-01 |
| CMS approves Michigan SDP MI_Fee_HCBS1_Renewal_20260101-20261231 | approved_cms | — | 2026-01-01 |
| SPA MI-25-0022: MI-25-0022 | approved_cms | — | 2026-01-01 |
| SPA: PCS Home Help Rate Update (SPA 25-0022) Approval | approved_cms | — | 2026-01-01 |
| SPA: PCS Home Help Rate Update (SPA 25-0022) Submission | submitted | — | 2026-01-01 |
| L 25-66: Home Help Individual Caregiver Rate Increase State Plan Amendment (SPA) | proposed | +7.9% | — |
| L 25-59: Soft Launch of Electronic Visit Verification (EVV) for Medicaid Managed Care Home | effective | — | — |
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 Michigan'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.