Missouri Medicaid home care rates
Missouri Medicaid pays $9.75 per 15 min ($39.00 an hour) for personal care / attendant care (hourly) delivered by a agency provider, effective July 1, 2024, the 5th highest of 24 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)
- $9.75per 15 min · $39.00/hr
- Rank among states
- 5 of 24+40.8% vs median
- Home health / personal care aide median wage
- $15.90BLS May 2025
- Missouri minimum wage
- $15.00
Missouri home care rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Missouri's official fee schedule.
| Service | Provider level | Code | MO rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Personal care / attendant care (hourly) | Agency provider | T1019 | $9.75 | 15 min | $39.00 | 5 of 24 | $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 | S5136 | $232.28 | day | — | — | $20.20/hr | $6.72 | $51.92 | 16 |
| Respite care (hourly) | Agency provider | S5150 | $8.14 | 15 min | $32.56 | 8 of 35 | $25.00/hr | $2.24 | $1,161.80 | 35 |
| Respite care (daily) | Agency provider | S5151 | $623.73 | day | — | 2 of 31 | $232.25/day | $10.59 | $938.09 | 31 |
| Adult day services | Clinical nurse specialist | S5100 | $3.32 | 15 min | $13.28 | — | $65.16/day | $2.63 | $124.44 | 13 |
| Financial management services (self-direction) | Self-directed worker | T2040 | $157.89 | 15 min | $631.56 | — | $113.99/month | $36.75 | $265.00 | 14 |
Personal care / attendant care (hourly): where Missouri 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 | Montana | $9.23 | 15 min | $36.92 | 2026-07-01 |
| 7 | Kentucky | $9.00 | 15 min | $36.00 | 2025-01-01 |
| 8 | New York | $35.36 | hour | $35.36 | 2025-01-01 |
| 9 | Indiana | $8.59 | 15 min | $34.36 | 2026-01-01 |
| 10 | New Hampshire | $8.00 | 15 min | $32.00 | 2023-10-01 |
| 11 | Connecticut | $7.63 | 15 min | $30.52 | 2026-01-01 |
| 12 | Nebraska | $28.00 | hour | $28.00 | 2026-07-01 |
| 13 | Florida | $6.85 | 15 min | $27.40 | 2026-07-01 |
| 14 | Michigan | $27.00 | hour | $27.00 | 2024-11-01 |
| 15 | West Virginia | $6.75 | 15 min | $27.00 | 2025-10-01 |
| 16 | New Jersey | $26.68 | hour | $26.68 | 2024-07-01 |
| 17 | Tennessee | $6.59 | 15 min | $26.36 | 2025-07-01 |
| 18 | South Carolina | $6.25 | 15 min | $25.00 | 2025-11-01 |
| 19 | Idaho | $6.11 | 15 min | $24.44 | 2026-07-01 |
| 20 | Minnesota | $5.25 | 15 min | $21.00 | 2026-04-01 |
| 21 | Kansas | $4.98 | 15 min | $19.92 | 2024-07-01 |
| 22 | Pennsylvania | $4.87 | 15 min | $19.48 | 2018-07-01 |
| 23 | Louisiana | $4.77 | 15 min | $19.08 | 2026-10-01 |
| 24 | Texas | $4.57 | 15 min | $18.28 | 2025-09-01 |
What it costs to deliver in Missouri
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | MO median | US median | vs US |
|---|---|---|---|
| Home health / personal care aide | $15.90 | $17.21 | -7.6% |
| Registered nurse | $39.32 | $46.90 | -16.2% |
Recent Missouri home care rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| Rate Update for DHSS-Authorized Home and Community-Based Services (MO HealthNet Bulletin Vol. 49-05) | effective | +35.0% | 2026-07-01 |
| Rate Update for DHSS Authorized Home and Community Based Services (MO HealthNet Bulletin Vol. 48-05) | effective | +10.4% | 2025-07-01 |
| Rate Update For DHSS-Authorized Home And Community-Based Services (MO HealthNet Bulletin Vol. 47-01) | effective | +48.9% | 2024-07-01 |
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 Missouri'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.