Nebraska Medicaid home care rates
Nebraska Medicaid pays $28.00 per hour for personal care / attendant care (hourly) delivered by a agency provider, effective July 1, 2026, the 8th highest of 18 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)
- $28.00per hour
- Rank among states
- 8 of 18+2.9% vs median
- Home health / personal care aide median wage
- $17.38BLS May 2025
- Nebraska minimum wage
- $15.00
Nebraska home care rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Nebraska's official fee schedule.
| Service | Provider level | Code | NE rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Personal care / attendant care (hourly) | Agency provider | 8990 | $28.00 | hour | $28.00 | 8 of 18 | $27.20/hr | $18.28 | $42.24 | 18 |
| Homemaker / housekeeping help | Agency provider | 9769 | $20.73 | hour | $20.73 | 5 of 6 | $31.26/hr | $17.40 | $39.00 | 6 |
| Companion care | Aide or attendant | 5074 | $11.33 | hour | $11.33 | 9 of 11 | $17.97/hr | $6.72 | $31.60 | 11 |
| Respite care (hourly) | Agency provider | 2269 | $14.95 | hour | $14.95 | 25 of 27 | $25.00/hr | $2.24 | $1,161.80 | 27 |
| Respite care (daily) | Agency provider | 2888 | $119.34 | day | — | 21 of 23 | $210.93/day | $10.59 | $938.09 | 23 |
| Adult day services | Clinical nurse specialist | 6221 | $10.84 | hour | $10.84 | — | $65.16/day | $2.63 | $87.00 | 9 |
| Financial management services (self-direction) | Self-directed worker | Not published | $113.99/month | $36.75 | $265.00 | 10 | ||||
Personal care / attendant care (hourly): where Nebraska ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Oregon | $42.24 | hour | $42.24 | 2026-07-01 |
| 2 | Iowa | $10.50 | 15 min | $42.00 | 2012-06-11 |
| 3 | Missouri | $9.75 | 15 min | $39.00 | 2024-07-01 |
| 4 | Kentucky | $9.00 | 15 min | $36.00 | 2025-01-01 |
| 5 | New York | $35.36 | hour | $35.36 | 2025-01-01 |
| 6 | Indiana | $8.59 | 15 min | $34.36 | 2026-01-01 |
| 7 | Connecticut | $7.63 | 15 min | $30.52 | 2026-01-01 |
| 8 | Nebraska | $28.00 | hour | $28.00 | 2026-07-01 |
| 9 | Florida | $6.85 | 15 min | $27.40 | 2026-07-01 |
| 10 | Michigan | $27.00 | hour | $27.00 | 2024-11-01 |
| 11 | New Jersey | $26.68 | hour | $26.68 | 2024-07-01 |
| 12 | Tennessee | $6.59 | 15 min | $26.36 | 2025-07-01 |
| 13 | South Carolina | $6.25 | 15 min | $25.00 | 2025-11-01 |
| 14 | Minnesota | $5.25 | 15 min | $21.00 | 2026-04-01 |
| 15 | Kansas | $4.98 | 15 min | $19.92 | 2024-07-01 |
| 16 | Pennsylvania | $4.87 | 15 min | $19.48 | 2018-07-01 |
| 17 | Louisiana | $4.77 | 15 min | $19.08 | 2026-10-01 |
| 18 | Texas | $4.57 | 15 min | $18.28 | 2025-09-01 |
What it costs to deliver in Nebraska
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | NE median | US median | vs US |
|---|---|---|---|
| Home health / personal care aide | $17.38 | $17.21 | +1.0% |
| Registered nurse | $40.74 | $46.90 | -13.1% |
Recent Nebraska 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 Nebraska'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.