Nevada Medicaid home care rates
Nevada Medicaid pays $6.25 per 15 min ($25.00 an hour) for companion care delivered by a aide or attendant, effective January 1, 2024, the 4th highest of 11 states with comparable rates. Below: 3 more home care rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Companion care
- $6.25per 15 min · $25.00/hr
- Rank among states
- 4 of 11+39.1% vs median
- Home health / personal care aide median wage
- $16.19BLS May 2025
- Nevada minimum wage
- $12.00
Nevada home care rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Nevada's official fee schedule.
| Service | Provider level | Code | NV rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Personal care / attendant care (hourly) | Agency provider | Not published | $27.20/hr | $18.28 | $42.24 | 18 | ||||
| Homemaker / housekeeping help | Agency provider | Not published | $31.26/hr | $17.40 | $39.00 | 6 | ||||
| Companion care | Aide or attendant | S5135 | $6.25 | 15 min | $25.00 | 4 of 11 | $17.97/hr | $6.72 | $31.60 | 11 |
| Respite care (hourly) | Agency provider | S5150 | $6.25 | 15 min | $25.00 | 15 of 27 | $25.00/hr | $2.24 | $1,161.80 | 27 |
| Respite care (daily) | Agency provider | S5151 | $150.00 | day | — | 16 of 23 | $210.93/day | $10.59 | $938.09 | 23 |
| Adult day services | Clinical nurse specialist | S5102 | $42.00 | day | — | 6 of 9 | $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 | ||||
Companion care: where Nevada ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Minnesota | $7.90 | 15 min | $31.60 | 2026-01-01 |
| 2 | Arizona | $6.88 | 15 min | $27.52 | 2026-10-01 |
| 3 | Kentucky | $6.73 | 15 min | $26.92 | 2025-01-01 |
| 4 | Nevada | $6.25 | 15 min | $25.00 | 2024-01-01 |
| 5 | Kansas | $4.56 | 15 min | $18.24 | 2023-07-01 |
| 6 | Virginia | $17.97 | hour | $17.97 | 2025-07-01 |
| 7 | Connecticut | $17.25 | hour | $17.25 | 2023-01-01 |
| 8 | Alabama | $4.06 | 15 min | $16.24 | 2024-01-05 |
| 9 | Nebraska | $11.33 | hour | $11.33 | 2026-07-01 |
| 10 | Iowa | $2.12 | 15 min | $8.48 | 2025-08-01 |
| 11 | Arkansas | $1.68 | 15 min | $6.72 | 2022-08-25 |
What it costs to deliver in Nevada
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | NV median | US median | vs US |
|---|---|---|---|
| Home health / personal care aide | $16.19 | $17.21 | -5.9% |
| Registered nurse | $49.84 | $46.90 | +6.3% |
Recent Nevada 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 Nevada'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.