North Carolina Medicaid home care rates
North Carolina Medicaid pays $107.42 per month for financial management services (self-direction) delivered by a self-directed worker, effective October 1, 2025, the 4th highest of 6 states with comparable rates.
- Financial management services (self-direction)
- $107.42per month
- Rank among states
- 4 of 6-3.1% vs median
- Home health / personal care aide median wage
- $15.02BLS May 2025
- North Carolina minimum wage
- $7.25
North Carolina home care rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open North Carolina's official fee schedule.
| Service | Provider level | Code | NC rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Personal care / attendant care (hourly) | Agency provider | Not published | $27.00/hr | $18.28 | $39.00 | 11 | ||||
| Homemaker / housekeeping help | Agency provider | Not published | $30.80/hr | $17.40 | $35.61 | 5 | ||||
| Companion care | Aide or attendant | Not published | $189.29/day | $165.39 | $232.28 | 3 | ||||
| Respite care (hourly) | Agency provider | Not published | $27.56/hr | $14.95 | $74.04 | 15 | ||||
| Respite care (daily) | Agency provider | Not published | $250.00/day | $10.59 | $938.09 | 15 | ||||
| Adult day services | Clinical nurse specialist | Not published | $41.45/day | $2.63 | $76.27 | 4 | ||||
| Financial management services (self-direction) | Self-directed worker | T2040 | $107.42 | month | — | 4 of 6 | $110.91/month | $36.75 | $265.00 | 6 |
Financial management services (self-direction): where North Carolina ranks
States whose published unit can't be converted are left out of the ranking.
What it costs to deliver in North Carolina
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | NC median | US median | vs US |
|---|---|---|---|
| Home health / personal care aide | $15.02 | $17.21 | -12.7% |
| Registered nurse | $40.56 | $46.90 | -13.5% |
Recent North Carolina 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 North Carolina'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.