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Ohio Medicaid home care rates

Ohio Medicaid pays $8.26 per Fifteen minutes for personal care / attendant care (hourly) delivered by a agency provider, effective July 1, 2024. Below: 3 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)
$8.26per Fifteen minutes
Rank among states
—
Home health / personal care aide median wage
$16.57BLS May 2025
Ohio minimum wage
$11.00$11.40 from January 1, 2027

Ohio home care rates vs other states

Fee-for-service, like-for-like by provider level. Click a rate to open Ohio's official fee schedule.

ServiceProvider levelCodeOH rateUnitPer hourRankMedian across statesLowestHighestStates
Personal care / attendant care (hourly)Agency providerFMX$8.26Fifteen minutes——$26.84/hr$18.28$39.0014
Homemaker / housekeeping helpAgency providerNot published$31.26/hr$17.40$39.006
Companion careAide or attendantNot published$5.01/15 min$2.17$6.884
Respite care (hourly)Agency providerARR$7.37Fifteen minutes——$26.96/hr$14.95$74.0416
Respite care (daily)Agency providerSLR$197.89Daily, based on a twenty-four-hour period during which service is provided.——$247.69/day$10.59$938.0916
Adult day servicesClinical nurse specialist$40.48½ day——$72.19/day$2.63$80.005
Financial management services (self-direction)Self-directed workerNot published$110.91/month$36.75$265.008

Personal care / attendant care (hourly): where Ohio ranks

States whose published unit can't be converted are left out of the ranking.

#StateRateUnitPer hourEffective
1Missouri$9.7515 min$39.002024-07-01
2Kentucky$9.0015 min$36.002025-01-01
3New York$35.36hour$35.362025-01-01
4Indiana$8.5915 min$34.362026-01-01
5Nebraska$28.00hour$28.002026-07-01
6Florida$6.8515 min$27.402026-07-01
7Michigan$27.00hour$27.002024-11-01
8New Jersey$26.68hour$26.682024-07-01
9Tennessee$6.5915 min$26.362025-07-01
10South Carolina$6.2515 min$25.002025-11-01
11Minnesota$5.2515 min$21.002026-04-01
12Pennsylvania$4.8715 min$19.482018-07-01
13Louisiana$4.7715 min$19.082026-10-01
14Texas$4.5715 min$18.282025-09-01

What it costs to deliver in Ohio

Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).

RoleOH medianUS medianvs US
Home health / personal care aide$16.57$17.21-3.7%
Registered nurse$39.67$46.90-15.4%

Recent Ohio home care rate changes

ChangeStatusChangeEffective
Register of Ohio: Ohio Department of Developmental Disabilities final-filed rules 5123-9-17 - Home and community-based services waivers - adult day support under the individual options, level one, and self-empowered life funding waivers.effective—2026-07-16
Register of Ohio: Ohio Department of Developmental Disabilities final-filed rules 5123-9-14, 5123-9-19, 5123-9-23, 5123-9-35, 5123-9-40, 5123-9-44, 5123-9-45effective—2026-07-01
Register of Ohio: Ohio Department of Developmental Disabilities proposed rules 5123-9-17 - Home and community-based services waivers - adult day support under the individual options, level one, and self-empowered life funding waivers.proposed——
Register of Ohio: Ohio Department of Developmental Disabilities proposed rules 5123-9-19 - Home and community-based services waivers - general requirements for adult day support, career planning, group employment support, individual employment support, non-medical transportation, and vocational habilitation.proposed——
Register of Ohio: Ohio Department of Developmental Disabilities proposed rules 5123-9-19, 5123-9-40proposed——
Register of Ohio: Ohio Department of Medicaid final-filed rules 5160-1-06.1, 5160-46-06effective—2026-04-17
Register of Ohio: Ohio Department of Developmental Disabilities proposed rules 5123-9-14, 5123-9-17, 5123-9-19, 5123-9-23, 5123-9-35, 5123-9-40, 5123-9-44, 5123-9-45proposed——
ODM draft rule for public comment: Amendment of 5160-10-16 DMEPOS: wheelchairs (coverage and payment)proposed——
Register of Ohio: Ohio Department of Medicaid proposed rules 5160-1-06.1, 5160-46-06proposed——
Ohio SPA 26-0005: 1915(i) HCBS Specialized Recovery Services (SRS) Program Renewalapproved_cms——
Every variant, every version, every state

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.

Open in workspaceAPI reference

Rates are taken from Ohio'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.

Medicaid rates by state