Oklahoma Medicaid home care rates
Oklahoma Medicaid pays $5.50 per 15 min ($22.00 an hour) for respite care (hourly) delivered by a agency provider, effective October 1, 2024, the 20th highest of 27 states with comparable rates. Below: 2 more home care rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Respite care (hourly)
- $5.50per 15 min · $22.00/hr
- Rank among states
- 20 of 27-12.0% vs median
- Home health / personal care aide median wage
- $13.32BLS May 2025
- Oklahoma minimum wage
- $7.25
Oklahoma home care rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Oklahoma's official fee schedule.
| Service | Provider level | Code | OK 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 | Not published | $17.97/hr | $6.72 | $31.60 | 11 | ||||
| Respite care (hourly) | Agency provider | S5150 | $5.50 | 15 min | $22.00 | 20 of 27 | $25.00/hr | $2.24 | $1,161.80 | 27 |
| Respite care (daily) | Agency provider | S5151 | $210.93 | day | — | 12 of 23 | $210.93/day | $10.59 | $938.09 | 23 |
| Adult day services | Clinical nurse specialist | $6.60 | day | — | 8 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 | ||||
Respite care (hourly): where Oklahoma ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | New Jersey | $290.45 | 15 min | $1,161.80 | 2026-01-01 |
| 2 | Virginia | $18.51 | 15 min | $74.04 | 2022-07-01 |
| 3 | New York | $14.83 | 15 min | $59.32 | 2026-04-01 |
| 4 | Maryland | $9.72 | 15 min | $38.88 | 2024-07-01 |
| 5 | Minnesota | $9.64 | 15 min | $38.56 | 2026-01-01 |
| 6 | California | $36.35 | hour | $36.35 | 2026-01-01 |
| 7 | Missouri | $8.14 | 15 min | $32.56 | 2023-07-01 |
| 8 | New Mexico | $7.46 | 15 min | $29.84 | 2026-07-01 |
| 9 | Colorado | $7.28 | 15 min | $29.12 | 2026-07-01 |
| 10 | Georgia | $6.89 | 15 min | $27.56 | 2024-07-01 |
| 11 | Kansas | $6.78 | 15 min | $27.12 | 2022-07-01 |
| 12 | Tennessee | $6.59 | 15 min | $26.36 | 2025-07-01 |
| 13 | Michigan | $6.40 | 15 min | $25.60 | 2019-01-01 |
| 14 | Illinois | $25.00 | hour | $25.00 | 2026-01-01 |
| 15 | Nevada | $6.25 | 15 min | $25.00 | 2024-01-01 |
| 16 | Kentucky | $6.00 | 15 min | $24.00 | 2025-01-01 |
| 17 | Connecticut | $23.56 | hour | $23.56 | 2026-07-01 |
| 18 | Texas | $23.29 | hour | $23.29 | 2025-09-01 |
| 19 | Arizona | $5.63 | 15 min | $22.52 | 2026-10-01 |
| 20 | Oklahoma | $5.50 | 15 min | $22.00 | 2024-10-01 |
| 21 | Oregon | $19.50 | hour | $19.50 | 2026-07-01 |
| 22 | Mississippi | $4.52 | 15 min | $18.08 | 2026-01-01 |
| 23 | Pennsylvania | $4.49 | 15 min | $17.96 | 2018-07-01 |
| 24 | Iowa | $3.94 | 15 min | $15.76 | 2025-08-01 |
| 25 | Nebraska | $14.95 | hour | $14.95 | 2026-07-01 |
| 26 | Indiana | $3.50 | 15 min | $14.00 | 2020-04-01 |
| 27 | Arkansas | $0.56 | 15 min | $2.24 | 2022-08-25 |
What it costs to deliver in Oklahoma
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | OK median | US median | vs US |
|---|---|---|---|
| Home health / personal care aide | $13.32 | $17.21 | -22.6% |
| Registered nurse | $39.87 | $46.90 | -15.0% |
Recent Oklahoma home care rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| OHCA public notice: WFTC Public Notice 9.9.26 | proposed | — | 2026-10-01 |
| SPARC 2025-09-09: Paid Family Caregiver Rate | hearing | — | 2026-03-01 |
| OHCA public notice: Public Notice 12.15.25 | proposed | — | — |
| OHCA public notice: OK SPA 25-0003 - OK SPA 25-0003 ABP Updates Public Notice | proposed | — | 2025-03-01 |
| DDS Administrative Letter 24-02: Rate Increases Go Into Effect for DDS Providers (Sept. 27, 2024) | effective | +10.0% | 2024-10-01 |
| SPA 24-0022 State Plan Personal Care Services and State Plan Skilled Nursing Assessment/Evaluation | proposed | +17.6% | 2024-10-01 |
| SPARC 2024-09-05: Advantage Waiver Service Increases | hearing | +10.0% | 2024-10-01 |
| SPARC 2024-09-05: Money Follows The Person/Oklahoma’S Living Choice And Medically Fragile Provider Rate Increase | hearing | +10.0% | 2024-10-01 |
| SPARC 2026-09-08: Assisted Living Tiered Rate Increase | hearing | +25.0% | 2024-10-01 |
| CMS approves OK SPA 24-0022 (Attachment 4.19-B) | approved_cms | — | 2024-10-01 |
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 Oklahoma'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.