Tennessee Medicaid home care rates
Tennessee Medicaid pays $6.59 per 15 min ($26.36 an hour) for personal care / attendant care (hourly) delivered by a agency provider, effective July 1, 2025, the 20th highest of 27 states with comparable rates. Below: 4 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)
- $6.59per 15 min · $26.36/hr
- Rank among states
- 20 of 27-13.6% vs median
- Home health / personal care aide median wage
- $15.45BLS May 2025
- Tennessee minimum wage
- $7.25
Tennessee home care rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Tennessee's official fee schedule.
| Service | Provider level | Code | TN rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Personal care / attendant care (hourly) | Agency provider | T1019 | $6.59 | 15 min | $26.36 | 20 of 27 | $30.52/hr | $18.28 | $84.84 | 27 |
| Homemaker / housekeeping help | Agency provider | Not published | $30.80/hr | $17.40 | $39.00 | 9 | ||||
| Companion care | Aide or attendant | S5136 | $165.39 | day | — | — | $25.96/hr | $6.72 | $51.92 | 20 |
| Respite care (hourly) | Agency provider | S5150 | $6.59 | 15 min | $26.36 | 19 of 40 | $25.30/hr | $2.24 | $1,161.80 | 40 |
| Respite care (daily) | Agency provider | S9125 | $144.61 | day | — | 28 of 35 | $239.04/day | $10.59 | $938.09 | 35 |
| Adult day services | Clinical nurse specialist | S5100 | $3.75 | 15 min | $15.00 | — | $64.11/day | $2.63 | $124.44 | 14 |
| Financial management services (self-direction) | Self-directed worker | Not published | $113.99/month | $36.75 | $265.00 | 14 | ||||
Personal care / attendant care (hourly): where Tennessee ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Utah | $21.21 | 15 min | $84.84 | 2026-07-01 |
| 2 | Oregon | $42.24 | hour | $42.24 | 2026-07-01 |
| 3 | Iowa | $10.50 | 15 min | $42.00 | 2012-06-11 |
| 4 | Delaware | $39.35 | hour | $39.35 | 2024-07-01 |
| 5 | Missouri | $9.75 | 15 min | $39.00 | 2024-07-01 |
| 6 | North Dakota | $9.59 | 15 min | $38.36 | 2026-07-01 |
| 7 | Alaska | $9.30 | 15 min | $37.20 | 2026-07-01 |
| 8 | Montana | $9.23 | 15 min | $36.92 | 2026-07-01 |
| 9 | Kentucky | $9.00 | 15 min | $36.00 | 2025-01-01 |
| 10 | New York | $35.36 | hour | $35.36 | 2025-01-01 |
| 11 | Indiana | $8.59 | 15 min | $34.36 | 2026-01-01 |
| 12 | Wyoming | $8.25 | 15 min | $33.00 | 2026-07-22 |
| 13 | New Hampshire | $8.00 | 15 min | $32.00 | 2023-10-01 |
| 14 | Connecticut | $7.63 | 15 min | $30.52 | 2026-01-01 |
| 15 | Nebraska | $28.00 | hour | $28.00 | 2026-07-01 |
| 16 | Florida | $6.85 | 15 min | $27.40 | 2026-07-01 |
| 17 | Michigan | $27.00 | hour | $27.00 | 2024-11-01 |
| 18 | West Virginia | $6.75 | 15 min | $27.00 | 2025-10-01 |
| 19 | New Jersey | $26.68 | hour | $26.68 | 2024-07-01 |
| 20 | Tennessee | $6.59 | 15 min | $26.36 | 2025-07-01 |
| 21 | South Carolina | $6.25 | 15 min | $25.00 | 2025-11-01 |
| 22 | Idaho | $6.11 | 15 min | $24.44 | 2026-07-01 |
| 23 | Minnesota | $5.25 | 15 min | $21.00 | 2026-04-01 |
| 24 | Kansas | $4.98 | 15 min | $19.92 | 2024-07-01 |
| 25 | Pennsylvania | $4.87 | 15 min | $19.48 | 2018-07-01 |
| 26 | Louisiana | $4.77 | 15 min | $19.08 | 2026-10-01 |
| 27 | Texas | $4.57 | 15 min | $18.28 | 2025-09-01 |
What it costs to deliver in Tennessee
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | TN median | US median | vs US |
|---|---|---|---|
| Home health / personal care aide | $15.45 | $17.21 | -10.2% |
| Registered nurse | $39.18 | $46.90 | -16.5% |
Recent Tennessee home care rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| Notice of Change to the TennCare III Program – Coverage of Supportive Home Care for Certain ECF CHOICES Members | proposed | — | 2026-01-01 |
| TennCare/DDA letter to LTSS providers: DSP wage increase and new HCBS rates effective 7/1/2025 | effective | — | 2025-07-01 |
| Notice of Change to the TennCare III Program – Coverage of CHOICES Services | proposed | — | 2025-07-01 |
| Notice of Change to the TennCare III Program Adjustments to Certain HCBS Expenditure Caps | proposed | — | 2024-03-24 |
| TennCare memo 'Wage Increases for Frontline HCBS Workers in CHOICES' | effective | +9.4% | 2022-07-01 |
| TennCare memo 'Wage Increases for Frontline HCBS Workers in ECF CHOICES' | effective | +9.3% | 2022-07-01 |
| TennCare memo 'Wage Increases for Frontline HCBS Workers in CHOICES' | effective | +18.6% | 2021-07-01 |
| TennCare memo 'Wage Increases for Frontline HCBS Workers in Employment and Community First CHOICES' | effective | +20.9% | 2021-07-01 |
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 Tennessee'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.