Home health Medicaid rates by state
Medicaid home health visit rates for skilled nursing, aide, PT, OT and speech visits, with the wages of the clinicians who deliver them. For home health nurse visit (rn or LPN), the median across 9 states is $24.73 per 15 min. Texas pays the most.
- States with rates
- 32
- Median · Home health nurse visit (RN or LPN)
- $24.73per 15 min
- Highest
- $98.92Texas
- Lowest
- $15.21California
Key home health rates across states
Fee-for-service rates, compared like-for-like by provider level. Per-hour figures convert time-based units only.
| Service | Provider level | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|
| Home health nurse visit (RN or LPN) | Registered nurse | $24.73/15 min | $15.21 | $98.92 | 9 |
| Home health aide visit | Aide or attendant | $8.77/15 min | $4.16 | $56.89 | 10 |
| Home health physical therapy | Physical therapist | $26.17/15 min | $4.77 | $85.93 | 10 |
| Home health occupational therapy | Occupational therapist | $26.35/15 min | $4.77 | $69.73 | 10 |
| Home health speech therapy | Speech-language pathologist | $25.93/15 min | $4.77 | $137.61 | 10 |
Home health nurse visit (RN or LPN): state ranking
Registered nurse level. Each rate links to the state's official fee schedule.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Texas | $98.92 | 15 min | $395.68 | 2018-01-01 |
| 2 | Michigan | $89.08 | 15 min | $356.32 | 2023-10-01 |
| 3 | Nevada | $28.46 | 15 min | $113.84 | 2024-01-01 |
| 4 | Arizona | $24.73 | 15 min | $98.92 | 2019-10-01 |
| 5 | Louisiana | $24.73 | 15 min | $98.92 | 2023-04-03 |
| 6 | Oklahoma | $21.45 | 15 min | $85.80 | 2024-10-01 |
| 7 | Kansas | $20.00 | 15 min | $80.00 | 2023-12-03 |
| 8 | Pennsylvania | $16.55 | 15 min | $66.20 | 2018-07-01 |
| 9 | California | $15.21 | 15 min | $60.84 | 2026-10-01 |
Home health rates by state
State pages cover every key rate, the wages of the roles that deliver the service, the minimum wage, and recent 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.