Iowa Medicaid home health rates
Iowa Medicaid pays $98.87 per visit for home health nurse visit (rn or LPN) delivered by a registered nurse, effective August 1, 2025. Below: 4 more home health rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Home health nurse visit (RN or LPN)
- $98.87per visit
- Rank among states
- —
- Registered nurse median wage
- $37.80BLS May 2025
- Iowa minimum wage
- $7.25
Iowa home health rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Iowa's official fee schedule.
| Service | Provider level | Code | IA rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Home health nurse visit (RN or LPN) | Registered nurse | T1030 | $98.87 | visit | — | — | $24.73/15 min | $15.21 | $98.92 | 9 |
| Home health aide visit | Aide or attendant | 571 | $63.23 | — | — | — | $8.77/15 min | $4.16 | $56.89 | 10 |
| Home health physical therapy | Physical therapist | 421 | $147.02 | — | — | — | $26.17/15 min | $4.77 | $85.93 | 10 |
| Home health occupational therapy | Occupational therapist | 431 | $148.02 | — | — | — | $26.35/15 min | $4.77 | $69.73 | 10 |
| Home health speech therapy | Speech-language pathologist | 441 | $159.81 | — | — | — | $25.93/15 min | $4.77 | $137.61 | 10 |
Home health nurse visit (RN or LPN): where Iowa ranks
States whose published unit can't be converted are left out of the ranking.
| # | 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 |
What it costs to deliver in Iowa
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | IA median | US median | vs US |
|---|---|---|---|
| Registered nurse | $37.80 | $46.90 | -19.4% |
| Licensed practical nurse | $30.11 | $30.96 | -2.7% |
| Home health / personal care aide | $17.34 | $17.21 | +0.8% |
| Physical therapist | $46.90 | $49.40 | -5.1% |
| Occupational therapist | $43.22 | $48.24 | -10.4% |
| Speech-language pathologist | $38.97 | $47.05 | -17.2% |
Recent Iowa home health rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| PUBLIC NOTICE: State Plan Amendment (SPA) IA-25-0010 Medicaid Payment Rates for Home Health Intermittent Services | proposed | +45.0% | 2025-07-01 |
| PUBLIC NOTICE: State Plan Amendment (SPA) IA-25-0027 House File (HF) 1049 Rate Changes | proposed | +5.5% | 2025-07-01 |
| Public Notice SPA IA-24-0006 Medicaid Payment Rates-Legislative Rate Increases | proposed | +9.3% | 2024-07-01 |
| PUBLIC NOTICE: Medicaid Payment Rates for Home Health Low Utilization Payment Adjustment (LUPA) Rates | proposed | +21.0% | 2023-07-01 |
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 Iowa'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.