Michigan Medicaid home health rates
Michigan Medicaid pays $89.08 per 15 min ($356.32 an hour) for home health nurse visit (rn or LPN) delivered by a registered nurse, effective October 1, 2023, the 2nd highest of 9 states with comparable rates. 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)
- $89.08per 15 min · $356.32/hr
- Rank among states
- 2 of 9+260.2% vs median
- Registered nurse median wage
- $45.34BLS May 2025
- Michigan minimum wage
- $13.73$15.00 from January 1, 2027
Michigan home health rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Michigan's official fee schedule.
| Service | Provider level | Code | MI rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Home health nurse visit (RN or LPN) | Registered nurse | G0493 | $89.08 | 15 min | $356.32 | 2 of 9 | $24.73/15 min | $15.21 | $98.92 | 9 |
| Home health aide visit | Aide or attendant | G0156 | $56.89 | 15 min | $227.56 | 1 of 10 | $8.77/15 min | $4.16 | $56.89 | 10 |
| Home health physical therapy | Physical therapist | G0151 | $85.93 | 15 min | $343.72 | 1 of 10 | $26.17/15 min | $4.77 | $85.93 | 10 |
| Home health occupational therapy | Occupational therapist | G0152 | $69.73 | 15 min | $278.92 | 1 of 10 | $26.35/15 min | $4.77 | $69.73 | 10 |
| Home health speech therapy | Speech-language pathologist | G0153 | $85.93 | 15 min | $343.72 | 2 of 10 | $25.93/15 min | $4.77 | $137.61 | 10 |
Home health nurse visit (RN or LPN): where Michigan 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 Michigan
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | MI median | US median | vs US |
|---|---|---|---|
| Registered nurse | $45.34 | $46.90 | -3.3% |
| Licensed practical nurse | $31.47 | $30.96 | +1.6% |
| Home health / personal care aide | $16.83 | $17.21 | -2.2% |
| Physical therapist | $48.51 | $49.40 | -1.8% |
| Occupational therapist | $43.23 | $48.24 | -10.4% |
| Speech-language pathologist | $42.84 | $47.05 | -8.9% |
Recent Michigan home health rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| SPA MI-25-0019: MI-25-0019 | approved_cms | — | 2025-10-01 |
| MMP 24-42: Updates to Speech-Language Pathologist Enrollment | effective | — | 2024-11-01 |
| SPA MI-24-0010: MI-24-0010 | approved_cms | — | 2024-10-01 |
| Proposed policy 2419-Lab: Consultation Summary Project 2419-Lab - Termination of COVID- 19 Home Test Kit Coverage and Special Reimbursement for COVID-19 Specimen Collection and Clinic Vaccine Administration | proposed | — | — |
| L 24-17: Soft Launch of Electronic Visit Verification for Fee-for-Service Home Health Care | effective | — | — |
| MMP 23-67: Skilled Maintenance Therapy | effective | — | 2024-01-01 |
| Public notice: State Plan Amendment Request to Update Reimbursement Rates for Home Health Services | proposed | — | 2023-10-01 |
| SPA MI-23-0027: MI-23-0027 | approved_cms | — | 2023-10-01 |
| SPA: Payment Rate Update Home Health (SPA 23-0027) – Approved | approved_cms | — | 2023-10-01 |
| SPA: Payment Rate Update Home Health (SPA 23-0027) – Submission | submitted | — | 2023-10-01 |
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 Michigan'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.