Missouri Medicaid hospice rates
Missouri Medicaid pays $178.98 per day for hospice routine home care (daily), effective October 1, 2025, the 13th highest of 15 states with comparable rates. Below: 3 more hospice rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Hospice routine home care (daily)
- $178.98per day
- Rank among states
- 13 of 15-4.3% vs median
- Registered nurse median wage
- $39.32BLS May 2025
- Missouri minimum wage
- $15.00
Missouri hospice rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Missouri's official fee schedule.
| Service | Provider level | Code | MO rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Hospice routine home care (daily) | All levels | $178.98 | day | — | 13 of 15 | $187.01/day | $80.36 | $317.60 | 15 | |
| Hospice continuous home care (hourly) | Registered nurse | $1,425.30 | day | — | — | $65.39/hour | $17.84 | $88.66 | 13 | |
| Hospice inpatient respite (daily) | All levels | $492.74 | day | — | 14 of 15 | $530.15/day | $212.93 | $629.83 | 15 | |
| Hospice general inpatient care (daily) | All levels | $1,048.85 | day | — | 13 of 14 | $1,144.50/day | $449.54 | $1,354.60 | 14 | |
| Hospice end-of-life visit add-on (per hour) | Registered nurse | Not published | $69.79/hr | $66.84 | $291.56 | 6 | ||||
| Hospice room and board in a nursing home | All levels | Not published | $294.00/day | $196.85 | $1,051.23 | 5 | ||||
Hospice routine home care (daily): where Missouri ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | New York | $317.60 | day | — | 2025-10-01 |
| 2 | Massachusetts | $231.13 | day | — | 2025-10-01 |
| 3 | New Jersey | $219.21 | day | — | 2025-10-01 |
| 4 | Oregon | $215.11 | day | — | 2026-10-01 |
| 5 | Kansas | $202.68 | day | — | 2025-10-01 |
| 6 | Wisconsin | $192.39 | day | — | 2025-10-01 |
| 7 | Arizona | $190.02 | day | — | 2026-10-01 |
| 8 | Iowa | $187.01 | day | — | 2025-10-01 |
| 9 | Georgia | $186.66 | day | — | 2025-10-01 |
| 10 | Florida | $182.79 | day | — | 2026-10-01 |
| 11 | Texas | $182.18 | day | — | 2025-10-01 |
| 12 | Michigan | $180.60 | day | — | 2025-10-01 |
| 13 | Missouri | $178.98 | day | — | 2025-10-01 |
| 14 | South Carolina | $173.92 | day | — | 2020-10-01 |
| 15 | Arkansas | $80.36 | day | — | 2026-10-01 |
What it costs to deliver in Missouri
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | MO median | US median | vs US |
|---|---|---|---|
| Registered nurse | $39.32 | $46.90 | -16.2% |
| Home health / personal care aide | $15.90 | $17.21 | -7.6% |
| Healthcare social worker | $28.79 | $32.63 | -11.8% |
| Chaplain | $28.24 | $29.24 | -3.4% |
Recent Missouri hospice rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| Nursing Facility Minimum Data Set (MDS) Reviews Rate Adjustment Process (MO HealthNet Bulletin Vol. 49-11) | effective | — | 2026-07-01 |
| Update to Nursing Facility MDS Reviews (MO HealthNet Bulletin Vol. 48-41) | effective | — | 2026-01-01 |
| Hospice Update (MO HealthNet Bulletin Vol. 48-23) | effective | — | 2025-10-01 |
| Annual Change in MO HealthNet Hospice Payment Rates (MO HealthNet Bulletin Vol. 47-30) | effective | — | 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 Missouri'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.