Kentucky Medicaid private duty nursing rates
Kentucky Medicaid pays $0.78 per unit for private duty nursing (rn) delivered by a registered nurse, effective January 1, 2023. Below: 3 more private duty nursing rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Private duty nursing (RN)
- $0.78per unit
- Rank among states
- —
- Registered nurse median wage
- $38.96BLS May 2025
- Kentucky minimum wage
- $7.25
Kentucky private duty nursing rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Kentucky's official fee schedule.
| Service | Provider level | Code | KY rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Private duty nursing (RN) | Registered nurse | T4526 | $0.78 | unit | — | — | $50.00/hr | $8.92 | $130.64 | 31 |
| Private duty nursing (LPN) | Licensed practical / vocational nurse | T4526 | $0.78 | unit | — | — | $36.09/hr | $8.92 | $704.00 | 28 |
| Waiver nursing (RN) | Registered nurse | 552 | $15.99 | 15 min | $63.96 | 15 of 29 | $63.96/hr | $19.08 | $14,040.00 | 29 |
| Waiver nursing (LPN) | Licensed practical / vocational nurse | 559 | $11.58 | 15 min | $46.32 | 12 of 24 | $45.16/hr | $12.68 | $14,040.00 | 24 |
Private duty nursing (RN): where Kentucky ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Massachusetts | $32.66 | 15 min | $130.64 | 2024-08-01 |
| 2 | Georgia | $23.84 | 15 min | $95.36 | 2024-07-01 |
| 3 | Iowa | $80.00 | hour | $80.00 | 2016-01-01 |
| 4 | Michigan | $18.08 | 15 min | $72.32 | 2024-10-01 |
| 5 | Ohio | $17.25 | 15 min | $69.00 | 2024-01-01 |
| 6 | Washington | $16.97 | 15 min | $67.88 | 2025-01-01 |
| 7 | Louisiana | $65.46 | hour | $65.46 | 2023-04-03 |
| 8 | Arizona | $64.22 | hour | $64.22 | 2026-10-01 |
| 9 | Nevada | $64.00 | hour | $64.00 | 2023-07-01 |
| 10 | Oregon | $15.49 | 15 min | $61.96 | 2023-07-01 |
| 11 | Minnesota | $61.73 | hour | $61.73 | 2004-04-01 |
| 12 | Missouri | $15.20 | 15 min | $60.80 | 2024-07-01 |
| 13 | Maryland | $13.71 | 15 min | $54.84 | 2024-07-01 |
| 14 | Colorado | $52.51 | hour | $52.51 | 2026-07-01 |
| 15 | North Carolina | $13.00 | 15 min. | $52.00 | 2025-10-01 |
| 16 | Pennsylvania | $50.00 | hour | $50.00 | 2008-08-01 |
| 17 | Connecticut | $49.27 | hour | $49.27 | 2021-07-01 |
| 18 | California | $47.91 | hour | $47.91 | 2026-10-01 |
| 19 | South Carolina | $47.00 | hour | $47.00 | 2025-11-01 |
| 20 | Texas | $10.22 | 15 min | $40.88 | 2023-09-01 |
| 21 | Wisconsin | $37.76 | hour | $37.76 | 2022-01-01 |
| 22 | Nebraska | $36.82 | hour | $36.82 | 2026-07-01 |
| 23 | Illinois | $36.75 | hour | $36.75 | 2026-07-01 |
| 24 | Florida | $8.16 | 15 min | $32.64 | 2026-07-01 |
| 25 | New York | $31.21 | hour | $31.21 | 2022-04-01 |
| 26 | Mississippi | $29.33 | hour | $29.33 | 2022-10-01 |
| 27 | Arkansas | $28.00 | hour | $28.00 | 2025-06-04 |
| 28 | Kansas | $26.00 | hour | $26.00 | 2002-07-01 |
| 29 | Virginia | $25.86 | hour | $25.86 | 2026-07-01 |
| 30 | New Jersey | $15.75 | hour | $15.75 | 2025-01-01 |
| 31 | Oklahoma | $2.23 | 15 min | $8.92 | 2026-01-01 |
What it costs to deliver in Kentucky
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | KY median | US median | vs US |
|---|---|---|---|
| Registered nurse | $38.96 | $46.90 | -16.9% |
| Licensed practical nurse | $29.07 | $30.96 | -6.1% |
Recent Kentucky private duty nursing rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| DMS provider letter: Medicaid Budget Impact on Provider Reimbursement | enacted | -4.0% | 2026-08-01 |
| DMS provider letter: Medicaid Budget Impact on Provider Reimbursement: Update | reversed | -4.0% | — |
| DMS public notice: Private Duty Nursing Public Notice | proposed | — | 2024-02-01 |
| SPA/directed payment: KY24001 Private Duty Nursing | approved_cms | — | 2024-02-01 |
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 Kentucky'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.