Missouri Medicaid private duty nursing rates
Missouri Medicaid pays $15.20 per 15 min ($60.80 an hour) for private duty nursing (rn) delivered by a registered nurse, effective July 1, 2024, the 12th highest of 31 states with comparable rates. 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)
- $15.20per 15 min · $60.80/hr
- Rank among states
- 12 of 31+21.6% vs median
- Registered nurse median wage
- $39.32BLS May 2025
- Missouri minimum wage
- $15.00
Missouri private duty nursing 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Private duty nursing (RN) | Registered nurse | T1000 | $15.20 | 15 min | $60.80 | 12 of 31 | $50.00/hr | $8.92 | $130.64 | 31 |
| Private duty nursing (LPN) | Licensed practical / vocational nurse | T1000 | $15.20 | 15 min | $60.80 | 5 of 28 | $36.09/hr | $8.92 | $704.00 | 28 |
| Waiver nursing (RN) | Registered nurse | T1002 | $19.90 | 15 min | $79.60 | 12 of 29 | $63.96/hr | $19.08 | $14,040.00 | 29 |
| Waiver nursing (LPN) | Licensed practical / vocational nurse | T1003 | $12.82 | each 15 min. | — | — | $45.16/hr | $12.68 | $14,040.00 | 24 |
Private duty nursing (RN): where Missouri 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 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% |
| Licensed practical nurse | $29.58 | $30.96 | -4.5% |
Recent Missouri private duty nursing rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| Rate Update For DHSS-Authorized Home And Community-Based Services (MO HealthNet Bulletin Vol. 47-01) | effective | +48.9% | 2024-07-01 |
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 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.