Adult day health (medical model): Medicaid rates by state
12 states publish a Medicaid rate for adult day health (medical model), compared at the agency level. Per hour, rates range from — in New York to $40.28 in Iowa.
- States
- 12
- Median per hour
- $14.80
- Highest
- $40.28Iowa
- Lowest
- —New York
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | IowaAny qualified provider (rate does not vary by provider) | $10.07 | 15 min | $40.28 | 2025-08-01 | Official source |
| 2 | KentuckyAny qualified provider (rate does not vary by provider) | $3.82 | 15 min | $15.28 | 2025-01-01 | Official source |
| 3 | LouisianaAny qualified provider (rate does not vary by provider) | $3.58 | 15 min | $14.32 | 2026-10-01 | Official source |
| 4 | NebraskaAgency provider | $13.53 | hour | $13.53 | 2026-07-01 | Official source |
| 5 | MarylandAny qualified provider (rate does not vary by provider) | $116.59 | day | — | 2024-07-01 | Official source |
| 6 | ConnecticutAny qualified provider (rate does not vary by provider) | $102.91 | — | — | 2026-01-01 | Official source |
| 7 | GeorgiaAny qualified provider (rate does not vary by provider) | $66.22 | day | — | 2024-07-01 | Official source |
| 8 | North CarolinaAny qualified provider (rate does not vary by provider) | $43.06 | day | — | 2025-10-01 | Official source |
| 9 | TexasAny qualified provider (rate does not vary by provider) | $18.59 | 3-5 hours = 1 unit; 6+ hours = 2 units | — | 2025-09-01 | Official source |
| 10 | South CarolinaAny qualified provider (rate does not vary by provider) | $15.00 | day | — | 2025-11-01 | Official source |
| 11 | OklahomaAny qualified provider (rate does not vary by provider) | $11.37 | day | — | 2024-10-01 | Official source |
| 12 | New YorkAny qualified provider (rate does not vary by provider) | $5.72 | day | — | 2025-01-01 | Official source |
Frequently asked questions
Which state pays the most for adult day health (medical model)?
Iowa: $10.07 per 15 min ($40.28 per hour).
What is the average Medicaid rate for adult day health (medical model)?
Across 12 states the median is $14.80 per hour, comparing the same provider level in each state.
Other Other home & community services services
Case management / support coordination36 statesRespite care (hourly)35 statesAdult day services30 statesRespite care (daily)28 statesHome-delivered meals28 statesNursing assessment24 statesAssisted living / alternative living services23 statesSelf-direction coaching / supports broker22 statesEmergency response system monitoring22 states
Adult day health (medical model) in your statesRates, plan rules, labor costs and changes, with alerts.