Adult day services: Medicaid rates by state
26 states publish a Medicaid rate for adult day services, compared at the clinical nurse specialist level. Per hour, rates range from — in Wisconsin to $37.38 in New York.
- States
- 26
- Median per hour
- $15.90
- Highest
- $37.38New York
- Lowest
- —Wisconsin
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | New YorkAny qualified provider (rate does not vary by provider) | $37.38 | hour | $37.38 | 2026-01-01 | Official source |
| 2 | MississippiAny qualified provider (rate does not vary by provider) | $4.93 | 15 min | $19.72 | 2026-01-01 | Official source |
| 3 | MinnesotaAny qualified provider (rate does not vary by provider) | $4.53 | 15 min | $18.12 | 2026-01-01 | Official source |
| 4 | IllinoisAny qualified provider (rate does not vary by provider) | $16.84 | hour | $16.84 | 2026-01-01 | Official source |
| 5 | IndianaAny qualified provider (rate does not vary by provider) | $3.74 | 15 min | $14.96 | 2024-07-01 | Official source |
| 6 | MissouriAny qualified provider (rate does not vary by provider) | $3.32 | 15 min | $13.28 | 2023-07-01 | Official source |
| 7 | NebraskaAgency provider | $10.84 | hour | $10.84 | 2026-07-01 | Official source |
| 8 | ArkansasAny qualified provider (rate does not vary by provider) | $2.47 | 15 min | $9.88 | 2022-08-25 | Official source |
| 9 | OregonAny qualified provider (rate does not vary by provider) | $122.16 | — | — | 2026-07-01 | Official source |
| 10 | New JerseyAny qualified provider (rate does not vary by provider) | $87.00 | day | — | 2019-07-01 | Official source |
| 11 | South CarolinaAny qualified provider (rate does not vary by provider) | $80.00 | day | — | 2025-11-01 | Official source |
| 12 | CaliforniaAny qualified provider (rate does not vary by provider) | $76.27 | day | — | 2026-10-01 | Official source |
| 13 | MarylandAny qualified provider (rate does not vary by provider) | $72.19 | day | — | 2024-07-01 | Official source |
| 14 | MassachusettsAny qualified provider (rate does not vary by provider) | $68.36 | — | — | 2025-07-01 | Official source |
| 15 | WashingtonAny qualified provider (rate does not vary by provider) | $65.16 | day | — | 2022-07-01 | Official source |
| 16 | GeorgiaAny qualified provider (rate does not vary by provider) | $61.53 | per half day | — | 2024-07-01 | Official source |
| 17 | OhioAny qualified provider (rate does not vary by provider) | $53.11 | Per half day | — | 2026-04-17 | Official source |
| 18 | ColoradoAny qualified provider (rate does not vary by provider) | $48.75 | half day | — | 2023-07-01 | Official source |
| 19 | ArizonaClinical nurse specialist | $46.15 | Half Day (12 – 23 units) | — | 2026-10-01 | Official source |
| 20 | NevadaAny qualified provider (rate does not vary by provider) | $42.00 | day | — | 2021-07-01 | Official source |
| 21 | PennsylvaniaAny qualified provider (rate does not vary by provider) | $37.51 | 1/2 Day | — | 2018-07-01 | Official source |
| 22 | IowaAny qualified provider (rate does not vary by provider) | $26.37 | Half Day | — | 2025-08-01 | Official source |
| 23 | ConnecticutAny qualified provider (rate does not vary by provider) | $17.06 | — | — | 2021-07-01 | Official source |
| 24 | VirginiaAny qualified provider (rate does not vary by provider) | $10.70 | day | — | 2026-07-01 | Official source |
| 25 | OklahomaAny qualified provider (rate does not vary by provider) | $6.60 | day | — | 2024-10-01 | Official source |
| 26 | WisconsinAny qualified provider (rate does not vary by provider) | $2.63 | day | — | 2025-01-01 | Official source |
Frequently asked questions
Which state pays the most for adult day services?
New York: $37.38 per hour ($37.38 per hour).
What is the average Medicaid rate for adult day services?
Across 26 states the median is $15.90 per hour, comparing the same provider level in each state.
Other Other home & community services services
Case management / support coordination36 statesRespite care (hourly)35 statesRespite care (daily)28 statesHome-delivered meals28 statesNursing assessment24 statesAssisted living / alternative living services23 statesSelf-direction coaching / supports broker22 statesEmergency response system monitoring22 statesEmergency response system installation20 states
Adult day services in your statesRates, plan rules, labor costs and changes, with alerts.