Respite care (hourly): Medicaid rates by state
23 states publish a Medicaid rate for respite care (hourly), compared at the self directed level. Per hour, rates range from — in Ohio to $74.04 in Virginia.
- States
- 23
- Median per hour
- $26.40
- Highest
- $74.04Virginia
- Lowest
- —Ohio
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | VirginiaAny qualified provider (rate does not vary by provider) | $18.51 | 15 min | $74.04 | 2022-07-01 | Official source |
| 2 | New YorkAny qualified provider (rate does not vary by provider) | $14.83 | 15 min | $59.32 | 2026-04-01 | Official source |
| 3 | MarylandAny qualified provider (rate does not vary by provider) | $9.72 | 15 min | $38.88 | 2024-07-01 | Official source |
| 4 | MinnesotaAny qualified provider (rate does not vary by provider) | $9.64 | 15 min | $38.56 | 2026-01-01 | Official source |
| 5 | North CarolinaAide or attendant (HHA, CNA, PCA, home care aide) | $8.66 | 15 min | $34.64 | 2026-08-01 | Official source |
| 6 | MissouriAny qualified provider (rate does not vary by provider) | $8.14 | 15 min | $32.56 | 2023-07-01 | Official source |
| 7 | ColoradoAny qualified provider (rate does not vary by provider) | $7.28 | 15 min | $29.12 | 2026-07-01 | Official source |
| 8 | KentuckySelf-directed worker (hired by the person or family) | $5.92 | 15 min | $23.68 | 2025-01-01 | Official source |
| 9 | ArizonaAny qualified provider (rate does not vary by provider) | $5.63 | 15 min | $22.52 | 2026-10-01 | Official source |
| 10 | TexasSelf-directed worker (hired by the person or family) | $22.29 | hour | $22.29 | 2025-09-01 | Official source |
| 11 | NebraskaIndependent (non-agency) provider | $16.58 | hour | $16.58 | 2026-07-01 | Official source |
| 12 | PennsylvaniaSelf-directed worker (hired by the person or family) | $3.93 | 15 min | $15.72 | 2018-07-01 | Official source |
| 13 | GeorgiaSelf-directed worker (hired by the person or family) | $2.66 | 15 min | $10.64 | 2019-07-01 | Official source |
| 14 | CaliforniaSelf-directed worker (hired by the person or family) | $10.36 | hour | $10.36 | 2026-01-01 | Official source |
| 15 | MassachusettsAny qualified provider (rate does not vary by provider) | $56,676.00 | month | — | 2025-07-01 | Official source |
| 16 | New JerseyAny qualified provider (rate does not vary by provider) | $160.00 | — | — | 2019-07-01 | Official source |
| 17 | IllinoisAny qualified provider (rate does not vary by provider) | $16.67 | 1hr | — | 2024-08-01 | Official source |
| 18 | WashingtonSelf-directed worker (hired by the person or family) | $9.39 | 1/4 HR | — | 2025-07-01 | Official source |
| 19 | WisconsinAny qualified provider (rate does not vary by provider) | $4.20 | 15-min. | — | 2025-01-01 | Official source |
| 20 | South CarolinaAny qualified provider (rate does not vary by provider) | $4.05 | 15 min | — | 2021-07-01 | Official source |
| 21 | IndianaAny qualified provider (rate does not vary by provider) | $4.00 | unit | — | 2012-10-01 | Official source |
| 22 | LouisianaAny qualified provider (rate does not vary by provider) | $3.90 | 15 min. | — | 2024-01-01 | Official source |
| 23 | OhioAny qualified provider (rate does not vary by provider) | $3.59 | Fifteen minutes | — | 2024-07-01 | Official source |
Frequently asked questions
Which state pays the most for respite care (hourly)?
Virginia: $18.51 per 15 min ($74.04 per hour).
What is the average Medicaid rate for respite care (hourly)?
Across 23 states the median is $26.40 per hour, comparing the same provider level in each state.
Other Other home & community services services
Case management / support coordination26 statesAdult day services21 statesRespite care (daily)19 statesHome-delivered meals19 statesSelf-direction coaching / supports broker18 statesNursing assessment17 statesEmergency response system monitoring16 statesAssisted living / alternative living services15 statesRespite in a facility (daily)15 states
Respite care (hourly) in your statesRates, plan rules, labor costs and changes, with alerts.