Companion care: Medicaid rates by state
19 states publish a Medicaid rate for companion care, compared at the aide level. Per hour, rates range from — in South Carolina to $37.56 in Montana.
- States
- 19
- Median per hour
- $20.07
- Highest
- $37.56Montana
- Lowest
- —South Carolina
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | MontanaAide or attendant (HHA, CNA, PCA, home care aide) | $9.39 | 15 min | $37.56 | 2025-07-01 | Official source |
| 2 | MinnesotaAide or attendant (HHA, CNA, PCA, home care aide) | $7.90 | 15 min | $31.60 | 2026-01-01 | Official source |
| 3 | ArizonaAide or attendant (HHA, CNA, PCA, home care aide) | $6.88 | 15 min | $27.52 | 2026-10-01 | Official source |
| 4 | KentuckyAide or attendant (HHA, CNA, PCA, home care aide) | $6.73 | 15 min | $26.92 | 2025-01-01 | Official source |
| 5 | NevadaAide or attendant (HHA, CNA, PCA, home care aide) | $6.25 | 15 min | $25.00 | 2024-01-01 | Official source |
| 6 | IdahoAide or attendant (HHA, CNA, PCA, home care aide) | $5.54 | 15 min | $22.16 | 2026-07-01 | Official source |
| 7 | VirginiaAide or attendant (HHA, CNA, PCA, home care aide) | $17.97 | hour | $17.97 | 2025-07-01 | Official source |
| 8 | ConnecticutAide or attendant (HHA, CNA, PCA, home care aide) | $17.25 | hour | $17.25 | 2023-01-01 | Official source |
| 9 | AlabamaAide or attendant (HHA, CNA, PCA, home care aide) | $4.06 | 15 min | $16.24 | 2024-01-05 | Official source |
| 10 | NebraskaAgency provider | $11.33 | hour | $11.33 | 2026-07-01 | Official source |
| 11 | IowaAide or attendant (HHA, CNA, PCA, home care aide) | $2.12 | 15 min | $8.48 | 2025-08-01 | Official source |
| 12 | ArkansasAide or attendant (HHA, CNA, PCA, home care aide) | $1.68 | 15 min | $6.72 | 2022-08-25 | Official source |
| 13 | WashingtonAide or attendant (HHA, CNA, PCA, home care aide) | $303.75 | day | — | 2025-07-01 | Official source |
| 14 | MissouriAide or attendant (HHA, CNA, PCA, home care aide) | $232.28 | day | — | 2024-07-01 | Official source |
| 15 | MississippiAide or attendant (HHA, CNA, PCA, home care aide) | $136.50 | day | — | 2016-07-01 | Official source |
| 16 | LouisianaAide or attendant (HHA, CNA, PCA, home care aide) | $94.90 | day | — | 2026-10-01 | Official source |
| 17 | OregonAide or attendant (HHA, CNA, PCA, home care aide) | $9.53 | — | — | 2006-07-01 | Official source |
| 18 | PennsylvaniaAide or attendant (HHA, CNA, PCA, home care aide) | $5.72 | 15-minute unit | — | 2024-10-01 | Official source |
| 19 | South CarolinaAide or attendant (HHA, CNA, PCA, home care aide) | $3.29 | 15 min | — | 2021-01-01 | Official source |
Frequently asked questions
Which state pays the most for companion care?
Montana: $9.39 per 15 min ($37.56 per hour).
What is the average Medicaid rate for companion care?
Across 19 states the median is $20.07 per hour, comparing the same provider level in each state.
Other Personal care & attendant services
Personal care / attendant care (hourly)40 statesHomemaker / housekeeping help23 statesHome health aide or nurse aide care (hourly)17 statesPersonal care (daily rate)15 statesNurse supervision visit for personal care5 statesStructured family caregiving (daily)5 statesHome care worker wage scale (collective bargaining)4 statesTraining for unpaid family caregivers4 statesPersonal assistance retainer payment3 states
Companion care in your statesRates, plan rules, labor costs and changes, with alerts.