Live-in caregiver overtime add-on (per hour): Medicaid rates by state

States publish live-in caregiver overtime add-on (per hour) under their own codes, modifiers and units. To compare them, this page picks the rate in each state that matches the same service and provider level.

• Provider level. States are compared at the aide or attendant (HHA, CNA, PCA, home care aide) level.
• Unit. All 1 states publish their headline rate per hour, so the amounts compare directly. The ranking converts every time-based rate to an hour of service, so states that bill by the 15 minutes and by the hour compare directly.
• Variants. 1 of the 1 states publish more than one rate for this service (by modifier, program, setting or provider type); the headline rate is the one that matches the comparison, and the workspace lists every variant.
• Depth. 5 rates for this service are on file across all states, versions and provider levels; this page shows one headline rate per state.

The highest-paying state, North Dakota, pays $8.29 per hour; the lowest, North Dakota, pays $8.29 per hour. 0 of the 1 states pay above the median of $8.29 per hour. Common reasons rates for personal care & attendant services spread this way:

• Some states require a share of the rate to go to direct-care wages, and minimum wage changes push personal care rates up.
• The same service can be paid under the state plan, under one or more waivers or under a separate state program, each with its own rate.
• Agency-delivered and self-directed (consumer-directed) care are usually paid at different rates.

Billing notes

Modifiers distinguish agency from self-directed care and, in some states, the number of people served at once. Personal care is commonly billed in 15-minute units, though some states pay per hour or per day.