Hawaii Medicaid home care rates
Hawaii Medicaid pays $4.00 per 15 min ($16.00 an hour) for companion care delivered by a aide or attendant, effective January 1, 2026, the 15th highest of 18 states with comparable rates. Below: 1 more home care rate compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Companion care
- $4.00per 15 min · $16.00/hr
- Rank among states
- 15 of 18-32.1% vs median
- Home health / personal care aide median wage
- $18.32BLS May 2025
- Hawaii minimum wage
- $16.00
Hawaii home care rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Hawaii's official fee schedule.
| Service | Provider level | Code | HI rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Personal care / attendant care (hourly) | Agency provider | Not published | $29.26/hr | $18.28 | $84.84 | 26 | ||||
| Homemaker / housekeeping help | Agency provider | Not published | $28.64/hr | $17.40 | $39.00 | 8 | ||||
| Companion care | Aide or attendant | S5135 | $4.00 | 15 min | $16.00 | 15 of 18 | $23.58/hr | $6.72 | $51.92 | 18 |
| Respite care (hourly) | Agency provider | Not published | $25.00/hr | $2.24 | $1,161.80 | 38 | ||||
| Respite care (daily) | Agency provider | Not published | $235.65/day | $10.59 | $938.09 | 34 | ||||
| Adult day services | Clinical nurse specialist | S5105 | $63.06 | day | — | 8 of 14 | $64.11/day | $2.63 | $124.44 | 14 |
| Financial management services (self-direction) | Self-directed worker | Not published | $113.99/month | $36.75 | $265.00 | 14 | ||||
Companion care: where Hawaii ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Vermont | $12.98 | 15 min | $51.92 | 2026-07-01 |
| 2 | South Dakota | $10.81 | 15 min | $43.24 | 2026-07-01 |
| 3 | Montana | $9.39 | 15 min | $37.56 | 2025-07-01 |
| 4 | Minnesota | $7.90 | 15 min | $31.60 | 2026-01-01 |
| 5 | Wyoming | $7.35 | 15 min | $29.40 | 2026-07-01 |
| 6 | Utah | $7.27 | 15 min | $29.08 | 2019-07-01 |
| 7 | Arizona | $6.88 | 15 min | $27.52 | 2026-10-01 |
| 8 | Kentucky | $6.73 | 15 min | $26.92 | 2025-01-01 |
| 9 | Nevada | $6.25 | 15 min | $25.00 | 2024-01-01 |
| 10 | Idaho | $5.54 | 15 min | $22.16 | 2026-07-01 |
| 11 | Kansas | $4.56 | 15 min | $18.24 | 2023-07-01 |
| 12 | Virginia | $17.97 | hour | $17.97 | 2025-07-01 |
| 13 | Connecticut | $17.25 | hour | $17.25 | 2023-01-01 |
| 14 | Alabama | $4.06 | 15 min | $16.24 | 2024-01-05 |
| 15 | Hawaii | $4.00 | 15 min | $16.00 | 2026-01-01 |
| 16 | Nebraska | $11.33 | hour | $11.33 | 2026-07-01 |
| 17 | Iowa | $2.12 | 15 min | $8.48 | 2025-08-01 |
| 18 | Arkansas | $1.68 | 15 min | $6.72 | 2022-08-25 |
What it costs to deliver in Hawaii
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | HI median | US median | vs US |
|---|---|---|---|
| Home health / personal care aide | $18.32 | $17.21 | +6.4% |
| Registered nurse | $65.54 | $46.90 | +39.7% |
Recent Hawaii home care rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| Med-QUEST memo QI-2617A: Nutrition Supports October 2026 update | effective | — | 2026-10-01 |
| Med-QUEST memo QI-2619: Medicaid Reentry Program rates (Appendix E) | effective | — | 2026-10-01 |
| Med-QUEST memo QI-2617: Nutrition Supports implementation guidelines | effective | — | 2026-09-01 |
| Med-QUEST memo QI-2601A: CIS+ implementation update July 2026 | effective | — | 2026-07-01 |
| Med-QUEST memo QI-2601: CIS+ implementation / medical respite | effective | — | 2026-01-02 |
| Med-QUEST memo QI-2604: 2026 | effective | +4.3% | 2026-01-01 |
| Med-QUEST memo QI-2604A: 2026 | effective | — | 2026-01-01 |
| Med-QUEST memo QI-2525: Kau 'Ai Pono pilot guidelines | effective | — | 2025-11-17 |
| Med-QUEST memo QI-2525A: Kau 'Ai Pono pilot update | effective | — | 2025-11-17 |
| Med-QUEST memo QI-2314D: CIS+ implementation / medical respite | effective | — | 2025-10-01 |
The workspace adds every modifier, region and provider variant, full rate history, proposed changes, coverage and prior-authorization rules, managed-care plans and a unit-economics calculator. All of it is available through the API.
Rates are taken from Hawaii's official Medicaid publications, and each one links to its source. Confirm with the payer before billing. Managed-care plans may pay differently from fee-for-service.