Illinois Medicaid home care rates
Illinois Medicaid pays $30.80 per hour for homemaker / housekeeping help delivered by a agency provider, effective January 1, 2026, the 3rd highest of 5 states with comparable rates. Below: 2 more home care rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Homemaker / housekeeping help
- $30.80per hour
- Rank among states
- 3 of 50.0% vs median
- Home health / personal care aide median wage
- $18.30BLS May 2025
- Illinois minimum wage
- $15.00
Illinois home care rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Illinois's official fee schedule.
| Service | Provider level | Code | IL rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Personal care / attendant care (hourly) | Agency provider | Not published | $27.00/hr | $18.28 | $39.00 | 11 | ||||
| Homemaker / housekeeping help | Agency provider | S5130 | $30.80 | hour | $30.80 | 3 of 5 | $30.80/hr | $17.40 | $35.61 | 5 |
| Companion care | Aide or attendant | Not published | $189.29/day | $165.39 | $232.28 | 3 | ||||
| Respite care (hourly) | Agency provider | 4174 | $25.00 | hour | $25.00 | 11 of 15 | $27.56/hr | $14.95 | $74.04 | 15 |
| Respite care (daily) | Agency provider | Not published | $250.00/day | $10.59 | $938.09 | 15 | ||||
| Adult day services | Clinical nurse specialist | $15.30 | hour | $15.30 | — | $41.45/day | $2.63 | $76.27 | 4 | |
| Financial management services (self-direction) | Self-directed worker | Not published | $110.91/month | $36.75 | $265.00 | 6 | ||||
Homemaker / housekeeping help: where Illinois ranks
States whose published unit can't be converted are left out of the ranking.
What it costs to deliver in Illinois
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | IL median | US median | vs US |
|---|---|---|---|
| Home health / personal care aide | $18.30 | $17.21 | +6.3% |
| Registered nurse | $46.15 | $46.90 | -1.6% |
Recent Illinois home care rate changes
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 Illinois'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.