Maryland Medicaid home care rates
Maryland Medicaid pays $9.72 per 15 min ($38.88 an hour) for respite care (hourly) delivered by a agency provider, effective July 1, 2024, the 4th highest of 27 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.
- Respite care (hourly)
- $9.72per 15 min · $38.88/hr
- Rank among states
- 4 of 27+55.5% vs median
- Home health / personal care aide median wage
- $18.29BLS May 2025
- Maryland minimum wage
- $15.00
Maryland home care rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Maryland's official fee schedule.
| Service | Provider level | Code | MD rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Personal care / attendant care (hourly) | Agency provider | Not published | $27.20/hr | $18.28 | $42.24 | 18 | ||||
| Homemaker / housekeeping help | Agency provider | Not published | $31.26/hr | $17.40 | $39.00 | 6 | ||||
| Companion care | Aide or attendant | Not published | $17.97/hr | $6.72 | $31.60 | 11 | ||||
| Respite care (hourly) | Agency provider | W5910 | $9.72 | 15 min | $38.88 | 4 of 27 | $25.00/hr | $2.24 | $1,161.80 | 27 |
| Respite care (daily) | Agency provider | W5840 | $539.85 | day | — | 4 of 23 | $210.93/day | $10.59 | $938.09 | 23 |
| Adult day services | Clinical nurse specialist | W1723 | $72.19 | day | — | 4 of 9 | $65.16/day | $2.63 | $87.00 | 9 |
| Financial management services (self-direction) | Self-directed worker | Not published | $113.99/month | $36.75 | $265.00 | 10 | ||||
Respite care (hourly): where Maryland ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | New Jersey | $290.45 | 15 min | $1,161.80 | 2026-01-01 |
| 2 | Virginia | $18.51 | 15 min | $74.04 | 2022-07-01 |
| 3 | New York | $14.83 | 15 min | $59.32 | 2026-04-01 |
| 4 | Maryland | $9.72 | 15 min | $38.88 | 2024-07-01 |
| 5 | Minnesota | $9.64 | 15 min | $38.56 | 2026-01-01 |
| 6 | California | $36.35 | hour | $36.35 | 2026-01-01 |
| 7 | Missouri | $8.14 | 15 min | $32.56 | 2023-07-01 |
| 8 | New Mexico | $7.46 | 15 min | $29.84 | 2026-07-01 |
| 9 | Colorado | $7.28 | 15 min | $29.12 | 2026-07-01 |
| 10 | Georgia | $6.89 | 15 min | $27.56 | 2024-07-01 |
| 11 | Kansas | $6.78 | 15 min | $27.12 | 2022-07-01 |
| 12 | Tennessee | $6.59 | 15 min | $26.36 | 2025-07-01 |
| 13 | Michigan | $6.40 | 15 min | $25.60 | 2019-01-01 |
| 14 | Illinois | $25.00 | hour | $25.00 | 2026-01-01 |
| 15 | Nevada | $6.25 | 15 min | $25.00 | 2024-01-01 |
| 16 | Kentucky | $6.00 | 15 min | $24.00 | 2025-01-01 |
| 17 | Connecticut | $23.56 | hour | $23.56 | 2026-07-01 |
| 18 | Texas | $23.29 | hour | $23.29 | 2025-09-01 |
| 19 | Arizona | $5.63 | 15 min | $22.52 | 2026-10-01 |
| 20 | Oklahoma | $5.50 | 15 min | $22.00 | 2024-10-01 |
| 21 | Oregon | $19.50 | hour | $19.50 | 2026-07-01 |
| 22 | Mississippi | $4.52 | 15 min | $18.08 | 2026-01-01 |
| 23 | Pennsylvania | $4.49 | 15 min | $17.96 | 2018-07-01 |
| 24 | Iowa | $3.94 | 15 min | $15.76 | 2025-08-01 |
| 25 | Nebraska | $14.95 | hour | $14.95 | 2026-07-01 |
| 26 | Indiana | $3.50 | 15 min | $14.00 | 2020-04-01 |
| 27 | Arkansas | $0.56 | 15 min | $2.24 | 2022-08-25 |
What it costs to deliver in Maryland
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | MD median | US median | vs US |
|---|---|---|---|
| Home health / personal care aide | $18.29 | $17.21 | +6.3% |
| Registered nurse | $47.98 | $46.90 | +2.3% |
Recent Maryland home care rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| PT 64-26 Medical Day Care Services Waiver Case Management Implementation | effective | — | 2026-03-16 |
| PT 70-26 Fiscal Year 2026 Case Management Rates for Medical Day Care Services | effective | — | 2026-03-16 |
| PT 01-27 Inclusion of Medical Day Care Services in the Brain Injury Waiver Fee Schedule | effective | — | 2025-09-01 |
| PT 73-26 Update to Residential Habilitation Levels for Brain Injury Waiver | effective | — | 2025-09-01 |
| 2025 JCR: Report on rates for personal care aides of residential service agencies (RSA) | effective | — | 2025-07-01 |
| PT 02-25 Fiscal Year 2025 Rates for Brain Injury Waiver | effective | — | 2024-07-01 |
| PT 03-25 Fiscal Year 2025 Rates for CFC and CPAS | effective | — | 2024-07-01 |
| PT 04-25 Fiscal Year 2025 Rates for HCBOW and ICS | effective | — | 2024-07-01 |
| PT 05-25 Fiscal Year 2025 Rates for Medical Day Care Services | effective | — | 2024-07-01 |
| PT 37-24 Fiscal Year 2024 Rates for HCBOW and ICS | effective | — | 2024-01-01 |
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 Maryland'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.