Virginia Medicaid home care rates
Virginia Medicaid pays $17.97 per hour for companion care delivered by a aide or attendant, effective July 1, 2025, the 12th highest of 18 states with comparable rates. Below: 3 more home care rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Companion care
- $17.97per hour
- Rank among states
- 12 of 18-23.8% vs median
- Home health / personal care aide median wage
- $14.57BLS May 2025
- Virginia minimum wage
- $12.77$13.75 from January 1, 2027
Virginia home care rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Virginia's official fee schedule.
| Service | Provider level | Code | VA 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 | S5136 | $17.97 | hour | $17.97 | 12 of 18 | $23.58/hr | $6.72 | $51.92 | 18 |
| Respite care (hourly) | Agency provider | T1005 | $18.51 | 15 min | $74.04 | 2 of 38 | $25.00/hr | $2.24 | $1,161.80 | 38 |
| Respite care (daily) | Agency provider | S9125 | $10.59 | day | — | 34 of 34 | $235.65/day | $10.59 | $938.09 | 34 |
| Adult day services | Clinical nurse specialist | S5102 | $10.70 | day | — | 12 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 Virginia 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 Virginia
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | VA median | US median | vs US |
|---|---|---|---|
| Home health / personal care aide | $14.57 | $17.21 | -15.3% |
| Registered nurse | $45.00 | $46.90 | -4.1% |
Recent Virginia 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 Virginia'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.