West Virginia Medicaid home care rates
West Virginia Medicaid pays $6.75 per 15 min ($27.00 an hour) for personal care / attendant care (hourly) delivered by a agency provider, effective October 1, 2025, the 15th highest of 24 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.
- Personal care / attendant care (hourly)
- $6.75per 15 min · $27.00/hr
- Rank among states
- 15 of 24-2.5% vs median
- Home health / personal care aide median wage
- $13.47BLS May 2025
- West Virginia minimum wage
- $8.75
West Virginia home care rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open West Virginia's official fee schedule.
| Service | Provider level | Code | WV rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Personal care / attendant care (hourly) | Agency provider | S5125 | $6.75 | 15 min | $27.00 | 15 of 24 | $27.70/hr | $18.28 | $84.84 | 24 |
| Homemaker / housekeeping help | Agency provider | Not published | $30.80/hr | $17.40 | $39.00 | 7 | ||||
| Companion care | Aide or attendant | Not published | $20.20/hr | $6.72 | $51.92 | 16 | ||||
| Respite care (hourly) | Agency provider | T1005 | $5.01 | 15 min | $20.04 | 25 of 35 | $25.00/hr | $2.24 | $1,161.80 | 35 |
| Respite care (daily) | Agency provider | Not published | $232.25/day | $10.59 | $938.09 | 31 | ||||
| Adult day services | Clinical nurse specialist | Not published | $65.16/day | $2.63 | $124.44 | 13 | ||||
| Financial management services (self-direction) | Self-directed worker | Not published | $113.99/month | $36.75 | $265.00 | 14 | ||||
Personal care / attendant care (hourly): where West Virginia ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Utah | $21.21 | 15 min | $84.84 | 2026-07-01 |
| 2 | Oregon | $42.24 | hour | $42.24 | 2026-07-01 |
| 3 | Iowa | $10.50 | 15 min | $42.00 | 2012-06-11 |
| 4 | Delaware | $39.35 | hour | $39.35 | 2024-07-01 |
| 5 | Missouri | $9.75 | 15 min | $39.00 | 2024-07-01 |
| 6 | Montana | $9.23 | 15 min | $36.92 | 2026-07-01 |
| 7 | Kentucky | $9.00 | 15 min | $36.00 | 2025-01-01 |
| 8 | New York | $35.36 | hour | $35.36 | 2025-01-01 |
| 9 | Indiana | $8.59 | 15 min | $34.36 | 2026-01-01 |
| 10 | New Hampshire | $8.00 | 15 min | $32.00 | 2023-10-01 |
| 11 | Connecticut | $7.63 | 15 min | $30.52 | 2026-01-01 |
| 12 | Nebraska | $28.00 | hour | $28.00 | 2026-07-01 |
| 13 | Florida | $6.85 | 15 min | $27.40 | 2026-07-01 |
| 14 | Michigan | $27.00 | hour | $27.00 | 2024-11-01 |
| 15 | West Virginia | $6.75 | 15 min | $27.00 | 2025-10-01 |
| 16 | New Jersey | $26.68 | hour | $26.68 | 2024-07-01 |
| 17 | Tennessee | $6.59 | 15 min | $26.36 | 2025-07-01 |
| 18 | South Carolina | $6.25 | 15 min | $25.00 | 2025-11-01 |
| 19 | Idaho | $6.11 | 15 min | $24.44 | 2026-07-01 |
| 20 | Minnesota | $5.25 | 15 min | $21.00 | 2026-04-01 |
| 21 | Kansas | $4.98 | 15 min | $19.92 | 2024-07-01 |
| 22 | Pennsylvania | $4.87 | 15 min | $19.48 | 2018-07-01 |
| 23 | Louisiana | $4.77 | 15 min | $19.08 | 2026-10-01 |
| 24 | Texas | $4.57 | 15 min | $18.28 | 2025-09-01 |
What it costs to deliver in West Virginia
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | WV median | US median | vs US |
|---|---|---|---|
| Home health / personal care aide | $13.47 | $17.21 | -21.7% |
| Registered nurse | $38.52 | $46.90 | -17.9% |
Recent West Virginia home care rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| HCBS and Personal Care rate increases effective October 1, 2025 (BMS letter October 10, 2025) | effective | +6.1% | 2025-10-01 |
| HCBS rate increases effective October 1, 2024 (BMS memo August 22, 2024) | effective | +27.2% | 2024-10-01 |
| Myers and Stauffer HCBS Rate Setting Brief: proposed rates (December 2023) | proposed | +29.3% | — |
| Public notice: State Plan Amendment (SPA) 22-0009, Personal Care Services Public Notice! 3/23/2022 PUBLIC NOTICE | proposed | — | 2022-04-01 |
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 West 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.