California Medicaid home health rates
California Medicaid pays $15.21 per 15 min ($60.84 an hour) for home health nurse visit (rn or LPN) delivered by a registered nurse, effective October 1, 2026, the 9th highest of 9 states with comparable rates. Below: 1 more home health rate compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Home health nurse visit (RN or LPN)
- $15.21per 15 min · $60.84/hr
- Rank among states
- 9 of 9-38.5% vs median
- Registered nurse median wage
- $67.44BLS May 2025
- California minimum wage
- $16.90$17.40 from January 1, 2027
California home health rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open California's official fee schedule.
| Service | Provider level | Code | CA rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Home health nurse visit (RN or LPN) | Registered nurse | G0299 | $15.21 | 15 min | $60.84 | 9 of 9 | $24.73/15 min | $15.21 | $98.92 | 9 |
| Home health aide visit | Aide or attendant | G0156 | $7.09 | 15 min | $28.36 | 7 of 10 | $8.77/15 min | $4.16 | $56.89 | 10 |
| Home health physical therapy | Physical therapist | Not published | $26.17/15 min | $4.77 | $85.93 | 10 | ||||
| Home health occupational therapy | Occupational therapist | Not published | $26.35/15 min | $4.77 | $69.73 | 10 | ||||
| Home health speech therapy | Speech-language pathologist | Not published | $25.93/15 min | $4.77 | $137.61 | 10 | ||||
Home health nurse visit (RN or LPN): where California ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Texas | $98.92 | 15 min | $395.68 | 2018-01-01 |
| 2 | Michigan | $89.08 | 15 min | $356.32 | 2023-10-01 |
| 3 | Nevada | $28.46 | 15 min | $113.84 | 2024-01-01 |
| 4 | Arizona | $24.73 | 15 min | $98.92 | 2019-10-01 |
| 5 | Louisiana | $24.73 | 15 min | $98.92 | 2023-04-03 |
| 6 | Oklahoma | $21.45 | 15 min | $85.80 | 2024-10-01 |
| 7 | Kansas | $20.00 | 15 min | $80.00 | 2023-12-03 |
| 8 | Pennsylvania | $16.55 | 15 min | $66.20 | 2018-07-01 |
| 9 | California | $15.21 | 15 min | $60.84 | 2026-10-01 |
What it costs to deliver in California
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | CA median | US median | vs US |
|---|---|---|---|
| Registered nurse | $67.44 | $46.90 | +43.8% |
| Licensed practical nurse | $38.34 | $30.96 | +23.8% |
| Home health / personal care aide | $16.50 | $17.21 | -4.1% |
| Physical therapist | $59.71 | $49.40 | +20.9% |
| Occupational therapist | $59.86 | $48.24 | +24.1% |
| Speech-language pathologist | $57.20 | $47.05 | +21.6% |
Recent California home health rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| 2026 Rate Increase for HCBS Waivers and Programs | effective | +2.4% | 2026-01-01 |
| Reimbursement Rate Rescinded for HCPCS Code S5552 | reversed | — | 2025-10-01 |
| Reimbursement Rates for CHW HCPCS Codes G0019 and G0022 | effective | — | 2025-04-01 |
| 2025 Rate Increase for Home and Community-Based Services Waivers and Programs | effective | +3.1% | 2025-01-01 |
| Increase for Home and Community-Based Services Waiver and Programs | effective | +3.2% | 2024-01-01 |
| HCBS Program Services Reimbursable for EPSDT Providers | effective | — | 2023-01-01 |
| Rate Increase for Home and Community-Based Services Waivers and Programs | effective | +3.3% | 2023-01-01 |
| Supplemental Payment Program for Non-Hospital 340B Clinics, General Updates | effective | — | — |
| Vaccine Counseling Services are Reimbursable using E and M Office or Other Outpatient Visit CPT codes | effective | — | — |
| Home Health Agency Providers May Be Reimbursed for COVID-19 Vaccine Administration | effective | — | — |
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 California'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.