MedicaidRateStart free trial

Texas Medicaid home health rates

Texas Medicaid pays $98.92 per 15 min ($395.68 an hour) for home health nurse visit (rn or LPN) delivered by a registered nurse, effective January 1, 2018, the 1st highest of 6 states with comparable rates. Below: 4 more home health rates 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)
$98.92per 15 min · $395.68/hr
Rank among states
1 of 6+100.4% vs median
Registered nurse median wage
$46.14BLS May 2025
Texas minimum wage
$7.25

Texas home health rates vs other states

Fee-for-service, like-for-like by provider level. Click a rate to open Texas's official fee schedule.

ServiceProvider levelCodeTX rateUnitPer hourRankMedian across statesLowestHighestStates
Home health nurse visit (RN or LPN)Registered nurseG0299$98.9215 min$395.681 of 6$49.37/15 min$15.21$98.926
Home health aide visitAide or attendantG0156$46.0915 min$184.362 of 8$15.51/15 min$4.16$56.898
Home health physical therapyPhysical therapistS9131$77.43hour$77.43—$27.71/15 min$4.77$85.937
Home health occupational therapyOccupational therapistS9129$72.95hour$72.95—$28.38/15 min$4.77$69.737
Home health speech therapySpeech-language pathologistS9128$76.29hour$76.29—$27.22/15 min$4.77$137.617

Home health nurse visit (RN or LPN): where Texas ranks

States whose published unit can't be converted are left out of the ranking.

#StateRateUnitPer hourEffective
1Texas$98.9215 min$395.682018-01-01
2Michigan$89.0815 min$356.322023-10-01
3Pennsylvania$74.0015 min$296.002016-03-01
4Arizona$24.7315 min$98.922019-10-01
5Louisiana$24.7315 min$98.922023-04-03
6California$15.2115 min$60.842026-10-01

What it costs to deliver in Texas

Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).

RoleTX medianUS medianvs US
Registered nurse$46.14$46.90-1.6%
Licensed practical nurse$29.92$30.96-3.4%
Home health / personal care aide$11.65$17.21-32.3%
Physical therapist$50.87$49.40+3.0%
Occupational therapist$51.03$48.24+5.8%
Speech-language pathologist$48.03$47.05+2.1%

Recent Texas home health rate changes

ChangeStatusChangeEffective
Public Notice - Texas State Plan for Medical Assistance Amendmentproposed—2026-01-01
Notice of Proposed Adjustments to Fees, Rates or Charges for Nutritional (Enteral) Products, Supplies, and Equipment - Home Health & CCP: Immobilized Lipase Cartridgehearing—2022-03-01
Notice of Proposed Adjustments to Fees, Rates or Charges for Nutritional (Enteral) Products, Supplies, and Equipment - Home Health & CCP: Immobilized Lipase Cartridgehearing—2021-03-01
Physical, Occupational, and Speech Therapy provided by Comprehensive Outpatient Rehabilitation Facilities/Outpatient Rehabilitation Facilities (CORF/ORF), Home Health Agencies (HHA), and Independent Therapistshearing—2017-07-01
Physical, Occupational, and Speech Therapy provided by Comprehensive Outpatient Rehabilitation Facilities/Outpatient Rehabilitation Facilities (CORF/ORF), Home Health Agencies (HHA), and Independent Therapistshearing—2016-07-15
Physical, Occupational, and Speech Therapy provided by Comprehensive Outpatient Rehabilitation Facilities/Outpatient Rehabilitation Facilities (CORF/ORF), Home Health Agencies (HHA), and Independent Therapistshearing—2015-10-01
Physical, Occupational, and Speech Therapy provided by Comprehensive Outpatient Rehabilitation Facilities/Outpatient Rehabilitation Facilities (CORF/ORF), Home Health Agencies (HHA), and Independent Therapistshearing—2013-09-01
Therapy Services provided by CORF/ORF, Home Health Agencies, and Independent Practitionershearing—2012-03-01
Incontinence Supplies Home Healthhearing—2011-07-01
Incontinence Supplies - Home Health Policyhearing—2011-04-01
Every variant, every version, every state

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.

Open in workspaceAPI reference

Rates are taken from Texas'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.

Medicaid rates by state