Adult day services: Medicaid rates by state
18 states publish a Medicaid rate for adult day services, compared at the clinical nurse specialist level. Per hour, rates range from — in Wisconsin to $37.38 in New York.
- States
- 18
- Median per hour
- $15.13
- Highest
- $37.38New York
- Lowest
- —Wisconsin
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | New YorkAny qualified provider (rate does not vary by provider) | $37.38 | hour | $37.38 | 2026-01-01 | Official source |
| 2 | MinnesotaAny qualified provider (rate does not vary by provider) | $4.53 | 15 min | $18.12 | 2026-01-01 | Official source |
| 3 | IllinoisAny qualified provider (rate does not vary by provider) | $15.30 | hour | $15.30 | 2023-04-01 | Official source |
| 4 | IndianaAny qualified provider (rate does not vary by provider) | $3.74 | 15 min | $14.96 | 2024-07-01 | Official source |
| 5 | MissouriAny qualified provider (rate does not vary by provider) | $3.32 | 15 min | $13.28 | 2023-07-01 | Official source |
| 6 | NebraskaAgency provider | $10.84 | hour | $10.84 | 2026-07-01 | Official source |
| 7 | CaliforniaAny qualified provider (rate does not vary by provider) | $76.27 | day | — | 2026-10-01 | Official source |
| 8 | MarylandAny qualified provider (rate does not vary by provider) | $72.19 | day | — | 2024-07-01 | Official source |
| 9 | MassachusettsAny qualified provider (rate does not vary by provider) | $68.36 | — | — | 2025-07-01 | Official source |
| 10 | GeorgiaAny qualified provider (rate does not vary by provider) | $61.53 | per half day | — | 2024-07-01 | Official source |
| 11 | ColoradoAny qualified provider (rate does not vary by provider) | $48.75 | half day | — | 2023-07-01 | Official source |
| 12 | ArizonaClinical nurse specialist | $46.15 | Half Day (12 – 23 units) | — | 2026-10-01 | Official source |
| 13 | WashingtonAny qualified provider (rate does not vary by provider) | $45.75 | DL | — | 2021-07-01 | Official source |
| 14 | New JerseyAny qualified provider (rate does not vary by provider) | $44.00 | — | — | 2025-01-01 | Official source |
| 15 | OhioAny qualified provider (rate does not vary by provider) | $40.48 | ½ day | — | 2026-04-17 | Official source |
| 16 | PennsylvaniaAny qualified provider (rate does not vary by provider) | $37.51 | 1/2 Day | — | 2018-07-01 | Official source |
| 17 | VirginiaAny qualified provider (rate does not vary by provider) | $10.70 | day | — | 2026-07-01 | Official source |
| 18 | WisconsinAny qualified provider (rate does not vary by provider) | $2.63 | day | — | 2025-01-01 | Official source |
Frequently asked questions
Which state pays the most for adult day services?
New York: $37.38 per hour ($37.38 per hour).
What is the average Medicaid rate for adult day services?
Across 18 states the median is $15.13 per hour, comparing the same provider level in each state.
Other Other home & community services services
Case management / support coordination23 statesRespite care (hourly)22 statesRespite care (daily)17 statesSelf-direction coaching / supports broker17 statesHome-delivered meals16 statesAssisted living / alternative living services15 statesNursing assessment15 statesEmergency response system monitoring14 statesRespite in a facility (daily)13 states
Adult day services in your statesRates, plan rules, labor costs and changes, with alerts.