Financial management services (self-direction): Medicaid rates by state
12 states publish a Medicaid rate for financial management services (self-direction), compared at the self directed level. Per hour, rates range from — in Wisconsin to $631.56 in Missouri.
- States
- 12
- Median per hour
- $414.58
- Highest
- $631.56Missouri
- Lowest
- —Wisconsin
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | MissouriSelf-directed worker (hired by the person or family) | $157.89 | 15 min | $631.56 | 2023-07-01 | Official source |
| 2 | ArizonaSelf-directed worker (hired by the person or family) | $49.40 | 15 min | $197.60 | 2026-10-01 | Official source |
| 3 | CaliforniaSelf-directed worker (hired by the person or family) | $265.00 | month | — | 2025-01-01 | Official source |
| 4 | New YorkSelf-directed worker (hired by the person or family) | $260.24 | month | — | 2025-04-01 | Official source |
| 5 | TexasSelf-directed worker (hired by the person or family) | $114.40 | month | — | 2023-09-01 | Official source |
| 6 | North CarolinaAny qualified provider (rate does not vary by provider) | $107.42 | month | — | 2025-10-01 | Official source |
| 7 | ColoradoAny qualified provider (rate does not vary by provider) | $103.21 | month | — | 2023-01-01 | Official source |
| 8 | PennsylvaniaSelf-directed worker (hired by the person or family) | $100.00 | — | — | 2019-04-01 | Official source |
| 9 | GeorgiaSelf-directed worker (hired by the person or family) | $95.00 | per unit | — | 2024-07-01 | Official source |
| 10 | New JerseySelf-directed worker (hired by the person or family) | $84.50 | Per-Member, Per-Month | — | 2025-06-08 | Official source |
| 11 | MinnesotaAny qualified provider (rate does not vary by provider) | $44.00 | Per Print | — | 2026-01-01 | Official source |
| 12 | WisconsinAny qualified provider (rate does not vary by provider) | $36.75 | month | — | 2025-01-01 | Official source |
Frequently asked questions
Which state pays the most for financial management services (self-direction)?
Missouri: $157.89 per 15 min ($631.56 per hour).
What is the average Medicaid rate for financial management services (self-direction)?
Across 12 states the median is $414.58 per hour, comparing the same provider level in each state.
Other Other home & community services services
Case management / support coordination23 statesRespite care (hourly)22 statesAdult day services20 statesRespite care (daily)17 statesSelf-direction coaching / supports broker17 statesHome-delivered meals16 statesAssisted living / alternative living services15 statesNursing assessment15 statesEmergency response system monitoring14 states
Financial management services (self-direction) in your statesRates, plan rules, labor costs and changes, with alerts.