Assisted living / alternative living services: Medicaid rates by state
28 states publish a Medicaid rate for assisted living / alternative living services, compared at the aide level. Rates range from $4.70 in New York to $4,789.00 in Oregon.
- States
- 28
- Median
- —
- Highest
- $4,789.00Oregon
- Lowest
- $4.70New York
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | OregonAny qualified provider (rate does not vary by provider) | $4,789.00 | month | — | 2026-07-01 | Official source |
| 2 | NebraskaAny qualified provider (rate does not vary by provider) | $1,664.00 | month | — | 2026-07-01 | Official source |
| 3 | MinnesotaAny qualified provider (rate does not vary by provider) | $1,606.99 | Daily Rate Limit | — | 2026-04-01 | Official source |
| 4 | UtahAny qualified provider (rate does not vary by provider) | $445.29 | day | — | 2016-07-01 | Official source |
| 5 | AlaskaAny qualified provider (rate does not vary by provider) | $230.53 | day | — | 2026-07-01 | Official source |
| 6 | MontanaAny qualified provider (rate does not vary by provider) | $222.08 | day | — | 2025-07-01 | Official source |
| 7 | HawaiiAny qualified provider (rate does not vary by provider) | $169.88 | day | — | 2026-07-01 | Official source |
| 8 | IllinoisAny qualified provider (rate does not vary by provider) | $149.63 | — | — | 2026-07-01 | Official source |
| 9 | IndianaAny qualified provider (rate does not vary by provider) | $132.06 | day | — | 2024-07-01 | Official source |
| 10 | OhioAny qualified provider (rate does not vary by provider) | $130.00 | day | — | 2024-07-01 | Official source |
| 11 | WashingtonAny qualified provider (rate does not vary by provider) | $109.22 | day | — | 2026-01-01 | Official source |
| 12 | ColoradoAny qualified provider (rate does not vary by provider) | $103.72 | day | — | 2025-10-01 | Official source |
| 13 | NevadaAny qualified provider (rate does not vary by provider) | $103.13 | day | — | 2024-01-01 | Official source |
| 14 | Rhode IslandAny qualified provider (rate does not vary by provider) | $94.00 | day | — | 2026-10-01 | Official source |
| 15 | New JerseyAny qualified provider (rate does not vary by provider) | $91.10 | day | — | 2026-07-01 | Official source |
| 16 | ArkansasAny qualified provider (rate does not vary by provider) | $86.73 | day | — | 2024-10-18 | Official source |
| 17 | MarylandAny qualified provider (rate does not vary by provider) | $85.86 | day | — | 2024-07-01 | Official source |
| 18 | VermontAny qualified provider (rate does not vary by provider) | $85.47 | 1 day | — | 2025-07-01 | Official source |
| 19 | MississippiAny qualified provider (rate does not vary by provider) | $82.78 | day | — | 2026-01-01 | Official source |
| 20 | South DakotaAny qualified provider (rate does not vary by provider) | $82.08 | day | — | 2026-07-01 | Official source |
| 21 | New HampshireAny qualified provider (rate does not vary by provider) | $73.45 | day | — | 2024-01-01 | Official source |
| 22 | WyomingAny qualified provider (rate does not vary by provider) | $70.44 | day | — | 2023-04-01 | Official source |
| 23 | GeorgiaAide or attendant (HHA, CNA, PCA, home care aide) | $68.97 | day | — | 2024-07-01 | Official source |
| 24 | OklahomaAny qualified provider (rate does not vary by provider) | $61.24 | day | — | 2024-10-01 | Official source |
| 25 | ConnecticutAny qualified provider (rate does not vary by provider) | $57.84 | day | — | 2026-01-01 | Official source |
| 26 | TexasAny qualified provider (rate does not vary by provider) | $34.51 | day | — | 2023-09-01 | Official source |
| 27 | IowaAny qualified provider (rate does not vary by provider) | $31.43 | day | — | 2026-10-01 | Official source |
| 28 | New YorkAny qualified provider (rate does not vary by provider) | $4.70 | day | — | 2025-01-01 | Official source |
Frequently asked questions
Which state pays the most for assisted living / alternative living services?
Oregon: $4,789.00 per month.
What is the average Medicaid rate for assisted living / alternative living services?
Across 28 states the median is —, comparing the same provider level in each state.
Other Other home & community services services
Case management / support coordination49 statesRespite care (hourly)48 statesAdult day services41 statesRespite care (daily)40 statesHome-delivered meals38 statesNursing assessment35 statesEmergency response system monitoring34 statesEmergency response system installation30 statesSelf-direction coaching / supports broker28 states
Assisted living / alternative living services in your statesRates, plan rules, labor costs and changes, with alerts.