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Self-directed (consumer choices) budget-calculation rate: Medicaid rates by state

2 states publish a Medicaid rate for self-directed (consumer choices) budget-calculation rate, compared at the aide level. Rates range from $6.37 in Iowa to $1,719.03 in Vermont.

States
2
Median
—
Highest
$1,719.03Vermont
Lowest
$6.37Iowa

Every state, ranked

#StateRateUnitPer hourEffectiveSource
1VermontAny qualified provider (rate does not vary by provider)$1,719.03month—2025-07-01Official source
2IowaAide or attendant (HHA, CNA, PCA, home care aide)$6.37——2025-08-01Official source

Frequently asked questions

Which state pays the most for self-directed (consumer choices) budget-calculation rate?

Vermont: $1,719.03 per month.

What is the average Medicaid rate for self-directed (consumer choices) budget-calculation rate?

Across 2 states the median is —, comparing the same provider level in each state.

Other Other home & community services services

Self-directed (consumer choices) budget-calculation rate in your statesRates, plan rules, labor costs and changes, with alerts.
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