Home health speech therapy: Medicaid rates by state
29 states publish a Medicaid rate for home health speech therapy, compared at the therapist slp level. Per hour, rates range from — in Kansas to $550.44 in Missouri.
- States
- 29
- Median per hour
- $98.52
- Highest
- $550.44Missouri
- Lowest
- —Kansas
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | MissouriSpeech-language pathologist | $137.61 | 15 min | $550.44 | 2024-07-01 | Official source |
| 2 | MichiganSpeech-language pathologist | $85.93 | 15 min | $343.72 | 2023-10-01 | Official source |
| 3 | ArizonaSpeech-language pathologist | $34.72 | 15 min | $138.88 | 2026-10-01 | Official source |
| 4 | MaineSpeech-language pathologist | $32.73 | 15 min | $130.92 | 2025-07-01 | Official source |
| 5 | LouisianaSpeech-language pathologist | $27.22 | 15 min | $108.88 | 2023-04-03 | Official source |
| 6 | ConnecticutSpeech-language pathologist | $24.63 | 15 min | $98.52 | 2021-07-01 | Official source |
| 7 | PennsylvaniaSpeech-language pathologist | $21.72 | 15 min | $86.88 | 2018-07-01 | Official source |
| 8 | NevadaSpeech-language pathologist | $18.81 | 15 min | $75.24 | 2024-01-01 | Official source |
| 9 | IndianaSpeech-language pathologist | $18.78 | 15 min | $75.12 | 2023-07-01 | Official source |
| 10 | New HampshireSpeech-language pathologist | $18.40 | 15 min | $73.60 | 2023-07-01 | Official source |
| 11 | OhioSpeech-language pathologist | $4.77 | 15 min | $19.08 | 2024-01-01 | Official source |
| 12 | OregonSpeech-language pathologist | $206.03 | — | — | 2025-01-01 | Official source |
| 13 | MarylandSpeech-language pathologist | $189.32 | — | — | 2026-01-01 | Official source |
| 14 | IowaSpeech-language pathologist | $159.71 | — | — | 2025-07-01 | Official source |
| 15 | IdahoSpeech-language pathologist | $159.06 | visit | — | 2025-09-01 | Official source |
| 16 | New YorkSpeech-language pathologist | $156.79 | visit | — | 2025-01-01 | Official source |
| 17 | UtahSpeech-language pathologist | $151.30 | day | — | 2026-07-01 | Official source |
| 18 | West VirginiaSpeech-language pathologist | $148.91 | — | — | 2026-04-01 | Official source |
| 19 | ColoradoSpeech-language pathologist | $147.99 | One visit up to 2 ½ hours | — | 2022-07-01 | Official source |
| 20 | VirginiaSpeech-language pathologist | $146.30 | — | — | 2025-07-01 | Official source |
| 21 | North CarolinaSpeech-language pathologist | $120.56 | 1 visit | — | 2025-10-01 | Official source |
| 22 | NebraskaSpeech-language pathologist | $116.38 | visit | — | 2026-07-01 | Official source |
| 23 | IllinoisSpeech-language pathologist | $111.00 | VST | — | 2026-01-01 | Official source |
| 24 | MinnesotaSpeech-language pathologist | $110.07 | day | — | 2026-01-01 | Official source |
| 25 | MassachusettsSpeech-language pathologist | $76.44 | visit | — | 2020-07-01 | Official source |
| 26 | VermontSpeech-language pathologist | $68.00 | day | — | 2013-01-01 | Official source |
| 27 | MississippiAny qualified provider (rate does not vary by provider) | $65.00 | visit | — | 2024-10-01 | Official source |
| 28 | New JerseySpeech-language pathologist | $48.00 | day | — | 2025-01-01 | Official source |
| 29 | KansasSpeech-language pathologist | $40.00 | day | — | 2002-09-01 | Official source |
Frequently asked questions
Which state pays the most for home health speech therapy?
Missouri: $137.61 per 15 min ($550.44 per hour).
What is the average Medicaid rate for home health speech therapy?
Across 29 states the median is $98.52 per hour, comparing the same provider level in each state.
Other Home health services
Home health nurse visit (RN or LPN)34 statesHome health aide visit34 statesHome health physical therapy32 statesHome health occupational therapy30 statesHome health visit (other or unspecified)13 statesHome health agency daily rate / overhead6 statesRN management of the home care plan5 statesHome health therapy evaluation visit4 statesHome health telemonitoring (daily monitoring or installation)2 states
Home health speech therapy in your statesRates, plan rules, labor costs and changes, with alerts.