Personal care / attendant care (hourly): Medicaid rates by state
35 states publish a Medicaid rate for personal care / attendant care (hourly), compared at the self directed level. Per hour, rates range from — in Ohio to $80.92 in Virginia.
- States
- 35
- Median per hour
- $23.62
- Highest
- $80.92Virginia
- Lowest
- —Ohio
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | VirginiaAide or attendant (HHA, CNA, PCA, home care aide) | $20.23 | 15 min | $80.92 | 2025-07-01 | Official source |
| 2 | OregonAgency provider | $42.24 | hour | $42.24 | 2026-07-01 | Official source |
| 3 | IowaAgency provider | $10.50 | 15 min | $42.00 | 2012-06-11 | Official source |
| 4 | New MexicoAide or attendant (HHA, CNA, PCA, home care aide) | $8.42 | 15 min | $33.68 | 2024-07-01 | Official source |
| 5 | MissouriSelf-directed worker (hired by the person or family) | $8.25 | 15 min | $33.00 | 2024-02-01 | Official source |
| 6 | New YorkSelf-directed worker (hired by the person or family) | $7.34 | 15 min | $29.36 | 2026-01-01 | Official source |
| 7 | KentuckySelf-directed worker (hired by the person or family) | $7.26 | 15 min | $29.04 | 2025-01-01 | Official source |
| 8 | North CarolinaAide or attendant (HHA, CNA, PCA, home care aide) | $7.03 | 15 min | $28.12 | 2026-08-01 | Official source |
| 9 | ColoradoSelf-directed worker (hired by the person or family) | $6.95 | 15 min | $27.80 | 2025-10-01 | Official source |
| 10 | KansasAide or attendant (HHA, CNA, PCA, home care aide) | $6.93 | 15 min | $27.72 | 2022-07-01 | Official source |
| 11 | FloridaAide or attendant (HHA, CNA, PCA, home care aide) | $6.85 | 15 min | $27.40 | 2026-07-01 | Official source |
| 12 | New JerseyAide or attendant (HHA, CNA, PCA, home care aide) | $6.67 | 15 min | $26.68 | 2025-01-01 | Official source |
| 13 | GeorgiaSelf-directed worker (hired by the person or family) | $6.38 | 15 min | $25.52 | 2024-07-01 | Official source |
| 14 | WisconsinAide or attendant (HHA, CNA, PCA, home care aide) | $6.26 | 15 min | $25.04 | 2026-01-01 | Official source |
| 15 | NevadaAide or attendant (HHA, CNA, PCA, home care aide) | $6.25 | 15 min | $25.00 | 2024-01-01 | Official source |
| 16 | OklahomaSelf-directed worker (hired by the person or family) | $5.56 | 15 min | $22.24 | 2024-10-01 | Official source |
| 17 | MinnesotaAide or attendant (HHA, CNA, PCA, home care aide) | $5.46 | 15 min | $21.84 | 2026-04-01 | Official source |
| 18 | LouisianaSelf-directed worker (hired by the person or family) | $5.42 | 15 min | $21.68 | 2024-01-01 | Official source |
| 19 | NebraskaIndependent (non-agency) provider | $21.00 | hour | $21.00 | 2026-07-01 | Official source |
| 20 | ArkansasAide or attendant (HHA, CNA, PCA, home care aide) | $5.12 | 15 min | $20.48 | 2021-01-01 | Official source |
| 21 | ArizonaSelf-directed worker (hired by the person or family) | $4.95 | 15 min | $19.80 | 2026-10-01 | Official source |
| 22 | PennsylvaniaAgency provider | $4.88 | 15 min | $19.52 | 2016-12-01 | Official source |
| 23 | MichiganAide or attendant (HHA, CNA, PCA, home care aide) | $17.13 | hour | $17.13 | 2026-01-01 | Official source |
| 24 | MarylandAide or attendant (HHA, CNA, PCA, home care aide) | $4.26 | 15 min | $17.04 | 2024-07-01 | Official source |
| 25 | MississippiAide or attendant (HHA, CNA, PCA, home care aide) | $4.14 | 15 min | $16.56 | 2026-01-01 | Official source |
| 26 | South CarolinaSelf-directed worker (hired by the person or family) | $16.20 | hour | $16.20 | 2025-11-01 | Official source |
| 27 | CaliforniaSelf-directed worker (hired by the person or family) | $13.59 | hour | $13.59 | 2026-07-01 | Official source |
| 28 | TexasSelf-directed worker (hired by the person or family) | $13.04 | hour | $13.04 | 2023-09-01 | Official source |
| 29 | MassachusettsAide or attendant (HHA, CNA, PCA, home care aide) | $2.72 | 15 min | $10.88 | 2026-01-01 | Official source |
| 30 | IndianaSelf-directed worker (hired by the person or family) | $1.81 | 15 min | $7.24 | 2020-02-01 | Official source |
| 31 | IllinoisAide or attendant (HHA, CNA, PCA, home care aide) | $25.00 | 1/4 hr | — | 2022-07-01 | Official source |
| 32 | WashingtonSelf-directed worker (hired by the person or family) | $9.39 | 1/4 HR | — | 2025-07-01 | Official source |
| 33 | ConnecticutAny qualified provider (rate does not vary by provider) | $6.98 | — | — | 2026-01-01 | Official source |
| 34 | AlabamaSelf-directed worker (hired by the person or family) | $4.50 | 15 min | — | 2020-12-17 | Official source |
| 35 | OhioSelf-directed worker (hired by the person or family) | $4.45 | Fifteen minutes | — | 2024-07-01 | Official source |
Frequently asked questions
Which state pays the most for personal care / attendant care (hourly)?
Virginia: $20.23 per 15 min ($80.92 per hour).
What is the average Medicaid rate for personal care / attendant care (hourly)?
Across 35 states the median is $23.62 per hour, comparing the same provider level in each state.
Other Personal care & attendant services
Homemaker / housekeeping help21 statesCompanion care20 statesHome health aide or nurse aide care (hourly)16 statesPersonal care (daily rate)14 statesStructured family caregiving (daily)5 statesHome care worker wage scale (collective bargaining)4 statesTraining for unpaid family caregivers4 statesPersonal assistance retainer payment3 statesLive-in personal care (24-hour)2 states
Personal care / attendant care (hourly) in your statesRates, plan rules, labor costs and changes, with alerts.