Personal care supplemental payment (lump sum): Medicaid rates by state

A billing code alone doesn't make a fair comparison: states bill personal care supplemental payment (lump sum) under different codes, units and provider types. This benchmark lines up one comparable rate per state.

• Provider level. States are compared at the aide or attendant (HHA, CNA, PCA, home care aide) level. Rates for other levels on file (agency provider) are kept separate, never mixed into this ranking.
• Unit. All 1 states publish their headline rate per day, so the amounts compare directly. The ranking uses the rate as published, so read the unit before comparing two states.
• Variants. Each state publishes one rate that matches the comparison.
• Depth. 12 rates for this service are on file across all states, versions and provider levels; this page shows one headline rate per state.

The highest-paying state, Louisiana, pays $38.88; the lowest, Louisiana, pays $38.88. 1 of the 1 states pay above the median of —. Common reasons rates for personal care & attendant services spread this way:

• Agency-delivered and self-directed (consumer-directed) care are usually paid at different rates.
• Some states require a share of the rate to go to direct-care wages, and minimum wage changes push personal care rates up.
• The same service can be paid under the state plan, under one or more waivers or under a separate state program, each with its own rate.

Billing notes

Personal care is commonly billed in 15-minute units, though some states pay per hour or per day. Modifiers distinguish agency from self-directed care and, in some states, the number of people served at once.