How Much Does Medicaid Pay for Caregiver Services?
In-home personal care, attendant care, and home health aide services covered by Medicaid.
Service Caregiver Services Year 2024 Codes 9
Included Procedure Codes
S5125 — Attendant care service /15mS5126 — Attendant care service /diemS5130 — Homaker service nos per 15mS5131 — Homemaker service nos /diemT1019 — Personal care ser per 15 minT1020 — Personal care ser per diemT1021 — Hh aide or cn aide per visitT1030 — Rn home care per diemT1031 — Lpn home care per diem
State-by-State Reimbursement Rates
| State | Avg / Claim | Total Claims | Total Paid | Codes Reporting |
|---|---|---|---|---|
| Alabama | $286.96 | 661,876 | $189,933,845.07 | 3 |
| Alaska | $122.07 | 288,314 | $35,195,010.75 | 3 |
| Arizona | $128.65 | 5,389,447 | $693,379,245.09 | 5 |
| Arkansas | $81.50 | 2,495,052 | $203,350,930.90 | 5 |
| California | $179.21 | 540,971 | $96,949,379.85 | 8 |
| Colorado | $136.60 | 3,942,797 | $538,579,091.95 | 4 |
| Connecticut | $332.14 | 8,942 | $2,970,037.28 | 1 |
| Delaware | $192.37 | 807,234 | $155,291,276.94 | 3 |
| District of Columbia | $167.22 | 982,027 | $164,217,599.18 | 2 |
| Florida | $58.00 | 16,462,624 | $954,814,145.47 | 7 |
| Georgia | $98.46 | 671,510 | $66,116,327.96 | 5 |
| Hawaii | $166.78 | 78,630 | $13,113,574.74 | 3 |
| Idaho | $75.95 | 750,529 | $57,005,522.77 | 3 |
| Illinois | $32.09 | 270,863 | $8,691,069.79 | 4 |
| Indiana | $163.02 | 113,199 | $18,454,143.91 | 2 |
| Iowa | $115.39 | 422,467 | $48,750,060.02 | 6 |
| Kansas | $136.33 | 2,162,985 | $294,884,383.77 | 3 |
| Kentucky | $208.24 | 536,028 | $111,623,821.23 | 2 |
| Louisiana | $128.09 | 5,982,184 | $766,274,061.01 | 3 |
| Maine | $281.63 | 635,810 | $179,064,668.36 | 3 |
| Maryland | $135.06 | 98,451 | $13,296,490.21 | 2 |
| Massachusetts | $97.50 | 16,582,354 | $1,616,819,910.68 | 6 |
| Michigan | $112.36 | 4,397,889 | $494,165,631.57 | 5 |
| Minnesota | $107.64 | 1,915,154 | $206,144,031.93 | 8 |
| Mississippi | $184.20 | 2,209,950 | $407,070,283.73 | 4 |
| Missouri | $97.94 | 12,049,830 | $1,180,200,241.17 | 4 |
| Montana | $109.33 | 4,429,865 | $484,321,805.58 | 5 |
| Nebraska | $54.66 | 1,894 | $103,533.89 | 1 |
| Nevada | $88.92 | 1,878,317 | $167,018,667.31 | 4 |
| New Hampshire | $345.51 | 857,879 | $296,403,797.64 | 5 |
| New Jersey | $118.56 | 6,494,381 | $769,964,202.23 | 4 |
| New Mexico | $92.74 | 2,540,477 | $235,592,607.67 | 2 |
| New York | $161.41 | 96,400,854 | $15,560,497,669.97 | 7 |
| North Carolina | $147.88 | 1,567,203 | $231,765,025.86 | 5 |
| North Dakota | $180.21 | 88,213 | $15,897,114.99 | 5 |
| Ohio | $121.40 | 5,278,960 | $640,888,177.82 | 2 |
| Oklahoma | $63.17 | 109,796 | $6,936,104.55 | 1 |
| Oregon | $392.19 | 158,861 | $62,303,664.32 | 3 |
| Pennsylvania | $96.38 | 623,468 | $60,090,908.07 | 5 |
| Puerto Rico | $85.54 | 9,886 | $845,600.00 | 1 |
| Rhode Island | $136.17 | 1,363,583 | $185,684,944.44 | 6 |
| South Carolina | $107.48 | 1,001,742 | $107,671,725.36 | 4 |
| South Dakota | $91.22 | 224,545 | $20,483,088.47 | 4 |
| Tennessee | $125.38 | 2,220,311 | $278,385,352.25 | 2 |
| Texas | $58.76 | 63,680,152 | $3,741,720,011.37 | 4 |
| U.S. Virgin Islands | $759.90 | 968 | $735,579.75 | 1 |
| Utah | $102.57 | 262,755 | $26,950,440.62 | 5 |
| Vermont | $429.56 | 26,177 | $11,244,487.86 | 2 |
| Virginia | $144.25 | 6,144,293 | $886,308,141.19 | 1 |
| Washington | $1,193.80 | 14,621 | $17,454,536.51 | 2 |
| West Virginia | $592.49 | 295,915 | $175,327,156.58 | 3 |
| Wisconsin | $30.88 | 1,599,670 | $49,396,884.18 | 4 |
| Wyoming | $73.23 | 22,909 | $1,677,557.63 | 3 |