Intelligence / VA Home Care
VA Home Care
What VA will pay for home care in every state — maximum rates for 23 in-home services, plus where the veterans who need care actually live.
VA is one of the fastest-growing payers in home care — and unlike most payers, it publishes exactly what it's willing to pay. This page turns that fee schedule into numbers you can plan a program around, alongside where the veteran population actually lives.
What VA will pay, per hour
Homemaker services
up to $30.60/hras of Jan 2026
typical ceiling nationwide
states range $20.12 – $45.00/hr
Home health aide
up to $45.68/hras of Jan 2026
typical ceiling nationwide
states range $30.00 – $67.20/hr
Skilled nursing (RN)
up to $153.00/hras of Jan 2026
typical ceiling nationwide
states range $85.88 – $204.68/hr
Respite care
up to $45.68/hras of Jan 2026
typical ceiling nationwide
states range $30.00 – $67.20/hr
Services covered
23
from personal care to in-home nursing
51 state pages below
What VA will pay, state by state
typical ceiling by state · billed per 15 minutes
up to, per 15 minutes$4.45/15 min$5.80/15 min
Where the veterans are
share of adults who are veterans2.4%10.8%
Every covered service
| Adult day care services, center-based, per diem | up to $27.85/day – $153.99/day | per day | S5105 |
| Adult day care services, per 15 min | up to $2.57/15 min – $3.50/15 min | per 15 minutes | S5100 |
| Adult day care services, per diem | up to $69.61/day – $243.55/day | per day | S5102 |
| Adult day care services, per half day | up to $34.81/half day – $121.78/half day | per half day | S5101 |
| Attendant care services, per 15 min | up to $7.50/15 min – $16.80/15 min | per 15 minutes | S5125 |
| Companion care, adult, per 15 min | up to $12.51/15 min – $17.01/15 min | per 15 minutes | S5135 |
| Companion care, adult, per diem | up to $178.89/day – $243.21/day | per day | S5136 |
| Direct skilled nursing of LPN in home health, per 15 min | up to $16.11/15 min – $49.63/15 min | per 15 minutes | G0300 |
| Direct skilled nursing of RN in home health, per 15 min | up to $21.47/15 min – $66.18/15 min | per 15 minutes | G0299 |
| Home health aide or CNA, per visit | up to $34.93/visit – $47.49/visit | per visit | T1021 |
| Home health aide services, per hour | up to $30.00/hr – $67.18/hr | per hour | S9122 |
| Home visit for assistance with ADLs and personal care | up to $28.48/visit – $38.72/visit | per visit | 99509 |
| Homemaker service, per 15 min | up to $5.03/15 min – $11.25/15 min | per 15 minutes | S5130 |
| Nursing care in the home by LPN, per diem | up to $114.55/day – $155.74/day | per day | T1031 |
| Nursing care in the home by LPN, per hour | up to $64.42/hr – $198.53/hr | per hour | S9124 |
| Nursing care in the home by RN, per diem | up to $120.33/day – $163.59/day | per day | T1030 |
| Nursing care in the home by RN, per hour | up to $85.89/hr – $264.71/hr | per hour | S9123 |
| Personal care services, per 15 min | up to $4.45/15 min – $6.05/15 min | per 15 minutes | T1019 |
| Personal care services, per diem | up to $138.84/day – $188.76/day | per day | T1020 |
| Respite care, in the home, per diem | up to $79.93/day – $108.67/day | per day | S9125 |
| Respite care, per diem | up to $75.65/day – $102.85/day | per day | H0045 |
| Services of home health aide in home health, per 15 min | up to $7.50/15 min – $16.80/15 min | per 15 minutes | G0156 |
| Unskilled respite care, per 15 min | up to $7.50/15 min – $16.80/15 min | per 15 minutes | S5150 |
How VA rates work
Three things to know before quoting any number on this page:
- These are maximums, not going rates. VA publishes the most it will pay a community provider for each service — a ceiling. Actual contracted rates are negotiated and usually land below it. That's why every figure here says "up to."
- Rates vary by region. VA divides the country into payment regions — most states have one, big states have several (California alone has about thirty). Your ceiling is your region's, so the state pages list every region separately.
- Services are billed in different time chunks. Some services pay per 15 minutes, some per hour, some per visit or per day. We label every rate with how it's billed and never compare rates billed in different chunks — where it helps, we also show the hourly math spelled out.
Dig into your state
AlabamaArkansasArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming
What this data is
Two official datasets, joined for one decision: is VA home care worth building in my market?
- VA's own payment ceilings for 23 in-home services — personal care, homemaker and companion help, respite, adult day care, home health aides, and in-home nursing — for every payment region in the country, straight from the published VA fee schedule.
- Where veterans live, from the U.S. Census Bureau: how many veterans are in every state and county, and how many are 65 or older — the group most likely to need care at home.
The veteran market
- 16,185,883† veterans live in the U.S.
- 7,959,918† of them are 65 or older — the core home care demographic, and the fastest way to size the opportunity in your county.
- Veterans make up 6.2%† of all American adults, but the share swings widely by county — the maps below show where they're concentrated.
Why it matters: pair a county with a strong veteran population against your region's payment ceilings and you have a defensible read on whether a VA community-care program pencils out — before you commit to the contracting process.
Put this data to work
from the makersCeilings and demographics tell you if the market is there. The HomecareHQ app goes further: your county's veteran demand, your region's rates, and Ask HQ answers grounded in the same rows on this page. See how it works.
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