Intelligence / VA Home Care / Washington
VA Home Care in Washington
The most VA will pay for in-home care in Washington, region by region — and where the state's veterans live.
Headline numbers
Homemaker services
up to $32.16/hras of Jan 2026
typical across Washington's regions
Home health aide
up to $48.00/hras of Jan 2026
typical across Washington's regions
Skilled nursing (RN)
up to $157.16/hras of Jan 2026
typical across Washington's regions
Respite care
up to $48.00/hras of Jan 2026
typical across Washington's regions
Personal care ceiling
up to $21.00/hras of Jan 2026
the most common in-home service
Rate rank
#8 of 52
highest personal-care ceiling
in-home RN nursing: up to $157.16/hr
Where Washington's veterans live
share of adults who are veterans3.6%15.7%
Every rate in Washington
| Adult day care services, center-based, per diem | Rest Of Washington | up to $97.42/day | per day |
| Adult day care services, center-based, per diem | Seattle (King Cnty) | up to $97.42/day | per day |
| Adult day care services, per 15 min | Rest Of Washington | up to $2.89/15 min | per 15 minutes |
| Adult day care services, per 15 min | Seattle (King Cnty) | up to $3.18/15 min | per 15 minutes |
| Adult day care services, per diem | Rest Of Washington | up to $243.55/day | per day |
| Adult day care services, per diem | Seattle (King Cnty) | up to $243.55/day | per day |
| Adult day care services, per half day | Rest Of Washington | up to $121.78/half day | per half day |
| Adult day care services, per half day | Seattle (King Cnty) | up to $121.78/half day | per half day |
| Attendant care services, per 15 min | Rest Of Washington | up to $12.00/15 min | per 15 minutes |
| Attendant care services, per 15 min | Seattle (King Cnty) | up to $12.00/15 min | per 15 minutes |
| Companion care, adult, per 15 min | Rest Of Washington | up to $14.06/15 min | per 15 minutes |
| Companion care, adult, per 15 min | Seattle (King Cnty) | up to $15.47/15 min | per 15 minutes |
| Companion care, adult, per diem | Rest Of Washington | up to $201.00/day | per day |
| Companion care, adult, per diem | Seattle (King Cnty) | up to $221.10/day | per day |
| Direct skilled nursing of LPN in home health, per 15 min | Rest Of Washington | up to $29.47/15 min | per 15 minutes |
| Direct skilled nursing of LPN in home health, per 15 min | Seattle (King Cnty) | up to $29.47/15 min | per 15 minutes |
| Direct skilled nursing of RN in home health, per 15 min | Rest Of Washington | up to $39.29/15 min | per 15 minutes |
| Direct skilled nursing of RN in home health, per 15 min | Seattle (King Cnty) | up to $39.29/15 min | per 15 minutes |
| Home health aide or CNA, per visit | Rest Of Washington | up to $39.25/visit | per visit |
| Home health aide or CNA, per visit | Seattle (King Cnty) | up to $43.18/visit | per visit |
| Home health aide services, per hour | Rest Of Washington | up to $48.00/hr | per hour |
| Home health aide services, per hour | Seattle (King Cnty) | up to $48.00/hr | per hour |
| Home visit for assistance with ADLs and personal care | Rest Of Washington | up to $32.00/visit | per visit |
| Home visit for assistance with ADLs and personal care | Seattle (King Cnty) | up to $35.20/visit | per visit |
| Homemaker service, per 15 min | Rest Of Washington | up to $8.04/15 min | per 15 minutes |
| Homemaker service, per 15 min | Seattle (King Cnty) | up to $8.04/15 min | per 15 minutes |
| Nursing care in the home by LPN, per diem | Rest Of Washington | up to $128.71/day | per day |
| Nursing care in the home by LPN, per diem | Seattle (King Cnty) | up to $141.58/day | per day |
| Nursing care in the home by LPN, per hour | Rest Of Washington | up to $117.87/hr | per hour |
| Nursing care in the home by LPN, per hour | Seattle (King Cnty) | up to $117.87/hr | per hour |
| Nursing care in the home by RN, per diem | Rest Of Washington | up to $135.20/day | per day |
| Nursing care in the home by RN, per diem | Seattle (King Cnty) | up to $148.72/day | per day |
| Nursing care in the home by RN, per hour | Rest Of Washington | up to $157.16/hr | per hour |
| Nursing care in the home by RN, per hour | Seattle (King Cnty) | up to $157.16/hr | per hour |
| Personal care services, per 15 min | Rest Of Washington | up to $5.00/15 min | per 15 minutes |
| Personal care services, per 15 min | Seattle (King Cnty) | up to $5.50/15 min | per 15 minutes |
| Personal care services, per diem | Rest Of Washington | up to $156.00/day | per day |
| Personal care services, per diem | Seattle (King Cnty) | up to $171.60/day | per day |
| Respite care, in the home, per diem | Rest Of Washington | up to $89.81/day | per day |
| Respite care, in the home, per diem | Seattle (King Cnty) | up to $98.79/day | per day |
| Respite care, per diem | Rest Of Washington | up to $85.00/day | per day |
| Respite care, per diem | Seattle (King Cnty) | up to $93.50/day | per day |
| Services of home health aide in home health, per 15 min | Rest Of Washington | up to $12.00/15 min | per 15 minutes |
| Services of home health aide in home health, per 15 min | Seattle (King Cnty) | up to $12.00/15 min | per 15 minutes |
| Unskilled respite care, per 15 min | Rest Of Washington | up to $12.00/15 min | per 15 minutes |
| Unskilled respite care, per 15 min | Seattle (King Cnty) | up to $12.00/15 min | per 15 minutes |
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.
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