Live Data Dashboard

National HCBS data, one dashboard

Aggregated from KFF, BLS, CMS, MACPAC, and official state Medicaid agencies. All data is publicly sourced and verified.

States Tracked

Program data

People on Waitlists

607K+

41 states

Direct Care Workers

4.0M

Nationwide

LTSS Spending

$228.6B

FY 2023

Data sources:KFF Waitlist Survey 2025BLS OEWS May 2024CMS LTSS Reports 2023MACPAC MACStats 2026

Medicaid PA rate comparison

Self-directed care program rates verified from official state sources

Source: State Medicaid agencies | Verified March 2026

#	State	Program	Rate Range	Max Benefit	Waitlist	Spouse
1	Alaska	PCA Choice	$20.00-$27.00/hr	$5,500	Open	--
2	Washington	CDWA	$22.52-$26.09/hr	$5,000	Open	--
3	District of Columbia	Self-Directed Services	$20.00-$26.00/hr	$5,000	Varies	--
4	Oregon	ICP / CEP	$21.25-$25.25/hr	$4,200	Limited slots
5	Iowa	CDAC	$24.08-$24.08/hr	$2,800	Open	--
6	North Carolina	CAP/DA	$21.90-$23.84/hr	$4,000	Varies
7	Massachusetts	PCA Program	$19.50-$23.25/hr	$4,500	Open	--
8	California	IHSS	$16.90-$23.00/hr	$5,600	Open	--
9	Connecticut	PCA Waiver	$22.00-$23.00/hr	$3,500	3-6 mo	--
10	Rhode Island	Personal Choice	$19.50-$23.00/hr	$3,800	Open	--
11	Minnesota	CDCS	$20.00-$22.90/hr	$5,500	Varies
12	Illinois	HSP	$19.50-$22.75/hr	$4,000	Varies	--
13	Hawaii	Self-Directed Services	$17.00-$22.00/hr	$4,000	Varies	--
14	New York	CDPAP	$18.10-$21.09/hr	$5,500	Open	--
15	New Hampshire	Participant-Directed Services	$17.00-$21.00/hr	$3,500	3-6 mo	--
16	Maryland	CO Waiver	$15.00-$20.00/hr	$4,000	24,000+
17	Vermont	Choices for Care	$15.49-$20.00/hr	$3,000	Varies
18	Maine	CDAS	$18.31-$19.50/hr	$2,100	Open	--
19	Colorado	CDASS	$14.81-$19.29/hr	$8,000	Varies
20	Wyoming	Self-Directed Waiver	$14.00-$19.00/hr	$3,200	Open	--
21	Delaware	DSHP+ SDAC	$15.92-$18.13/hr	$3,000	Open
22	Indiana	H&W Waiver	$15.00-$18.00/hr	$3,800	11-30 mo	--
23	New Mexico	Mi Via	$14.00-$18.00/hr	$3,500	Varies
24	North Dakota	Self-Directed Goods & Services	$14.00-$18.00/hr	$2,800	Open	--
25	Virginia	CCC Plus	$13.88-$17.97/hr	$4,500	Open
26	Wisconsin	IRIS	$12.00-$17.29/hr	$5,000	Open
27	Michigan	Home Help	$13.73-$17.13/hr	$3,000	Varies	--
28	Florida	CDC+	$15.00-$17.00/hr	$5,000	Waitlist
29	Ohio	PASSPORT	$13.00-$17.00/hr	$3,200	Varies
30	Pennsylvania	OBRA Waiver	$13.00-$17.00/hr	$2,800	Open	--
31	Montana	Self-Directed Services	$13.00-$17.00/hr	$2,800	Varies	--
32	Nevada	Self-Directed Care	$12.00-$17.00/hr	$3,000	Varies	--
33	South Dakota	SDSD	$13.00-$17.00/hr	$2,700	Open	--
34	Texas	CDS	$13.00-$16.51/hr	$2,800	Open	--
35	Arizona	ALTCS SDSD	$12.00-$16.50/hr	$3,500	Open	--
36	Georgia	CCSP	$12.00-$16.00/hr	$2,500	Waitlist	--
37	New Jersey	PPP	$13.00-$16.00/hr	$3,500	Open
38	Nebraska	Self-Directed Option	$12.00-$16.00/hr	$2,600	Open	--
39	Utah	Consumer-Directed Services	$12.00-$16.00/hr	$2,800	Waitlist	--
40	Idaho	Self-Directed Community Supports	$11.00-$15.50/hr	$2,800	Waitlist	--
41	Kansas	Self-Directed Services	$11.00-$15.00/hr	$2,500	Waitlist	--
42	South Carolina	Community Choices	$11.00-$15.00/hr	$2,500	Waitlist	--
43	Tennessee	CHOICES Self-Direction	$11.00-$15.00/hr	$2,600	Waitlist	--
44	Missouri	Consumer Directed Services	$11.00-$14.50/hr	$2,500	Waitlist	--
45	Arkansas	IndependentChoices	$11.00-$14.00/hr	$2,200	Open	--
46	Oklahoma	ADvantage Self-Directed	$10.00-$14.00/hr	$2,500	Waitlist	--
47	West Virginia	Personal Options	$10.00-$14.00/hr	$2,200	Open	--
48	Alabama	Personal Choices	$9.00-$13.00/hr	$2,000	Waitlist	--
49	Louisiana	LT-PCS	$9.50-$13.00/hr	$2,200	Open	--
50	Mississippi	Independent Living Waiver	$9.00-$12.00/hr	$1,800	Waitlist	--
51	Kentucky	HCB Waiver PDS	$7.26-$11.52/hr	$2,500	Waitlist

HCBS waitlist data by state

People waiting for home and community-based services, with historical trends

KFF HCBS Waiting List Survey, 2025

Total Waiting

606,895

41 states

Avg Wait Time

32 months

I/DD: 37 months

Largest Waitlist

181,697

Texas

States Increasing

Year-over-year

State	People Waiting	Populations	Trend
Texas	181,697	I/DDSeniors/PDMedically Fragile	increasing
Florida	77,123	I/DDSeniors/PD	increasing
South Carolina	37,139	I/DDTBI/SCI	increasing
Maryland	33,434	I/DDAutismSeniors/PDMedically Fragile	increasing
Louisiana	26,967	I/DDSeniors/PD	increasing
Iowa	24,286	I/DDSeniors/PDMental HealthTBI/SCI	increasing
Indiana	22,609	I/DDSeniors/PD	increasing
North Carolina	21,410	I/DDSeniors/PDTBI/SCI	increasing
California	18,245	Seniors/PDOther	increasing
New Mexico	17,709	Seniors/PD	increasing
Kentucky	17,203	I/DDSeniors/PD	increasing
Illinois	16,500	I/DD	increasing
Virginia	15,472	I/DD	increasing
Pennsylvania	12,604	I/DDAutism	increasing
Utah	12,096	I/DDSeniors/PDMedically FragileTBI/SCI	increasing
Mississippi	10,673	I/DDSeniors/PD	increasing
Wisconsin	8,842	I/DD	increasing
Georgia	8,130	I/DDSeniors/PD	increasing
Kansas	6,304	I/DDAutismSeniors/PD	increasing
Connecticut	3,608	AutismSeniors/PDMedically FragileTBI/SCI	increasing
Oregon	3,444	I/DDSeniors/PDMedically FragileOther	stable
Montana	3,287	I/DDSeniors/PDMental Health	increasing
New Jersey	3,184	Other	decreasing
Nevada	2,942	I/DDSeniors/PD	increasing
Michigan	2,563	I/DDSeniors/PD	stable
Maine	2,509	I/DDTBI/SCIOther	stable
Colorado	2,345	I/DD	stable
Tennessee	2,182	I/DDSeniors/PD	stable
Ohio	1,887	I/DD	decreasing
Alabama	1,848	I/DD	stable
Oklahoma	1,781	I/DDMedically Fragile	stable
Arkansas	1,701	I/DDAutism	stable
Missouri	1,272	I/DD	stable
West Virginia	969	I/DDMental HealthTBI/SCI	stable
New York	867	Medically Fragile	stable
Nebraska	724	I/DD	stable
Alaska	721	I/DD	stable
Wyoming	282	I/DD	stable
South Dakota	185	I/DD	stable
North Dakota	141	Autism	stable
Washington	10	I/DD	decreasing

Direct care workforce wages

Home health & personal care aide wages (SOC 31-1120), by state

BLS OEWS, May 2024

Total Employed

4.0M

Home health & personal care aides

National Mean Wage

$16.82/hr

$34,990/year

Projected Growth

17%

765,800 annual openings

Highest Paying State

$20.19/hr

Washington

#	State	Employment	Mean Wage	Annual Wage
1	Washington	79,080	$20.19/hr	$42,000
2	Oregon	33,060	$19.26/hr	$40,060
3	Rhode Island	8,040	$18.63/hr	$38,760
4	Massachusetts	113,730	$18.54/hr	$38,550
5	Alaska	5,660	$18.53/hr	$38,540
6	New York	66,160	$18.41/hr	$38,280
7	North Dakota	6,720	$18.36/hr	$38,190
8	Connecticut	42,280	$18.09/hr	$37,630
9	Colorado	41,190	$18.04/hr	$37,510
10	Maine	17,160	$17.67/hr	$36,750
11	New Jersey	100,860	$17.53/hr	$36,470
12	Utah	13,120	$17.05/hr	$35,470
13	Illinois	106,710	$16.96/hr	$35,270
14	California	796,890	$16.93/hr	$35,220
15	South Dakota	3,770	$16.92/hr	$35,190
16	Vermont	7,500	$16.91/hr	$35,160
17	Maryland	31,140	$16.90/hr	$35,140
18	Hawaii	6,950	$16.88/hr	$35,100
19	New Hampshire	7,920	$16.73/hr	$34,800
20	Iowa	23,410	$16.70/hr	$34,740
21	Minnesota	112,010	$16.64/hr	$34,620
22	Wyoming	3,280	$16.60/hr	$34,530
23	Arizona	64,690	$16.15/hr	$33,590
24	Nebraska	10,280	$15.85/hr	$32,960
25	Kentucky	25,700	$15.74/hr	$32,740
26	Nevada	14,530	$15.69/hr	$32,630
27	Wisconsin	74,960	$15.40/hr	$32,030
28	Michigan	83,450	$15.27/hr	$31,750
29	Montana	8,070	$15.19/hr	$31,600
30	Florida	79,190	$15.09/hr	$31,370
31	Indiana	44,390	$14.94/hr	$31,070
32	Idaho	17,290	$14.91/hr	$31,000
33	Delaware	9,100	$14.87/hr	$30,930
34	Pennsylvania	213,020	$14.70/hr	$30,580
35	Ohio	91,890	$14.58/hr	$30,320
36	Missouri	83,510	$14.55/hr	$30,270
37	Tennessee	32,920	$14.33/hr	$29,800
38	Virginia	60,200	$14.18/hr	$29,500
39	North Carolina	59,000	$14.04/hr	$29,180
40	Georgia	40,470	$13.83/hr	$28,760
41	Kansas	25,830	$13.67/hr	$28,430
42	South Carolina	31,750	$13.66/hr	$28,420
43	New Mexico	36,560	$13.62/hr	$28,330
44	Arkansas	17,320	$13.49/hr	$28,050
45	West Virginia	19,790	$12.69/hr	$26,400
46	Oklahoma	19,320	$12.65/hr	$26,310
47	Alabama	19,910	$11.87/hr	$24,690
48	Mississippi	17,310	$11.64/hr	$24,210
49	Texas	312,420	$11.47/hr	$23,850
50	Louisiana	39,120	$10.80/hr	$22,460

HCBS vs institutional spending

LTSS rebalancing ratio — states shifting spending from nursing facilities to home care

CMS LTSS Reports, FY 2023

Total LTSS Spending

$228.6B

FY 2023

HCBS Share

63.8%

87.1% of all LTSS users

Best Rebalancing

94.8%

Wisconsin

Home vs Nursing

$2K vs $8K

Monthly cost comparison

#	State	HCBS % (Spending)	HCBS % (Users)
1	Wisconsin	94.8%	99.1%
2	Minnesota	84%	94%
3	Washington	82.7%	--
4	Oregon	80.5%	99.4%
5	New Mexico	77.4%	93.4%
6	Idaho	77.3%	--
7	New York	76.6%	93.1%
8	Arizona	73.9%	--
9	Florida	69.9%	75.8%
10	Missouri	69.7%	77%
11	Maryland	69.5%	--
12	District of Columbia	68%	--
13	Alaska	67.5%	93.2%
14	Colorado	66%	91%
15	Ohio	66%	93.3%
16	Massachusetts	65%	--
17	Vermont	65%	--
18	Connecticut	63%	--
19	Virginia	63%	--
20	Hawaii	62%	93.5%
21	New Jersey	62%	--
22	Delaware	60%	--
23	Kansas	60%	--
24	Michigan	60%	90.9%
25	Pennsylvania	60%	--
26	Texas	60%	90.3%
27	Indiana	58%	72.3%
28	Maine	58%	73.3%
29	Rhode Island	58%	--
30	Nevada	57%	90.8%
31	Montana	56%	--
32	New Hampshire	56%	--
33	Utah	56%	73.1%
34	Georgia	55%	--
35	Iowa	55%	--
36	Tennessee	55%	72%
37	Wyoming	55%	--
38	Nebraska	54%	72.2%
39	South Carolina	54%	--
40	South Dakota	52%	65.2%
41	Illinois	49.4%	--
42	Kentucky	48.4%	55.8%
43	Oklahoma	48%	63.4%
44	California	47.5%	--
45	North Carolina	41.8%	--
46	North Dakota	41.4%	--
47	West Virginia	40.8%	90.8%
48	Louisiana	39.8%	67.5%
49	Mississippi	38.2%	60.6%
50	Alabama	38%	--
51	Arkansas	35.8%	65.4%

Public API

Free API access

Access our aggregated HCBS data programmatically. JSON responses, no authentication required for public endpoints. All data sourced from official government sources.

/api/v1/data/summaryNational overview with all key metrics

/api/v1/data/programsSelf-directed care programs by state

/api/v1/data/programs?state=TXSingle state program data

/api/v1/data/waitlistsHCBS waitlist data with history (KFF)

/api/v1/data/workforceDirect care workforce wages (BLS)

/api/v1/data/workforce?sort=wageSort by highest wages

/api/v1/data/spendingLTSS spending & rebalancing (CMS)

/api/v1/data/spending?sort=hcbs_percentSort by HCBS share

/api/v1/data/demographicsAging, disability, Medicaid enrollment, LTSS rankings

/api/v1/data/demographics?sort=agingSort by oldest population

Example response

GET /api/v1/data/programs?state=TX

{
  "data": {
    "state": "Texas",
    "code": "TX",
    "program": "CDS",
    "programFull": "Consumer Directed Services",
    "familyPaid": true,
    "spousePaid": false,
    "rateMin": "13.00",
    "rateMax": "16.51",
    "benefitMin": 800,
    "benefitMax": 2800,
    "waitlist": "Open",
    "appDays": "30-60",
    "lastVerified": "2026-03-14"
  }
}

Data sources behind the API

Programs: Verified from official state Medicaid agency websites

Waitlists: KFF HCBS Waiting List Survey, 2016-2025 (9 years)

Workforce: BLS Occupational Employment & Wage Statistics, SOC 31-1120

Spending: CMS LTSS Expenditure Reports + MACPAC MACStats

Demographics: Census ACS 2024, Medicaid.gov enrollment, AARP LTSS Scorecard 2023

Need more from this data?

We aggregate HCBS data from 5+ federal sources so you don't have to. Everything on this page is available via our API — or as a formatted report for your state.

State HCBS Data Packets

Your state vs. national averages across all 6 datasets — PA rates, waitlists, workforce wages, LTSS spending, demographics, and AARP LTSS rankings. Delivered as a formatted PDF briefing.

Bulk Data & Custom Queries

Full JSON exports of all 50-state datasets. Cross-dataset analysis on request — e.g., states with low PA wages and high waitlists, or rebalancing leaders by region.

API Access for Platforms

6 REST endpoints covering programs, waitlists, workforce, spending, and demographics. Free tier at 100 req/min. Higher limits available for integrations.

State data packets typically delivered within 48 hours

Data methodology & sources

Program Rates

PA rates verified directly from official state Medicaid agency websites. Each entry links to its primary source. Verified quarterly.

Waitlist Data

Sourced from KFF's annual HCBS Waiting List Survey (2016-2025, 9 years of historical data). KFF surveys all state Medicaid agencies directly.

Workforce Data

Bureau of Labor Statistics Occupational Employment & Wage Statistics (OEWS), SOC 31-1120 (Home Health and Personal Care Aides). Annual survey of 1.1M+ establishments.

Spending Data

CMS Long-Term Services & Supports Expenditure Reports (FY 2023) and MACPAC MACStats Data Book. HCBS rebalancing ratios from official CMS data tables.

Limitations

Rates and benefits are estimates. Actual amounts vary by individual circumstances, county, and assessment. Waitlist data may undercount due to states not screening for eligibility. BLS wages reflect market wages, not Medicaid reimbursement rates.