Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Which Medicaid managed care plans pay for home care in your state?
Many states pay for Medicaid home care through managed long-term services and supports (MLTSS) plans, so agencies contract with each plan. Others pay fee-for-service. Pick a state.
Last reviewed October 17, 2026
| State | Delivery model | Plans |
|---|---|---|
| Alabama | Fee-for-service | — |
| Alaska | Fee-for-service | — |
| Arizona | Managed care (MLTSS) | 3 |
| Arkansas | Mixed | 4 |
| California | Mixed | 23 |
| Colorado | Fee-for-service | — |
| Connecticut | Fee-for-service | — |
| Delaware | Managed care (MLTSS) | 3 |
| District of Columbia | Fee-for-service | — |
| Florida | Managed care (MLTSS) | 6 |
| Georgia | Fee-for-service | — |
| Hawaii | Managed care (MLTSS) | 5 |
| Idaho | Mixed | 2 |
| Illinois | Managed care (MLTSS) | 4 |
| Indiana | Mixed | 3 |
| Iowa | Managed care (MLTSS) | 3 |
| Kansas | Managed care (MLTSS) | 3 |
| Kentucky | Fee-for-service | — |
| Louisiana | Fee-for-service | — |
| Maine | Fee-for-service | — |
| Maryland | Fee-for-service | — |
| Massachusetts | Mixed | 11 |
| Michigan | Mixed | 25 |
| Minnesota | Mixed | 7 |
| Mississippi | Fee-for-service | — |
| Missouri | Fee-for-service | — |
| Montana | Fee-for-service | — |
| Nebraska | Fee-for-service | — |
| Nevada | Fee-for-service | — |
| New Hampshire | Fee-for-service | — |
| New Jersey | Managed care (MLTSS) | 5 |
| New Mexico | Managed care (MLTSS) | 4 |
| New York | Managed care (MLTSS) | 24 |
| North Carolina | Mixed | 4 |
| North Dakota | Fee-for-service | — |
| Ohio | Mixed | 4 |
| Oklahoma | Fee-for-service | — |
| Oregon | Fee-for-service | — |
| Pennsylvania | Managed care (MLTSS) | 3 |
| Rhode Island | Mixed | 1 |
| South Carolina | Fee-for-service | — |
| South Dakota | Fee-for-service | — |
| Tennessee | Managed care (MLTSS) | 3 |
| Texas | Managed care (MLTSS) | 7 |
| Utah | Fee-for-service | — |
| Vermont | Fee-for-service | — |
| Virginia | Managed care (MLTSS) | 5 |
| Washington | Fee-for-service | — |
| West Virginia | Fee-for-service | — |
| Wisconsin | Managed care (MLTSS) | 6 |
| Wyoming | Fee-for-service | — |
How Caregiver Scheduling handles this
Each plan sends its own authorizations. Authorization caps in Caregiver Scheduling stop visits from going over the hours each plan authorized. See authorization caps.
Sources
Frequently asked questions
Managed long-term services and supports: the state pays a managed care plan to cover long-term care, including home care, and the plan contracts with and pays agencies.
Only with the plans your clients are enrolled in. Each plan credentials providers, sets authorization rules and pays claims on its own timeline.
Agencies enroll as a Medicaid provider with the state and bill the state, or its administrator, directly.
Related guides
Authorizations
How Do You Keep Caregiver Hours Inside a Medicaid Authorization?
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
These free tools are made by the team behind Caregiver Scheduling, caregiver scheduling software for home care agencies.
Simple pricing
From $199 /month
Up to 10 caregivers on Starter, 50 on Growth.
More than 50 caregivers? We'll put together a custom Scale plan for your agency.