What Virginia Caregivers Actually Earn
Consumer-Directed caregivers in Virginia are paid an hourly rate set by the Virginia Department of Medical Assistance Services (DMAS). The state reviews and updates these rates each year.
Current Pay Rates (Effective July 1, 2025)
| Region | Hourly Pay |
|---|---|
| Rest of Virginia (most of the state) | $13.88 per hour |
| Northern Virginia | $17.97 per hour |
All Consumer-Directed services under the CCC Plus Waiver use the same hourly rate.
What Region Applies to You
The Northern Virginia Medicaid region includes:
- Arlington County
- Clarke County
- Culpeper County
- Fairfax County
- Fauquier County
- Frederick County
- Loudoun County
- Prince William County
- Rappahannock County
- Shenandoah County
- Warren County
- City of Alexandria
- City of Fairfax
- City of Falls Church
- City of Fredericksburg
- City of Manassas
- City of Manassas Park
- City of Winchester
All other Virginia locations use the Rest of State rate. Your Services Facilitator can confirm which rate applies to your case.
Tool to check coverage based on your address: Virginia Managed Care provider search.
How Monthly Income Is Determined
A caregiver's monthly income depends on two factors:
- The hourly pay rate
- The number of hours approved in the care plan
Virginia Medicaid only pays for hours authorized in the care plan. The care plan is developed by the Services Facilitator and approved by the member's Medicaid care plan. Approved hours are based on the care needs of the person receiving services.
Monthly Income Examples — Rest of State ($13.88/hr)
| Weekly Hours | Monthly Hours | Monthly Pay |
|---|---|---|
| 20 hours/week | 80 hours/month | $1,110.40 |
| 30 hours/week | 120 hours/month | $1,665.60 |
| 40 hours/week | 160 hours/month | $2,220.80 |
| 56 hours/week | 224 hours/month | $3,109.12 |
Monthly Income Examples — Northern Virginia ($17.97/hr)
| Weekly Hours | Monthly Hours | Monthly Pay |
|---|---|---|
| 20 hours/week | 80 hours/month | $1,437.60 |
| 30 hours/week | 120 hours/month | $2,156.40 |
| 40 hours/week | 160 hours/month | $2,875.20 |
| 56 hours/week | 224 hours/month | $4,025.28 |
These examples show gross pay before taxes. Consumer-Directed caregivers receive a W-2, and standard payroll taxes are withheld.
For more details, see: How Do Taxes Work for Paid Caregivers in Virginia?
Next Step
If you want to understand how the CCC Plus Waiver works or whether a caregiver can be paid in your situation, contact us and we can help explain the process.