Agency employee wages depend on the employer’s written offer. An agency reimbursement rate is not an employee wage. Compare reimbursement with caregiver wages.
It depends entirely on approved hours
MDHHS determines covered tasks and approved hours from the individual assessment. Provider enrollment is a separate step; ask the worker and provider support about the status of each part rather than budgeting around an assumed maximum or approval date.
A rough example
Self-directed vs. agency: which pays more?
What affects your actual take-home
Consistent EVV clock-ins matter more than people expect — missed or incomplete visits are the most common cause of payment delays. Tax treatment also varies by situation; that's covered separately in our pay guide's tax section.
Want the full breakdown of both pay paths, including how EVV connects to payment timing? See our complete 2026 pay guide.