What multiple do Medicaid home care agencies sell for?

Medicaid-funded non-skilled personal care agencies typically trade at 3–5× EBITDA. Scale, multi-county or multi-state footprint, private-pay or managed-care diversification, and clean EVV compliance push agencies toward the higher end.

How does the CMS 80/20 rule affect my agency's value?

The CMS Medicaid Access Rule (the '80/20 rule') directs that 80% of Medicaid HCBS payments go to direct-care worker compensation. Buyers model the margin impact closely — agencies that have already adapted their cost structure are more valuable and lower-risk.

Does EVV compliance matter to buyers?

Yes. Electronic Visit Verification (EVV) compliance and clean claims data are diligence essentials. Agencies with documented compliance and low clawback risk transact faster and at stronger valuations.

Who buys Medicaid non-skilled home care agencies?

Buyers include regional and national personal-care platforms, PE-backed roll-ups, and managed-care-aligned operators seeking census and geographic expansion under HCBS waiver programs.

Industry: Medicaid Non-Skilled

Medicaid Non-Skilled M&A Advisory.

Medicaid-funded non-skilled home care agencies serve some of the most vulnerable populations in the country. Hendon Partners helps owners of these businesses navigate M&A with precision, connecting them with buyers who understand the regulatory and operational complexities involved.

Market Overview

The Medicaid Non-Skilled M&A Landscape

3–6×

Typical EBITDA Multiple Range

Growing

Medicaid HCBS Demand

Active

Strategic Buyer Interest

Medicaid non-skilled agencies providing personal care, homemaker, and companion services are increasingly attractive to regional and national operators seeking geographic expansion and census growth under HCBS waiver programs.

Hendon Partners understands the Medicaid contracting landscape: rate structures, EVV compliance, managed care relationships, and state-specific licensing. We help buyers and sellers navigate every deal with confidence.

Why Hendon

What We Bring to Your Medicaid Non-Skilled Sale

Medicaid Program Expertise

We understand state-specific Medicaid waiver programs, EVV requirements, and managed care contracts and how each factor affects the value of your agency.

Qualified Buyer Network

We maintain relationships with the leading acquirers of Medicaid-funded home care businesses, from family offices to national platforms.

Competitive Process

We run structured processes that generate multiple offers, creating real competition and ensuring you don't leave value on the table.

End-to-End Advisory

From initial valuation to funded close, we manage every step of the transaction so you can focus on running your business.

Frequently Asked Questions

What multiple do Medicaid home care agencies sell for?: Medicaid-funded non-skilled personal care agencies typically trade at 3–5× EBITDA. Scale, multi-county or multi-state footprint, private-pay or managed-care diversification, and clean EVV compliance push agencies toward the higher end.
How does the CMS 80/20 rule affect my agency's value?: The CMS Medicaid Access Rule (the '80/20 rule') directs that 80% of Medicaid HCBS payments go to direct-care worker compensation. Buyers model the margin impact closely — agencies that have already adapted their cost structure are more valuable and lower-risk.
Does EVV compliance matter to buyers?: Yes. Electronic Visit Verification (EVV) compliance and clean claims data are diligence essentials. Agencies with documented compliance and low clawback risk transact faster and at stronger valuations.
Who buys Medicaid non-skilled home care agencies?: Buyers include regional and national personal-care platforms, PE-backed roll-ups, and managed-care-aligned operators seeking census and geographic expansion under HCBS waiver programs.

Go Deeper

Medicaid Home Care M&A Insights

How payer mix, the CMS 80/20 rule, and EVV compliance shape Medicaid agency value.

Valuation

The CMS 80/20 Rule: What It Means for Medicaid Home Care Agency Valuations

Market Intelligence

Medicaid Managed Care and Home Care Agency Valuation: What MLTSS Means for Your Sale Price

Valuation Insights

Medicaid vs. Medicare: How Your Payer Mix Determines Your Home Care Agency's Sale Price

Valuation Insights

Caregiver Turnover and Your Home Care Agency's Value: What Buyers Really Think

Valuation Insights

What Is My Home Care Agency Worth? A Complete Valuation Guide

Thinking About Selling Your Medicaid Non-Skilled Agency?

Get a confidential conversation with one of our advisors about your agency's market value and exit options.