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What In-Home Care Costs

A verified current Minnesota hourly rate for non-medical home care was not available at publication -- here is how to get a real number and think through the math.

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Short answer

We were not able to independently confirm a current, primary-sourced hourly rate for non-medical home care in the Twin Cities at the time this page was published. Rather than repeat an unverified figure, we say so directly -- get written hourly quotes from two or three licensed home care providers serving your area instead.

How to think about the crossover point

The general math still applies even without a published rate: multiply a provider's quoted hourly rate by your actual weekly hours (10, 20, 40, 60, or around-the-clock at 168) and compare the monthly total against assisted living's roughly $6,573/month Minnesota median (itself third-party sourced and unverified against CareScout's own tables -- see our cost guide). Most families find that somewhere between 40 and 60 hours a week of paid in-home care, the math starts to favor a licensed community, though this varies by household and by the specific rate you are quoted.

Medicare does not cover this

Non-medical home care -- help with bathing, dressing, meals, companionship -- is generally private pay. Medicare-covered home health is a completely different, narrower benefit: skilled, intermittent, and physician-ordered.

Questions families ask

Does a resident need a lawyer to file an ombudsman complaint in Minnesota?

No. Contacting the Minnesota Office of Ombudsman for Long-Term Care at 1-800-657-3591 is free and does not require an attorney — the office exists specifically to provide free advocacy and complaint resolution for long-term care residents and their families.

How do I report abuse or neglect at a Twin Cities facility?

Call the Minnesota Adult Abuse Reporting Center (MAARC) at 1-844-880-1574, a statewide line staffed 24/7, to report suspected physical, sexual, or emotional abuse, financial exploitation, or neglect of a vulnerable adult anywhere in Minnesota, including all seven metro counties. MAARC routes the report to the correct county or Tribal agency for investigation. Call 911 first if someone is in immediate danger.

Is MAARC the same everywhere in Minnesota, or does each Twin Cities county have its own abuse hotline?

MAARC is a single statewide intake line — 1-844-880-1574 — used by every county in Minnesota, including Hennepin, Ramsey, Dakota, Anoka, and Washington. There is no separate county-specific abuse hotline; MAARC itself routes each report to the appropriate county or Tribal social services agency for investigation after intake.

What counts as financial exploitation of a senior in Minnesota, and where do I report it?

Financial exploitation of a vulnerable adult — including undue influence over finances, theft, or misuse of a power of attorney — should be reported to MAARC at 1-844-880-1574, the same statewide line used for other forms of suspected abuse or neglect. If a specific licensed facility is involved and the concern also touches on regulatory compliance, MDH's Office of Health Facility Complaints (651-201-4200) can be contacted separately.

Am I a mandated reporter if I suspect a neighbor or relative in senior care is being neglected?

Minnesota law designates certain professionals — including facility staff, health care providers, social workers, and others working with vulnerable adults — as mandated reporters required to report suspected maltreatment to MAARC (1-844-880-1574). Family members and concerned neighbors are not legally mandated but are strongly encouraged to report suspected abuse or neglect through the same statewide line.

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