Intellectual & developmental disabilities Medicaid rates by state
Medicaid waiver rates for residential, day and in-home habilitation, supported employment, behavior support and ICF/IID per diems. For in-home and community living supports (idd), the median across 28 states is $34.14 an hour. South Carolina pays the most.
- States with rates
- 48
- Median · In-home and community living supports (IDD)
- $34.14an hour
- Highest
- $85.96South Carolina
- Lowest
- $12.40Louisiana
Key IDD / waiver rates across states
Fee-for-service rates, compared like-for-like by provider level. Per-hour figures convert time-based units only.
| Service | Provider level | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | $34.14/hr | $12.40 | $85.96 | 28 |
| Community integration / community access (IDD) | Agency provider | $26.40/hr | $14.60 | $140.64 | 21 |
| Day habilitation / day program (IDD) | Agency provider | $22.71/hr | $6.54 | $100.00 | 31 |
| Prevocational services | Agency provider | $19.82/hr | $5.66 | $230.81 | 28 |
| Residential habilitation / group home supports | Agency provider | $267.17/day | $20.00 | $999.00 | 31 |
| Supported employment (job coaching) | Agency provider | $40.84/hr | $12.36 | $141.64 | 37 |
| Behavior support services (disability waiver) | Agency provider | $78.07/hr | $24.64 | $173.04 | 23 |
| ICF/IID stay (daily rate) | All levels | $509.43/day | $195.43 | $951.10 | 11 |
In-home and community living supports (IDD): state ranking
Agency provider level. Each rate links to the state's official fee schedule.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | South Carolina | $21.49 | 15 min | $85.96 | 2025-11-01 |
| 2 | South Dakota | $17.32 | 15 min | $69.28 | 2026-06-01 |
| 3 | Massachusetts | $17.01 | 15 min | $68.04 | 2026-07-01 |
| 4 | Alaska | $15.46 | 15 min | $61.84 | 2026-07-01 |
| 5 | Maryland | $15.33 | 15 min | $61.32 | 2024-07-01 |
| 6 | Delaware | $60.49 | hour | $60.49 | 2024-07-01 |
| 7 | Colorado | $12.82 | 15 min | $51.28 | 2026-07-01 |
| 8 | Iowa | $11.59 | 15 min | $46.36 | 2025-08-01 |
| 9 | Maine | $11.26 | 15 min | $45.04 | 2026-01-01 |
| 10 | New Jersey | $9.85 | 15 min | $39.40 | 2026-01-01 |
| 11 | Oregon | $39.08 | hour | $39.08 | 2026-07-01 |
| 12 | Indiana | $9.45 | 15 min | $37.80 | 2023-07-01 |
| 13 | Florida | $8.99 | 15 min | $35.96 | 2026-07-01 |
| 14 | New Mexico | $8.73 | 15 min | $34.92 | 2026-07-01 |
| 15 | Wyoming | $8.34 | 15 min | $33.36 | 2024-04-01 |
| 16 | Kentucky | $8.31 | 15 min | $33.24 | 2025-01-01 |
| 17 | Oklahoma | $6.58 | 15 min | $26.32 | 2024-10-01 |
| 18 | California | $24.28 | hour | $24.28 | 2026-07-01 |
| 19 | Tennessee | $5.79 | 15 min | $23.16 | 2025-07-01 |
| 20 | Georgia | $5.49 | 15 min | $21.96 | 2025-04-01 |
| 21 | Kansas | $5.34 | 15 min | $21.36 | 2026-07-01 |
| 22 | Mississippi | $5.04 | 15 min | $20.16 | 2026-01-01 |
| 23 | Nebraska | $20.07 | hour | $20.07 | 2026-07-01 |
| 24 | Arizona | $4.73 | 15 min | $18.92 | 2024-01-01 |
| 25 | Texas | $18.47 | hour | $18.47 | 2025-09-01 |
| 26 | Idaho | $3.86 | 15 min | $15.44 | 2026-06-01 |
| 27 | West Virginia | $3.38 | 15 min | $13.52 | 2025-10-01 |
| 28 | Louisiana | $3.10 | 15 min | $12.40 | 2026-10-01 |
IDD / waiver rates by state
State pages cover every key rate, the wages of the roles that deliver the service, the minimum wage, and recent rate changes.
The workspace adds every modifier, region and provider variant, full rate history, proposed changes, coverage and prior-authorization rules, managed-care plans and a unit-economics calculator. All of it is available through the API.