Alabama Medicaid IDD / waiver rates
Alabama Medicaid pays $7.93 per 15 min ($31.72 an hour) for community integration / community access (idd) delivered by a agency provider, effective January 5, 2024, the 9th highest of 22 states with comparable rates. Below: 5 more IDD / waiver rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Community integration / community access (IDD)
- $7.93per 15 min · $31.72/hr
- Rank among states
- 9 of 22+18.8% vs median
- Direct support professional median wage
- $17.23BLS May 2025
- Alabama minimum wage
- $7.25
Alabama IDD / waiver rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Alabama's official fee schedule.
| Service | Provider level | Code | AL rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | Not published | $34.92/hr | $12.40 | $85.96 | 29 | ||||
| Community integration / community access (IDD) | Agency provider | H2021 | $7.93 | 15 min | $31.72 | 9 of 22 | $26.70/hr | $14.60 | $140.64 | 22 |
| Day habilitation / day program (IDD) | Agency provider | T2021 | $5.89 | 15 min | $23.56 | 16 of 32 | $23.14/hr | $6.54 | $100.00 | 32 |
| Prevocational services | Agency provider | T2015 | $5.50 | 15 min | — | — | $18.96/hr | $3.95 | $230.81 | 29 |
| Residential habilitation / group home supports | Agency provider | T2032 | $3,087.90 | month | — | — | $273.72/day | $20.00 | $999.00 | 32 |
| Supported employment (job coaching) | Agency provider | T2019 | $10.00 | 15 min | — | — | $40.84/hr | $12.36 | $141.64 | 39 |
| Behavior support services (disability waiver) | Agency provider | H2019 | $20.00 | 15 min | — | — | $78.07/hr | $24.64 | $173.04 | 23 |
| ICF/IID stay (daily rate) | All levels | Not published | $464.88 | $174.35 | $1,021.84 | 12 | ||||
Community integration / community access (IDD): where Alabama ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Virginia | $35.16 | 15 min | $140.64 | 2026-07-01 |
| 2 | Indiana | $26.14 | 15 min | $104.56 | 2020-04-01 |
| 3 | Maryland | $17.11 | 15 min | $68.44 | 2024-07-01 |
| 4 | District of Columbia | $12.91 | 15 min | $51.64 | 2026-01-01 |
| 5 | Delaware | $9.81 | 15 min | $39.24 | 2024-07-01 |
| 6 | New York | $9.66 | 15 min | $38.64 | 2026-04-01 |
| 7 | New Jersey | $8.50 | 15 min | $34.00 | 2026-01-01 |
| 8 | Maine | $8.21 | 15 min | $32.84 | 2026-01-01 |
| 9 | Alabama | $7.93 | 15 min | $31.72 | 2024-01-05 |
| 10 | New Hampshire | $7.00 | 15 min | $28.00 | 2024-01-01 |
| 11 | New Mexico | $6.75 | 15 min | $27.00 | 2026-07-01 |
| 12 | Kentucky | $6.60 | 15 min | $26.40 | 2025-01-01 |
| 13 | California | $26.35 | hour | $26.35 | 2023-01-01 |
| 14 | Hawaii | $6.13 | 15 min | $24.52 | 2025-07-01 |
| 15 | Tennessee | $6.10 | 15 min | $24.40 | 2025-07-01 |
| 16 | Idaho | $5.41 | 15 min | $21.64 | 2025-09-01 |
| 17 | Nebraska | $18.45 | hour | $18.45 | 2026-07-01 |
| 18 | Florida | $4.44 | 15 min | $17.76 | 2026-07-01 |
| 19 | Texas | $16.80 | hour | $16.80 | 2025-09-01 |
| 20 | Wyoming | $4.15 | 15 min | $16.60 | 2024-04-01 |
| 21 | Louisiana | $4.00 | 15 min | $16.00 | 2025-11-18 |
| 22 | Georgia | $3.65 | 15 min | $14.60 | 2025-04-01 |
What it costs to deliver in Alabama
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | AL median | US median | vs US |
|---|---|---|---|
| Direct support professional * | $17.23 | $22.08 | -22.0% |
| Residential advisor | $13.29 | $20.31 | -34.6% |
| Home health / personal care aide | $13.39 | $17.21 | -22.2% |
| Licensed practical nurse | $27.42 | $30.96 | -11.4% |
* BLS publishes no occupation for this role; the closest published occupation is shown.
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.
Rates are taken from Alabama's official Medicaid publications, and each one links to its source. Confirm with the payer before billing. Managed-care plans may pay differently from fee-for-service.