Arkansas Medicaid IDD / waiver rates
Arkansas Medicaid pays $6.40 per 15 min ($25.60 an hour) for prevocational services delivered by a agency provider, effective August 25, 2022, the 7th highest of 22 states with comparable rates. Below: 3 more IDD / waiver rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Prevocational services
- $6.40per 15 min · $25.60/hr
- Rank among states
- 7 of 22+37.5% vs median
- Direct support professional median wage
- $17.68BLS May 2025
- Arkansas minimum wage
- $11.00
Arkansas IDD / waiver rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Arkansas's official fee schedule.
| Service | Provider level | Code | AR rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | Not published | $29.78/hr | $12.40 | $85.96 | 24 | ||||
| Community integration / community access (IDD) | Agency provider | Not published | $26.40/hr | $14.60 | $140.64 | 17 | ||||
| Day habilitation / day program (IDD) | Agency provider | Not published | $22.64/hr | $6.54 | $100.00 | 25 | ||||
| Prevocational services | Agency provider | T2015 | $6.40 | 15 min | $25.60 | 7 of 22 | $18.62/hr | $5.66 | $74.31 | 22 |
| Residential habilitation / group home supports | Agency provider | Not published | $273.72/day | $20.00 | $999.00 | 24 | ||||
| Supported employment (job coaching) | Agency provider | H2023 | $25.59 | 15 min | $102.36 | 2 of 29 | $40.84/hr | $12.80 | $141.64 | 29 |
| Behavior support services (disability waiver) | Agency provider | T2025 | $26.10 | 15 min | $104.40 | 5 of 19 | $74.24/hr | $24.64 | $173.04 | 19 |
| ICF/IID stay (daily rate) | All levels | $195.43 | day | — | 9 of 9 | $464.80/day | $195.43 | $790.37 | 9 | |
Prevocational services: where Arkansas ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Oregon | $74.31 | hour | $74.31 | 2026-07-01 |
| 2 | Minnesota | $69.42 | hour | $69.42 | 2015-07-01 |
| 3 | Kansas | $40.00 | hour | $40.00 | 2026-01-01 |
| 4 | Connecticut | $38.75 | hour | $38.75 | 2021-07-01 |
| 5 | Mississippi | $6.73 | 15 min | $26.92 | 2026-01-01 |
| 6 | Pennsylvania | $6.50 | 15 min | $26.00 | 2018-07-01 |
| 7 | Arkansas | $6.40 | 15 min | $25.60 | 2022-08-25 |
| 8 | Florida | $22.71 | hour | $22.71 | 2026-07-01 |
| 9 | Nebraska | $22.39 | hour | $22.39 | 2026-07-01 |
| 10 | Colorado | $5.17 | 15 min | $20.68 | 2026-07-01 |
| 11 | Tennessee | $18.96 | hour | $18.96 | 2025-07-01 |
| 12 | Texas | $18.27 | hour | $18.27 | 2025-09-01 |
| 13 | Oklahoma | $18.02 | hour | $18.02 | 2024-10-01 |
| 14 | West Virginia | $3.39 | 15 min | $13.56 | 2025-10-01 |
| 15 | Georgia | $3.33 | 15 min | $13.32 | 2025-04-01 |
| 16 | Montana | $12.13 | hour | $12.13 | 2025-07-01 |
| 17 | Arizona | $2.84 | 15 min | $11.36 | 2024-01-01 |
| 18 | Iowa | $11.24 | hour | $11.24 | 2025-08-01 |
| 19 | Louisiana | $2.39 | 15 min | $9.56 | 2025-11-18 |
| 20 | New Jersey | $9.49 | hour | $9.49 | 2026-01-01 |
| 21 | California | $7.23 | hour | $7.23 | 2026-01-01 |
| 22 | Indiana | $5.66 | hour | $5.66 | 2024-07-01 |
What it costs to deliver in Arkansas
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | AR median | US median | vs US |
|---|---|---|---|
| Direct support professional * | $17.68 | $22.08 | -19.9% |
| Residential advisor | $18.41 | $20.31 | -9.4% |
| Home health / personal care aide | $13.30 | $17.21 | -22.7% |
| Licensed practical nurse | $27.22 | $30.96 | -12.1% |
* BLS publishes no occupation for this role; the closest published occupation is shown.
Recent Arkansas IDD / waiver rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| PASSE HCBS minimum fee schedule (CES waiver + 1915(i) BH) effective 1/1/2027, pending CMS approval | proposed | -11.7% | 2027-01-01 |
| Milliman HCBS Payment Rate Report (Act 1023 of 2025) - modeled CES waiver and 1915(i) BH rates | proposed | — | — |
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 Arkansas'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.