IDD Medicaid rates in Colorado are strongest for one-on-one support at home and in the community. Colorado pays $12.82 per 15 minutes for community living supports on code T2013, which is $51.28 an hour. That ranks 7th of 29 states and is 46.8% above the national median of $34.92.
Most other Colorado IDD services sit close to the national middle. Day habilitation is 2.1% below the median, supported employment 6.8% below, and group home habilitation 15.4% below. For providers, that means Colorado rewards individualized hourly support more than facility-based or group services. Rates are compiled from official state Medicaid publications and link to their source documents.
Colorado Medicaid IDD reimbursement by service
| Service | Code | Colorado per hour or day | Rank | vs national median |
|---|---|---|---|---|
| Community living supports | T2013 | $51.28 / hour | 7 of 29 | +46.8% |
| Prevocational services | T2015 | $20.68 / hour | 13 of 28 | +10.8% |
| Day habilitation | T2021 | $22.64 / hour | 18 of 32 | -2.1% |
| Supported employment | T2019 | $38.08 / hour | 22 of 39 | -6.8% |
| Residential habilitation | T2016 | $237.12 / day | 22 of 31 | -15.4% |
Colorado publishes no community integration, behavior support or ICF/IID rate in our ranked data, so it does not appear in those comparisons.
The T2013 community living rate and what it means
Most states bill in-home IDD support on T2017. Colorado uses T2013 with a U6 modifier for the same type of service, and its $51.28 hourly rate places it in the top quarter of the 29 ranked states. Only six states pay more, led by South Carolina at $85.96, South Dakota at $69.28 and Massachusetts at $68.04.
The rate leaves real room above wages. The Colorado direct support professional median is $22.93 an hour in May 2025 federal data. Loaded with payroll taxes and benefits, that wage takes 61.8% of the T2013 rate, leaving $19.58 an hour for supervision, travel, training and administration. That is a workable margin for agencies providing individualized support under the Supported Living Services (SLS) waiver.
Group home and day program rates in Colorado
Residential habilitation on T2016 pays $237.12 a day, effective 2026-07-01, 22nd of 31 states. That is 15.4% below the $280.27 national median and far below the leaders: Minnesota ($999.00), the District of Columbia ($567.62) and New York ($564.22). It is still well above the lowest states, Iowa ($140.81), Illinois ($108.00) and Oklahoma ($88.66).
Day habilitation on T2021 pays $5.66 per 15 minutes, or $22.64 an hour, almost exactly the $23.14 median. Prevocational services on T2015 pay $5.17 per 15 minutes, or $20.68 an hour, 10.8% above the $18.67 median and 13th of 28 states. Both are group services, so a day program's revenue depends on how many participants each staff member supports.
For a provider deciding where to grow, the comparison is clear. Colorado pays above the median for individualized hourly supports and below it for 24-hour residential care. Group home operators carry the most pressure from the rate schedule.
Supported employment rate and labor costs
Supported employment on T2019 pays $9.52 per 15 minutes, or $38.08 an hour. Unlike most Colorado IDD rates, which were updated 2026-07-01, this one has been effective since 2024-07-01. It ranks 22nd of 39 states, 6.8% below the $40.84 median.
The loaded direct support wage takes 83.2% of that rate, leaving $6.38 an hour. That is far thinner than the $19.58 margin on community living supports, so job coaching is one of the tighter Colorado services to deliver.
Colorado wages are above the national median for every IDD role in May 2025 federal data:
- Direct support professional: $22.93 vs $22.08 nationally (based on the closest comparable occupation)
- Residential advisor: $21.51 vs $20.31
- Home health / personal care aide: $18.53 vs $17.21
- Licensed practical nurse: $35.52 vs $30.96
Higher-than-median wages combined with below-median residential and employment rates are the core budgeting challenge for Colorado providers outside in-home support.
How Colorado pays IDD providers: waivers, not RAEs
Colorado's IDD services are delivered through Health First Colorado's HCBS waiver for persons with developmental disabilities (DD) and the HCBS Supported Living Services (SLS) waiver. Colorado's managed-care structure runs through Regional Accountable Entities, such as Colorado Access (RAE 4) and Colorado Community Health Alliance (RAE 3), but those plans do not set IDD rates. Our managed-care classification lists both intellectual and developmental disability services and home and community-based services as paid directly by the state, outside managed care.
The IDD sheet counts 24 plan listings, including CHP+ HMOs and PACE organizations. Details are on the Colorado managed care page.
Coverage records show no prior authorization rules and no unit limits on any of the Colorado IDD codes we track: H0041, H2023, T2013, T2015, T2016, T2019, T2021 and T2027. Service amounts are set through each person's waiver service plan.
Where Colorado sits against the highest and lowest states
Colorado is a top-ten state on community living supports and a middle-of-the-table state on everything else. It never appears among the lowest states on any IDD service. At the bottom of the national range on community living supports, Idaho pays $15.44, West Virginia $13.52 and Louisiana $12.40, all far below what a Colorado agency earns for the same hour of support.
See the IDD rates by state hub for national medians on every service and the Colorado Medicaid rates page for all other service lines. Our methodology explains how 15-minute units are converted to hourly rates.
Updated 2026-10-05