IDD Medicaid rates in Connecticut are among the highest in the country for day services. Connecticut pays $57.28 an hour for day habilitation, effective 2026-07-01. That ranks 2nd of 32 states, behind only Minnesota, and is 147.6% above the national median of $23.14.
What makes Connecticut unusual is that its future increases are already on paper. The Department of Developmental Services (DDS) has set rate increases for FY 2027 and both halves of FY 2028, so providers can budget two years ahead with more certainty than in most states. Rates are compiled from official state Medicaid publications and link to their source documents.
| Service | Code | Connecticut rate | Rank | vs national median |
|---|---|---|---|---|
| Day habilitation | none | $57.28 / hour | 2 of 32 | +147.6% |
| Behavior support | none | $132.40 / hour | 5 of 23 | +69.6% |
| Prevocational services | 1560P | $38.75 / hour | 7 of 28 | +107.6% |
| Supported employment | 1302Z | $48.96 / hour | 12 of 39 | +19.9% |
| ICF/IID stay | none | $722.17 / day | not ranked | national median $464.88 |
Connecticut bills its DDS waiver services on state codes such as 1302Z and 1560P, and publishes several services as annual or package amounts. In-home and community living supports carry a rate of $14,712 a year, and residential habilitation a funding amount of $122,028. Neither is ranked against the hourly and daily rates other states publish.
Read as a whole, the table shows a state that pays near the top of the country for almost every IDD service it prices by the hour. The one service close to the national middle, supported employment, is still above the median.
Connecticut's IDD services run through three DDS HCBS waivers: Comprehensive Supports, Individual and Family Support, and Employment and Day Supports. Rates for all three come from a single document, the DDS Funding Guidelines, which DDS updates through numbered operations memos rather than a conventional fee schedule.
State codes rather than HCPCS
Connecticut uses its own service codes, such as 1302Z for supported employment and 1560P for prevocational services. These codes identify the service, the staffing pattern and sometimes the setting in one string. Providers entering Connecticut from another state must map every service to the DDS code list before billing.
Annual and package amounts
Several Connecticut services are not priced per hour or per day. In-home supports carry an annual amount ($14,712 a year) and residential habilitation a funding amount ($122,028). Those figures work as budgets attached to a person's plan: the provider delivers the services in the plan and draws against the amount. That structure rewards careful scheduling, because unused hours are not automatically paid, and overspending the allocation is not either.
Self-directed rates
DDS also publishes a separate set of self-directed (self-hire) rates, used when an individual or family employs workers directly. Agencies should not benchmark their own pricing against self-hire rates, which assume no agency overhead.
At $57.28 an hour, Connecticut's day habilitation rate is behind only Minnesota at $100.00 and ahead of Rhode Island ($52.12), California ($50.77) and Massachusetts ($50.40). At the bottom of the range, Texas pays $10.98, Louisiana $9.92 and Indiana $6.54 on comparable codes such as T2021.
Prevocational services on 1560P pay $38.75 an hour, 7th of 28 states and 107.6% above the $18.67 median. That rate has been in effect since 2021-07-01, but it is still more than double the median. For a day program in Connecticut, both the day habilitation and prevocational rates support smaller group ratios than in most states.
The age of the prevocational rate is worth watching. General increases under the operations memos apply across many services, but the published 1560P rate still carries a 2021 effective date in our records, so providers should confirm which increases have been applied to it when they reconcile payments.
Supported employment on 1302Z pays $12.24 per 15 minutes, or $48.96 an hour, effective since 2021-07-01. It ranks 12th of 39 states and 19.9% above the $40.84 median. The loaded cost of a Connecticut direct support professional at the median wage takes 60.7% of that rate, leaving $19.23 an hour for job development, travel and supervision.
Behavior support pays $132.40 an hour, effective 2026-01-01, 5th of 23 states. Only Maryland ($173.04), New Hampshire ($167.32), Kentucky ($160.96) and Alaska ($136.52) pay more. See the national comparison on the H2019 code page. At that level, a Connecticut agency can employ clinicians to write and monitor behavior support plans rather than relying on occasional contracted hours.
Connecticut's DDS Operations Memo 2026-08, enacted 2025-09-11, set three rounds of increases:
- FY 2026: 2% general plus 1.4% for residential services, effective 2025-07-01.
- FY 2027: a 3% general increase plus 2.8% for residential services, effective 2026-07-01.
- FY 2028: 3.3% general increases on 7/1/27 and 1/1/28, plus 3% for residential services at each step.
DDS has also issued updated funding guidelines through a series of operations memos: Memo FY2026-37, Updated FY 27 Funding Guidelines, effective 2026-07-01; Memo 2026-21, updated funding guidelines covering the overnight camp per diem and AT fees, effective 2026-03-01; and Memos 2026-01 and 2026-04, the FY 2026 Funding Guidelines and corrections, effective 2025-07-01.
With the FY 2027 step effective since 2026-07-01, the next scheduled change for providers is the FY 2028 increase that begins 7/1/27.
Most states announce rate changes a few weeks before they take effect, if at all. Connecticut's memo sets increases almost two years in advance, which changes how a provider can plan.
- Wage commitments. An agency can promise staff raises tied to the 7/1/27 and 1/1/28 steps with confidence that the revenue will follow.
- Residential budgets. Group home operators receive a separate residential increment at each step, so residential and non-residential budgets should be modeled separately.
- Contract timing. Leases, vehicle purchases and other multi-year costs can be matched to a known revenue path.
The caution is that memos can be revised, as the FY 2026 corrections memo shows, so budgets should be checked against each new funding guideline as it is published.
Connecticut is one of the few higher-rate states where the direct support wage sits below the national figure. May 2025 federal occupational data shows:
- Direct support professional: $21.50 vs $22.08 nationally (based on the closest comparable occupation)
- Residential advisor: $20.97 vs $20.31
- Home health / personal care aide: $18.75 vs $17.21
- Licensed practical nurse: $35.43 vs $30.96
Above-median rates and a below-median direct support wage give Connecticut providers more room per hour than in most states. The scheduled increases through FY 2028 are an opportunity to raise wages ahead of competitors in home care, where the aide median is above the national figure.
Connecticut's IDD waiver services are paid under the DDS Funding Guidelines, with room and board for DDS Community Living Arrangements paid separately by the Department of Social Services. Splitting room and board from the service rate is common in IDD residential care, and it means a group home's revenue comes from two agencies on two schedules.
Connecticut Medicaid operates as HUSKY Health, and its IDD plan listings count 9 entries, including HUSKY A through D and the Community Health Network of Connecticut. These do not set DDS waiver rates. See the Connecticut managed care page.
Coverage records show 1 prior authorization rule each on codes 97537, T2020 and T2021, and none on 1301Z, 1302Z, 1560P or 1572P. No unit limits are recorded. Service amounts are governed by each person's plan and funding allocation.
Connecticut's ICF/IID rate of $722.17 a day, effective 2026-07-01, sits well above the $464.88 national median, though below the District of Columbia ($1,021.84) and Maine ($995.49). ICF/IID facilities provide institutional care with active treatment and nursing requirements, so their rate is not comparable with waiver residential funding.
Connecticut is a top-ten state on every IDD service it ranks except supported employment, where it is just outside at 12th. Its day habilitation rate is the second highest in the country. See the IDD rates by state hub for national medians.
The published figures support three common decisions for Connecticut providers.
- Program design. Day habilitation and prevocational rates both sit far above the median, so a Connecticut day program can staff smaller groups than a comparable program elsewhere. Use that room for participants with higher support needs rather than assuming larger groups.
- Employment services. At $48.96 an hour with $19.23 left after loaded wages, supported employment is viable but not generous. Track unbilled job development time, which is the cost most likely to erode that margin.
- Allocation management. For services funded as annual or package amounts, monitor spending against each person's allocation monthly. Running out of allocation late in the year is a revenue problem; finishing with unused funding can signal unmet needs.
- Wage planning. Tie raises to the scheduled FY 2028 steps and document the link, which helps with recruiting against home care employers.
Agencies that also deliver attendant care or therapy can compare those lines on the Connecticut home care page.
Rates on this page are compiled from official state Medicaid publications, including the DDS Funding Guidelines and operations memos, and each rate links to its source document. Hourly figures are derived from published 15-minute or hourly units; annual and package amounts are shown as published and not ranked. Wage figures are May 2025 federal occupational medians. All 45,012 current Connecticut Medicaid rates are available with an account; see pricing, our methodology, and the Connecticut Medicaid rates page for every other service line.