IDD Medicaid rates in Maine sit above the national median on most community services and near the very top for facility care. MaineCare pays $11.26 per 15 minutes for home supports on code T2017, or $45.04 an hour, effective 2026-01-01. That ranks 9th of 29 states and is 29.0% above the national median of $34.92.
Maine's ICF/IID rate of $995.49 is the second-highest in the country, behind only the District of Columbia. The weak spot is supported employment, which ranks 33rd of 39 states and pays less than the direct support wage. That combination, strong residential and facility rates with weak employment rates, defines Maine's IDD schedule. Rates are compiled from official state Medicaid publications and link to their source documents.
| Service | Code | Maine per hour or day | Rank | vs national median |
|---|---|---|---|---|
| Home supports | T2017 | $45.04 / hour | 9 of 29 | +29.0% |
| Community integration | T2021 | $32.84 / hour | 8 of 22 | +23.0% |
| Day habilitation | T2021 | $28.16 / hour | 13 of 32 | +21.7% |
| Behavior support | G9007 | $71.24 / hour | 15 of 23 | -8.7% |
| Supported employment | H2023 | $21.40 / hour | 33 of 39 | -47.6% |
| ICF/IID stay | none | $995.49 | 2 of 12 | +114.1% |
Residential habilitation on T2016 is published as an hourly rate of $34.64, effective 2026-01-01, so Maine is not ranked against states that pay group homes per day. Maine has no prevocational rate in our data.
Three of the six ranked services sit comfortably above the national median, behavior support sits just below it, supported employment sits near the bottom and ICF/IID sits near the top. Maine's high direct support wage is the thread connecting these results: a rate that looks generous nationally can be only moderately comfortable in Maine.
MaineCare delivers adult IDD services through two MaineCare Benefits Manual waivers. Section 21, Home and Community Based Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder, is the comprehensive waiver and covers residential and other intensive supports. Section 29, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder, covers people who live with family or independently and need a lighter package. MaineCare also runs a Section 20 waiver for adults with other related conditions.
Codes, modifiers and units
Maine bills home supports on T2017, community supports and day habilitation on T2021 (community supports with the UB modifier), behavior support on G9007 with HI, supported employment on H2023 with UP and residential habilitation on T2016. Every hourly service bills in 15-minute units. Our methodology explains how units are converted.
Why hourly residential rates matter
Most states pay group homes a daily rate. Maine pays residential habilitation by the hour at $34.64. Under an hourly model, revenue tracks staffed and documented hours directly; a home is not paid for a resident's day as such, but for each hour of support delivered. That puts timekeeping and documentation at the center of residential finance in Maine, and it means a vacant bed reduces both revenue and the staffing needed to support it.
At $45.04 an hour on T2017, Maine sits in the top third of the 29 ranked states. South Carolina leads at $85.96, and Idaho, West Virginia and Louisiana pay between $12.40 and $15.44.
Maine's direct support professional median wage was $22.94 an hour in May 2025 federal data, above the $22.08 national figure. Loaded with payroll taxes and benefits, that wage takes 70.4% of the T2017 rate, leaving $13.32 an hour for supervision, travel, training and administration. That is a workable but not generous margin.
In a largely rural state, travel between clients is the cost most likely to consume that margin. Agencies that schedule longer visits and cluster clients by area keep more of the $13.32 than those whose staff drive between short visits.
Maine bills both community integration and day habilitation on T2021, with the UB modifier separating community supports. Community integration pays $8.21 per 15 minutes, or $32.84 an hour, 8th of 22 states. Day habilitation pays $7.04 per 15 minutes, or $28.16 an hour, 13th of 32.
The community integration rate is close to break-even for one-on-one support. The loaded direct support wage takes 96.6% of the rate, leaving $1.12 an hour. Providers depend on group delivery to make community supports pay.
A high national rank and a near-zero margin can coexist because of Maine's wage level. The lesson for agencies is to judge each service against local labor costs, not against national rankings. A modifier error between UB and the base T2021 also changes which rate applies, so the two services need separate billing setups.
Supported employment on H2023 with the UP modifier pays $5.35 per 15 minutes, or $21.40 an hour, 47.6% below the $40.84 median. That is below the $22.94 direct support wage itself. The loaded wage is 148.2% of the rate, a shortfall of $10.32 for every hour of one-on-one job coaching.
The national comparison is stark. New York pays $141.64 an hour, Arkansas $102.36 and the District of Columbia $97.08. Maine is closer to the bottom, where Tennessee ($14.96), West Virginia ($12.80) and Wyoming ($12.36) sit. For a Maine provider, supported employment is hard to staff without support from other service lines.
Because job coaching is inherently individual, group ratios cannot close the gap the way they can for community supports. Agencies that offer employment services in Maine typically do so as part of a broader program and should budget the shortfall explicitly.
Behavior support on G9007 with the HI modifier pays $17.81 per 15 minutes, or $71.24 an hour, 8.7% below the $78.07 median and 15th of 23. The leaders are Maryland ($173.04), New Hampshire ($167.32) and Kentucky ($160.96). Behavior support is clinician-led, so the rate needs to be compared with clinician pay rather than the direct support median.
Maine's ICF/IID rate of $995.49, effective 2026-07-01, trails only the District of Columbia ($1,021.84) and leads South Dakota ($926.97), Rhode Island ($734.52) and Iowa ($503.46). The lowest ICF/IID rates are in Louisiana ($232.14), Wisconsin ($201.04) and Oklahoma ($174.35).
For facility operators, Maine's ICF/IID rate is one of the strongest in the country. The contrast with community care is sharp: community residential support on T2016 is paid hourly at $34.64, while ICF/IID care carries a high per-stay rate.
May 2025 federal occupational data shows Maine wages above the national median for every IDD role:
- Direct support professional: $22.94 vs $22.08 nationally (based on the closest comparable occupation)
- Residential advisor: $21.05 vs $20.31
- Home health / personal care aide: $18.55 vs $17.21
- Licensed practical nurse: $35.19 vs $30.96
Above-median wages across every role mean Maine IDD agencies compete for staff with home health, nursing and residential care employers that pay well locally.
Both Section 21 and Section 29 are paid fee-for-service, so the published rates are what providers receive, with no managed-care plan negotiation. Maine's IDD plan listings count 7 entries, mostly transportation brokers. See the Maine managed care page.
Recent MaineCare notices mostly concern other services, but one is relevant to adjacent populations: a proposed rule-making for MaineCare Benefits Manual Section 20, Allowances for Home and Community-Based Services for Adults with Other Related Conditions, published 2026-08-26. Agencies that serve both Section 21 and Section 20 members should follow it.
New England is one of the higher-paying regions for IDD services, and Maine's position within it is mixed. Massachusetts pays $68.04 an hour for community living supports and $50.40 for day habilitation, both well above Maine's $45.04 and $28.16. New Hampshire pays $167.32 an hour for behavior support, second-highest in the country, against Maine's $71.24. Vermont pays $69.68 an hour for supported employment, far above Maine's $21.40. On facility care the order reverses: Maine's $995.49 ICF/IID rate leads Rhode Island's $734.52 and every other New England state we rank.
For Maine agencies, the regional comparison matters most for recruiting. Clinicians and job coaches can find better-paid work in neighboring states, which makes behavior support and supported employment the hardest Maine services to staff. Home supports and day programs, where Maine is closer to its neighbors, are on firmer footing.
- Judge services against Maine wages. Community supports rank well nationally but leave $1.12 an hour one-to-one.
- Treat residential timekeeping as revenue. With hourly T2016 billing, undocumented hours are unpaid hours.
- Budget the employment shortfall. At $21.40 an hour, decide in advance how job coaching is funded.
- Plan home supports around travel. The $13.32 margin is real but easily consumed by drive time.
Rates on this page are compiled from official state Medicaid publications, including the MaineCare Benefits Manual Section 21 and Section 29 rate schedules, and each rate links to its source document. Hourly figures are derived from published 15-minute units; ICF/IID rates are shown per day. Wage figures are May 2025 federal occupational medians. All 27,586 current Maine Medicaid rates are available with an account; see pricing, the IDD rates by state hub and the Maine Medicaid rates page.