Massachusetts Medicaid IDD / waiver rates
Massachusetts Medicaid pays $17.01 per 15 min ($68.04 an hour) for in-home and community living supports (idd) delivered by a agency provider, effective July 1, 2026, the 3rd highest of 29 states with comparable rates. Below: 4 more IDD / waiver rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- In-home and community living supports (IDD)
- $17.01per 15 min · $68.04/hr
- Rank among states
- 3 of 29+94.8% vs median
- Direct support professional median wage
- $22.66BLS May 2025
- Massachusetts minimum wage
- $15.00
Massachusetts IDD / waiver rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Massachusetts's official fee schedule.
| Service | Provider level | Code | MA rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | $17.01 | 15 min | $68.04 | 3 of 29 | $34.92/hr | $12.40 | $85.96 | 29 | |
| Community integration / community access (IDD) | Agency provider | $69.92 | — | — | — | $26.70/hr | $14.60 | $140.64 | 22 | |
| Day habilitation / day program (IDD) | Agency provider | $12.60 | 15 min | $50.40 | 5 of 32 | $23.14/hr | $6.54 | $100.00 | 32 | |
| Prevocational services | Agency provider | Not published | $18.96/hr | $3.95 | $230.81 | 29 | ||||
| Residential habilitation / group home supports | Agency provider | $2,304.58 | — | — | — | $273.72/day | $20.00 | $999.00 | 32 | |
| Supported employment (job coaching) | Agency provider | $60.78 | — | — | — | $40.84/hr | $12.36 | $141.64 | 39 | |
| Behavior support services (disability waiver) | Agency provider | Not published | $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 | ||||
In-home and community living supports (IDD): where Massachusetts ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | South Carolina | $21.49 | 15 min | $85.96 | 2025-11-01 |
| 2 | South Dakota | $17.32 | 15 min | $69.28 | 2026-06-01 |
| 3 | Massachusetts | $17.01 | 15 min | $68.04 | 2026-07-01 |
| 4 | Alaska | $15.46 | 15 min | $61.84 | 2026-07-01 |
| 5 | Maryland | $15.33 | 15 min | $61.32 | 2024-07-01 |
| 6 | Delaware | $60.49 | hour | $60.49 | 2024-07-01 |
| 7 | Colorado | $12.82 | 15 min | $51.28 | 2026-07-01 |
| 8 | Iowa | $11.59 | 15 min | $46.36 | 2025-08-01 |
| 9 | Maine | $11.26 | 15 min | $45.04 | 2026-01-01 |
| 10 | North Dakota | $10.43 | 15 min | $41.72 | 2026-07-01 |
| 11 | New Jersey | $9.85 | 15 min | $39.40 | 2026-01-01 |
| 12 | Oregon | $39.08 | hour | $39.08 | 2026-07-01 |
| 13 | Indiana | $9.45 | 15 min | $37.80 | 2023-07-01 |
| 14 | Florida | $8.99 | 15 min | $35.96 | 2026-07-01 |
| 15 | New Mexico | $8.73 | 15 min | $34.92 | 2026-07-01 |
| 16 | Wyoming | $8.34 | 15 min | $33.36 | 2024-04-01 |
| 17 | Kentucky | $8.31 | 15 min | $33.24 | 2025-01-01 |
| 18 | Oklahoma | $6.58 | 15 min | $26.32 | 2024-10-01 |
| 19 | California | $24.28 | hour | $24.28 | 2026-07-01 |
| 20 | Tennessee | $5.79 | 15 min | $23.16 | 2025-07-01 |
| 21 | Georgia | $5.49 | 15 min | $21.96 | 2025-04-01 |
| 22 | Kansas | $5.34 | 15 min | $21.36 | 2026-07-01 |
| 23 | Mississippi | $5.04 | 15 min | $20.16 | 2026-01-01 |
| 24 | Nebraska | $20.07 | hour | $20.07 | 2026-07-01 |
| 25 | Arizona | $4.73 | 15 min | $18.92 | 2024-01-01 |
| 26 | Texas | $18.47 | hour | $18.47 | 2025-09-01 |
| 27 | Idaho | $3.86 | 15 min | $15.44 | 2026-06-01 |
| 28 | West Virginia | $3.38 | 15 min | $13.52 | 2025-10-01 |
| 29 | Louisiana | $3.10 | 15 min | $12.40 | 2026-10-01 |
What it costs to deliver in Massachusetts
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | MA median | US median | vs US |
|---|---|---|---|
| Direct support professional * | $22.66 | $22.08 | +2.6% |
| Residential advisor | $23.17 | $20.31 | +14.1% |
| Home health / personal care aide | $19.67 | $17.21 | +14.3% |
| Licensed practical nurse | $38.57 | $30.96 | +24.6% |
* BLS publishes no occupation for this role; the closest published occupation is shown.
Recent Massachusetts IDD / waiver rate changes
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 Massachusetts'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.