Missouri Medicaid IDD / waiver rates
Missouri Medicaid pays $12.14 per 15 min ($48.56 an hour) for day habilitation / day program (idd) delivered by a agency provider, effective July 1, 2022, the 6th highest of 32 states with comparable rates. Below: 2 more IDD / waiver rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Day habilitation / day program (IDD)
- $12.14per 15 min · $48.56/hr
- Rank among states
- 6 of 32+109.9% vs median
- Direct support professional median wage
- $20.09BLS May 2025
- Missouri minimum wage
- $15.00
Missouri IDD / waiver rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Missouri's official fee schedule.
| Service | Provider level | Code | MO rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | Not published | $34.92/hr | $12.40 | $85.96 | 29 | ||||
| Community integration / community access (IDD) | Agency provider | Not published | $26.70/hr | $14.60 | $140.64 | 22 | ||||
| Day habilitation / day program (IDD) | Agency provider | T2021 | $12.14 | 15 min | $48.56 | 6 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 | T2016 | $267.17 | day | — | 17 of 32 | $273.72/day | $20.00 | $999.00 | 32 |
| Supported employment (job coaching) | Agency provider | H2023 | $19.45 | 15 min | $77.80 | 5 of 39 | $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 | ||||
Day habilitation / day program (IDD): where Missouri ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Minnesota | $25.00 | 15 min | $100.00 | 2013-11-01 |
| 2 | Connecticut | $57.28 | hour | $57.28 | 2026-07-01 |
| 3 | Rhode Island | $13.03 | 15 min | $52.12 | 2026-10-01 |
| 4 | California | $50.77 | hour | $50.77 | 2026-07-01 |
| 5 | Massachusetts | $12.60 | 15 min | $50.40 | 2025-07-01 |
| 6 | Missouri | $12.14 | 15 min | $48.56 | 2022-07-01 |
| 7 | Delaware | $11.40 | 15 min | $45.60 | 2024-07-01 |
| 8 | New Jersey | $11.28 | 15 min | $45.12 | 2026-01-01 |
| 9 | Alaska | $10.91 | 15 min | $43.64 | 2026-07-01 |
| 10 | Utah | $10.71 | 15 min | $42.84 | 2018-07-01 |
| 11 | District of Columbia | $7.46 | 15 min | $29.84 | 2026-07-01 |
| 12 | Oregon | $29.30 | hour | $29.30 | 2026-07-01 |
| 13 | Maine | $7.04 | 15 min | $28.16 | 2026-01-01 |
| 14 | Kansas | $6.70 | 15 min | $26.80 | 2026-07-01 |
| 15 | Tennessee | $6.10 | 15 min | $24.40 | 2025-07-01 |
| 16 | Alabama | $5.89 | 15 min | $23.56 | 2024-01-05 |
| 17 | Florida | $22.71 | hour | $22.71 | 2026-07-01 |
| 18 | Colorado | $5.66 | 15 min | $22.64 | 2026-07-01 |
| 19 | Mississippi | $5.26 | 15 min | $21.04 | 2026-01-01 |
| 20 | New Hampshire | $5.11 | 15 min | $20.44 | 2024-01-01 |
| 21 | Pennsylvania | $19.62 | hour | $19.62 | 2016-12-01 |
| 22 | Nebraska | $18.45 | hour | $18.45 | 2026-07-01 |
| 23 | Virginia | $18.32 | hour | $18.32 | 2026-07-01 |
| 24 | Idaho | $4.00 | 15 min | $16.00 | 2026-07-01 |
| 25 | Iowa | $3.97 | 15 min | $15.88 | 2025-08-01 |
| 26 | South Dakota | $15.78 | hour | $15.78 | 2026-06-01 |
| 27 | Kentucky | $3.62 | 15 min | $14.48 | 2025-01-01 |
| 28 | Arizona | $3.42 | 15 min | $13.68 | 2024-01-01 |
| 29 | West Virginia | $3.39 | 15 min | $13.56 | 2025-10-01 |
| 30 | Texas | $10.98 | hour | $10.98 | 2025-09-01 |
| 31 | Louisiana | $2.48 | 15 min | $9.92 | 2025-11-18 |
| 32 | Indiana | $6.54 | hour | $6.54 | 2023-07-01 |
What it costs to deliver in Missouri
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | MO median | US median | vs US |
|---|---|---|---|
| Direct support professional * | $20.09 | $22.08 | -9.0% |
| Residential advisor | $17.55 | $20.31 | -13.6% |
| Home health / personal care aide | $15.90 | $17.21 | -7.6% |
| Licensed practical nurse | $29.58 | $30.96 | -4.5% |
* BLS publishes no occupation for this role; the closest published occupation is shown.
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 Missouri'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.