Nebraska Medicaid IDD / waiver rates
Nebraska Medicaid pays $20.07 per hour for in-home and community living supports (idd) delivered by a agency provider, effective July 1, 2026, the 24th highest of 29 states with comparable rates. Below: 5 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)
- $20.07per hour
- Rank among states
- 24 of 29-42.5% vs median
- Direct support professional median wage
- $18.72BLS May 2025
- Nebraska minimum wage
- $15.00
Nebraska IDD / waiver rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Nebraska's official fee schedule.
| Service | Provider level | Code | NE rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | 7494 | $20.07 | hour | $20.07 | 24 of 29 | $34.92/hr | $12.40 | $85.96 | 29 |
| Community integration / community access (IDD) | Agency provider | 9845 | $18.45 | hour | $18.45 | 17 of 22 | $26.70/hr | $14.60 | $140.64 | 22 |
| Day habilitation / day program (IDD) | Agency provider | 6396 | $18.45 | hour | $18.45 | 22 of 32 | $23.14/hr | $6.54 | $100.00 | 32 |
| Prevocational services | Agency provider | 8362 | $22.39 | hour | $22.39 | 13 of 29 | $18.96/hr | $3.95 | $230.81 | 29 |
| Residential habilitation / group home supports | Agency provider | 3992 | $371.36 | day | — | 9 of 32 | $273.72/day | $20.00 | $999.00 | 32 |
| Supported employment (job coaching) | Agency provider | 2207 | $60.89 | hour | $60.89 | 8 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 | ||||
In-home and community living supports (IDD): where Nebraska 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 Nebraska
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | NE median | US median | vs US |
|---|---|---|---|
| Direct support professional * | $18.72 | $22.08 | -15.2% |
| Residential advisor | $22.11 | $20.31 | +8.9% |
| Home health / personal care aide | $17.38 | $17.21 | +1.0% |
| Licensed practical nurse | $30.13 | $30.96 | -2.7% |
* BLS publishes no occupation for this role; the closest published occupation is shown.
Recent Nebraska 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 Nebraska'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.