New York Medicaid IDD / waiver rates
New York Medicaid pays $9.66 per 15 min ($38.64 an hour) for community integration / community access (idd) delivered by a agency provider, effective April 1, 2026, the 4th highest of 18 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.
- Community integration / community access (IDD)
- $9.66per 15 min · $38.64/hr
- Rank among states
- 4 of 18+44.7% vs median
- Direct support professional median wage
- $22.69BLS May 2025
- New York minimum wage
- $16.00
New York IDD / waiver rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open New York's official fee schedule.
| Service | Provider level | Code | NY rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | Not published | $29.78/hr | $12.40 | $85.96 | 24 | ||||
| Community integration / community access (IDD) | Agency provider | 8013 | $9.66 | 15 min | $38.64 | 4 of 18 | $26.70/hr | $14.60 | $140.64 | 18 |
| Day habilitation / day program (IDD) | Agency provider | 4105 | $167.97 | half unit | — | — | $22.64/hr | $6.54 | $100.00 | 27 |
| Prevocational services | Agency provider | 4465 | $94.07 | half unit | — | — | $18.67/hr | $5.66 | $74.31 | 24 |
| Residential habilitation / group home supports | Agency provider | 4437 | $564.22 | day | — | 2 of 26 | $273.72/day | $20.00 | $999.00 | 26 |
| Supported employment (job coaching) | Agency provider | 8015 | $35.41 | 15 min | $141.64 | 1 of 32 | $41.50/hr | $12.80 | $141.64 | 32 |
| Behavior support services (disability waiver) | Agency provider | Not published | $76.16/hr | $24.64 | $173.04 | 20 | ||||
| ICF/IID stay (daily rate) | All levels | $706.04 | day | — | 4 of 10 | $487.12/day | $195.43 | $951.10 | 10 | |
Community integration / community access (IDD): where New York ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Virginia | $35.16 | 15 min | $140.64 | 2026-07-01 |
| 2 | Indiana | $26.14 | 15 min | $104.56 | 2020-04-01 |
| 3 | Maryland | $17.11 | 15 min | $68.44 | 2024-07-01 |
| 4 | New York | $9.66 | 15 min | $38.64 | 2026-04-01 |
| 5 | New Jersey | $8.50 | 15 min | $34.00 | 2026-01-01 |
| 6 | Maine | $8.21 | 15 min | $32.84 | 2026-01-01 |
| 7 | Alabama | $7.93 | 15 min | $31.72 | 2024-01-05 |
| 8 | New Hampshire | $7.00 | 15 min | $28.00 | 2024-01-01 |
| 9 | New Mexico | $6.75 | 15 min | $27.00 | 2026-07-01 |
| 10 | Kentucky | $6.60 | 15 min | $26.40 | 2025-01-01 |
| 11 | California | $26.35 | hour | $26.35 | 2023-01-01 |
| 12 | Tennessee | $6.10 | 15 min | $24.40 | 2025-07-01 |
| 13 | Idaho | $5.41 | 15 min | $21.64 | 2025-09-01 |
| 14 | Nebraska | $18.45 | hour | $18.45 | 2026-07-01 |
| 15 | Florida | $4.44 | 15 min | $17.76 | 2026-07-01 |
| 16 | Texas | $16.80 | hour | $16.80 | 2025-09-01 |
| 17 | Louisiana | $4.00 | 15 min | $16.00 | 2025-11-18 |
| 18 | Georgia | $3.65 | 15 min | $14.60 | 2025-04-01 |
What it costs to deliver in New York
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | NY median | US median | vs US |
|---|---|---|---|
| Direct support professional * | $22.69 | $22.08 | +2.8% |
| Residential advisor | $23.26 | $20.31 | +14.5% |
| Home health / personal care aide | $19.05 | $17.21 | +10.7% |
| Licensed practical nurse | $32.30 | $30.96 | +4.3% |
* BLS publishes no occupation for this role; the closest published occupation is shown.
Recent New York IDD / waiver rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| Medicaid Update July 2026 Volume 42 - Number 8: Rate Increases for Certain Services Delivered in Outpatient Settings certified by the Office of Mental Health, Office of Addiction Services and Supports and Office of People with Developmental Disabilities | effective | — | 2026-07-01 |
| NY SPA 26-25 (hospital): 2.7% Targeted Inflationary Increase - OPWDD Inst 2026 | proposed | — | — |
| NY SPA 26-26 (ltcare): 2.7% Targeted Inflationary Increase - OPWDD LTC 2026 | proposed | — | 2026-04-01 |
| NY SPA 26-24 (non-inst): 2.7% Targeted Inflationary Increase - OPWDD NI 2026 | proposed | — | 2026-04-01 |
| OPWDD apg base rates/fees effective 2026-04-01 | proposed | +2.7% | 2026-04-01 |
| OPWDD com hab rates/fees effective 2026-04-01 | proposed | +2.7% | 2026-04-01 |
| OPWDD comm prevoc rates/fees effective 2026-04-01 | proposed | +2.7% | 2026-04-01 |
| OPWDD crp rates/fees effective 2026-04-01 | effective | +2.7% | 2026-04-01 |
| OPWDD csidd rates/fees effective 2026-04-01 | proposed | +2.7% | 2026-04-01 |
| OPWDD day treat rates/fees effective 2026-04-01 | proposed | +2.7% | 2026-04-01 |
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 New York'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.