North Carolina Medicaid IDD / waiver rates
North Carolina Medicaid pays $423.18 for ICF/IID stay (daily rate), effective April 1, 2026.
- ICF/IID stay (daily rate)
- $423.18
- Rank among states
- —
- Direct support professional median wage
- $20.60BLS May 2025
- North Carolina minimum wage
- $7.25
North Carolina IDD / waiver rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open North Carolina's official fee schedule.
| Service | Provider level | Code | NC rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | Not published | $34.60/hr | $12.40 | $85.96 | 16 | ||||
| Community integration / community access (IDD) | Agency provider | Not published | $24.40/hr | $14.60 | $140.64 | 13 | ||||
| Day habilitation / day program (IDD) | Agency provider | Not published | $19.62/hr | $6.54 | $134.01 | 15 | ||||
| Prevocational services | Agency provider | Not published | $18.96/hr | $5.66 | $69.42 | 13 | ||||
| Residential habilitation / group home supports | Agency provider | Not published | $275.04/day | $20.00 | $564.22 | 16 | ||||
| Supported employment (job coaching) | Agency provider | Not published | $42.16/hr | $14.96 | $141.64 | 17 | ||||
| Behavior support services (disability waiver) | Agency provider | Not published | $73.12/hr | $27.00 | $173.04 | 12 | ||||
| ICF/IID stay (daily rate) | All levels | $423.18 | — | — | — | $367.53/day | $207.21 | $790.37 | 5 | |
ICF/IID stay (daily rate): where North Carolina ranks
States whose published unit can't be converted are left out of the ranking.
What it costs to deliver in North Carolina
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | NC median | US median | vs US |
|---|---|---|---|
| Direct support professional * | $20.60 | $22.08 | -6.7% |
| Residential advisor | $18.81 | $20.31 | -7.4% |
| Home health / personal care aide | $15.02 | $17.21 | -12.7% |
| Licensed practical nurse | $30.42 | $30.96 | -1.7% |
* BLS publishes no occupation for this role; the closest published occupation is shown.
Recent North Carolina IDD / waiver rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| CAP-MR/DD Waiver (DD) or (TBI): 10/1/2025 rate reduction effective 2025-10-01 (posting 2025-11-03) | effective | -3.0% | 2025-10-01 |
| CAP-MR/DD Waiver (DD) or (TBI): 10/1/2025 reduction reversed (rates restored) effective 2025-10-01 (posting 2026-01-05) | reversed | +3.1% | 2025-10-01 |
| CAP-MR/DD Waiver (DD) or (TBI): new rates effective 2025-10-01 (posting 2025-10-01) | effective | -3.0% | 2025-10-01 |
| NC SPA 22-0006 public notice: 22-0006 1-Day Public Notice ICF-IDD Rate Increase | proposed | — | 2022-02-01 |
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 North Carolina'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.