IDD Medicaid rates in Ohio are set by the Ohio Department of Developmental Disabilities (DODD) under its own service codes, and the clearest national comparison is behavior support. Ohio pays $68.91 an hour on code FPT, effective December 1, 2024. That ranks 16th of 23 states and is 11.7% below the national median of $78.07 an hour.
Ohio stands out less for any single rate than for how actively it revises its rules. In June and July 2026 alone, DODD final-filed rules covering adult day support, a package of waiver service rules and an ICF/IID behavioral add-on.
Ohio Medicaid IDD reimbursement under the DODD waivers
Ohio's IDD waiver services run through three DODD waivers: Individual Options (IO), Level One and Self-Empowered Life Funding (SELF). Each service has a DODD three-letter code. The agency-provider rates on this page are:
| Service | DODD code | Ohio rate | Effective |
|---|---|---|---|
| Behavior support | FPT | $68.91 per hour | December 1, 2024 |
| Day habilitation | SGE | $6.79 per fifteen minutes | July 1, 2024 |
| Prevocational services | SVT | $6.93 per fifteen minutes | July 1, 2026 |
| Supported employment | SJH | $200.00 as published | July 1, 2024 |
The national IDD comparison ranks Ohio on behavior support. The day and vocational rates are published in fifteen-minute units, and the employment rate is published as a single figure, so all three are shown as published.
Ohio behavior support rate against other states
Ohio's $68.91 behavior support rate is in the lower half of the 23 ranked states. The top of the national range is Maryland ($173.04), New Hampshire ($167.32), Kentucky ($160.96), Alaska ($136.52) and Connecticut ($132.40). The bottom is New Jersey ($33.20), Tennessee ($27.00) and Idaho ($24.64).
Ohio is therefore closer to the median than to either extreme. For behavior support providers, an 11.7% gap to the national median is meaningful but not severe: it limits how much clinical time a provider can afford per person, and the rate sits well above the bottom of the range.
How Ohio day and employment services compare nationally
The national medians give context for Ohio's DODD rates, even where the units differ:
- Day habilitation: national median $23.14 an hour across 41 states. Minnesota pays $100.00 on T2021; Texas ($10.98), Louisiana ($9.92) and Indiana ($6.54 on T2020) are lowest.
- Prevocational services: national median $18.67 an hour across 35 states. Oregon pays $74.31, Minnesota $69.42 and Utah $60.68.
- Supported employment: national median $40.84 an hour across 47 states, from New York's $141.64 to Wyoming's $12.36 on T2019.
Ohio's day habilitation and prevocational rates are close to one another in fifteen-minute terms. Providers converting them to hourly figures for budgeting should account for group sizes, since day services in most states are delivered to several people at once.
Labor costs for Ohio IDD providers
Federal occupational wage data for May 2025 puts Ohio below the national median on every IDD role:
- Direct support professional: $18.46 an hour, versus $22.08 nationally (based on the closest comparable occupation)
- Residential advisor: $18.55, versus $20.31
- Home health and personal care aide: $16.57, versus $17.21
- Licensed practical nurse: $29.78, versus $30.96
The direct support wage gap is the largest. Ohio's lower wage base means rates that look modest by national standards go further on payroll here. It also means Ohio providers recruit in a market where direct support wages have not reached national levels.
DODD rule changes in 2026
Ohio changes its IDD rates and service rules through rules filed in the Register of Ohio. Recent DODD filings:
- Rule 5123-9-17, final-filed July 6, 2026, effective July 16, 2026. Adult day support under the Individual Options, Level One and Self-Empowered Life Funding waivers. It was first proposed on June 3, 2026.
- Rules 5123-9-14, 5123-9-19, 5123-9-23, 5123-9-35, 5123-9-40, 5123-9-44 and 5123-9-45, final-filed June 15, 2026, effective July 1, 2026. A package of home and community-based services waiver rules.
- Rule 5123-7-28, final-filed June 15, 2026, effective July 1, 2026. The intensive behavioral support rate add-on for intermediate care facilities for individuals with intellectual disabilities.
- Rule 5123-9-19, proposed May 14, 2026. General requirements for adult day support, career planning, group employment support, individual employment support, non-medical transportation and vocational habilitation.
- Rules 5123-9-19 and 5123-9-40, proposed April 27, 2026.
The July 1, 2026 effective date of the SVT prevocational rate lines up with this rule package. For providers, the practical point is that Ohio's day and employment services were revised as a group in mid-2026, while behavior support still carries its December 2024 rate.
Managed care and Ohio IDD services
In Ohio, both intellectual and developmental disability services and home and community-based services are paid directly by the state, outside managed care. Ohio's managed care program includes 21 plans, among them Buckeye Health Plan, CareSource and AmeriHealth Caritas Ohio, but DODD waiver services are billed under the state's published rates, not plan contracts. The Ohio managed care page shows the rule for every service line.
Ohio's codes SLC and SPI carry no prior authorization rules in the state's coverage listing.
The Ohio Medicaid rates hub covers the full fee schedule, and IDD Medicaid rates by state compares every IDD service nationally. Rates are compiled from official state Medicaid publications with links to their source documents; our methodology explains how unit rates are compared.
Updated 2026-10-05