Oklahoma Medicaid IDD / waiver rates
Oklahoma Medicaid pays $6.58 per 15 min ($26.32 an hour) for in-home and community living supports (idd) delivered by a agency provider, effective October 1, 2024, the 13th highest of 24 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)
- $6.58per 15 min · $26.32/hr
- Rank among states
- 13 of 24-11.6% vs median
- Direct support professional median wage
- $17.66BLS May 2025
- Oklahoma minimum wage
- $7.25
Oklahoma IDD / waiver rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Oklahoma's official fee schedule.
| Service | Provider level | Code | OK rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | T2017 | $6.58 | 15 min | $26.32 | 13 of 24 | $29.78/hr | $12.40 | $85.96 | 24 |
| Community integration / community access (IDD) | Agency provider | Not published | $26.40/hr | $14.60 | $140.64 | 17 | ||||
| Day habilitation / day program (IDD) | Agency provider | $33.31 | day | — | — | $22.64/hr | $6.54 | $100.00 | 25 | |
| Prevocational services | Agency provider | T2015 | $18.02 | hour | $18.02 | 13 of 22 | $18.62/hr | $5.66 | $74.31 | 22 |
| Residential habilitation / group home supports | Agency provider | $88.66 | day | — | 23 of 24 | $273.72/day | $20.00 | $999.00 | 24 | |
| Supported employment (job coaching) | Agency provider | T2019 | $8.64 | 15 min | $34.56 | 18 of 29 | $40.84/hr | $12.80 | $141.64 | 29 |
| Behavior support services (disability waiver) | Agency provider | Not published | $74.24/hr | $24.64 | $173.04 | 19 | ||||
| ICF/IID stay (daily rate) | All levels | $174.35 | — | — | — | $464.80/day | $195.43 | $790.37 | 9 | |
In-home and community living supports (IDD): where Oklahoma 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 | Massachusetts | $17.01 | 15 min | $68.04 | 2026-07-01 |
| 3 | Maryland | $15.33 | 15 min | $61.32 | 2024-07-01 |
| 4 | Colorado | $12.82 | 15 min | $51.28 | 2026-07-01 |
| 5 | Iowa | $11.59 | 15 min | $46.36 | 2025-08-01 |
| 6 | Maine | $11.26 | 15 min | $45.04 | 2026-01-01 |
| 7 | New Jersey | $9.85 | 15 min | $39.40 | 2026-01-01 |
| 8 | Oregon | $39.08 | hour | $39.08 | 2026-07-01 |
| 9 | Indiana | $9.45 | 15 min | $37.80 | 2023-07-01 |
| 10 | Florida | $8.99 | 15 min | $35.96 | 2026-07-01 |
| 11 | New Mexico | $8.73 | 15 min | $34.92 | 2026-07-01 |
| 12 | Kentucky | $8.31 | 15 min | $33.24 | 2025-01-01 |
| 13 | Oklahoma | $6.58 | 15 min | $26.32 | 2024-10-01 |
| 14 | California | $24.28 | hour | $24.28 | 2026-07-01 |
| 15 | Tennessee | $5.79 | 15 min | $23.16 | 2025-07-01 |
| 16 | Georgia | $5.49 | 15 min | $21.96 | 2025-04-01 |
| 17 | Kansas | $5.34 | 15 min | $21.36 | 2026-07-01 |
| 18 | Mississippi | $5.04 | 15 min | $20.16 | 2026-01-01 |
| 19 | Nebraska | $20.07 | hour | $20.07 | 2026-07-01 |
| 20 | Arizona | $4.73 | 15 min | $18.92 | 2024-01-01 |
| 21 | Texas | $18.47 | hour | $18.47 | 2025-09-01 |
| 22 | Idaho | $3.86 | 15 min | $15.44 | 2026-06-01 |
| 23 | West Virginia | $3.38 | 15 min | $13.52 | 2025-10-01 |
| 24 | Louisiana | $3.10 | 15 min | $12.40 | 2026-10-01 |
What it costs to deliver in Oklahoma
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | OK median | US median | vs US |
|---|---|---|---|
| Direct support professional * | $17.66 | $22.08 | -20.0% |
| Residential advisor | $17.02 | $20.31 | -16.2% |
| Home health / personal care aide | $13.32 | $17.21 | -22.6% |
| Licensed practical nurse | $28.04 | $30.96 | -9.4% |
* BLS publishes no occupation for this role; the closest published occupation is shown.
Recent Oklahoma IDD / waiver rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| OHCA public notice: Public Notice 12.15.25 | proposed | — | — |
| OHCA public notice: OK SPA 25-0003 - OK SPA 25-0003 ABP Updates Public Notice | proposed | — | 2025-03-01 |
| DDS Administrative Letter 24-02: Rate Increases Go Into Effect for DDS Providers (Sept. 27, 2024) | effective | +10.0% | 2024-10-01 |
| DDS Administrative Letter 25-02: Retroactive Rate Increase for Community Living Group Homes (Feb. 24, 2025) | effective | +10.0% | 2024-10-01 |
| SPARC 2024-09-05: Developmental Disabilities Services Increases | hearing | +10.0% | 2024-10-01 |
| SPARC 2025-01-06: Developmental Disabilities Services Increases | hearing | +10.0% | 2024-10-01 |
| OHCA public notice: 12.15 PUBLIC HEARING AGENDA | proposed | — | 2023-10-01 |
| OHCA public notice: 1.6.25 Public Hearing Agenda | proposed | — | — |
| OHCA public notice: 1115 IMD Public Notice Full 5.27.25 | proposed | — | — |
| OHCA public notice: HCBS ADvantage Public Notice | proposed | — | — |
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 Oklahoma'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.