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Pennsylvania Medicaid IDD / waiver rates

Pennsylvania Medicaid pays $12.29 per 15-minute unit for in-home and community living supports (idd) delivered by a agency provider, effective October 1, 2024. Below: 6 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)
$12.29per 15-minute unit
Rank among states
—
Direct support professional median wage
$21.18BLS May 2025
Pennsylvania minimum wage
$7.25

Pennsylvania IDD / waiver rates vs other states

Fee-for-service, like-for-like by provider level. Click a rate to open Pennsylvania's official fee schedule.

ServiceProvider levelCodePA rateUnitPer hourRankMedian across statesLowestHighestStates
In-home and community living supports (IDD)Agency providerW7061$12.2915-minute unit——$29.78/hr$12.40$85.9624
Community integration / community access (IDD)Agency providerW7201$12.4615-minute unit——$26.40/hr$14.60$140.6417
Day habilitation / day program (IDD)Agency providerW0105$19.62hour$19.6215 of 25$22.64/hr$6.54$100.0025
Prevocational servicesAgency providerW1741$6.5015 min$26.006 of 22$18.62/hr$5.66$74.3122
Residential habilitation / group home supportsAgency providerW9047$439.74day—6 of 24$273.72/day$20.00$999.0024
Supported employment (job coaching)Agency providerW1733$10.2115 min$40.8415 of 29$40.84/hr$12.80$141.6429
Behavior support services (disability waiver)Agency providerW7095$23.8515-minute unit——$74.24/hr$24.64$173.0419
ICF/IID stay (daily rate)All levelsNot published$464.80/day$195.43$790.379

In-home and community living supports (IDD): where Pennsylvania ranks

States whose published unit can't be converted are left out of the ranking.

#StateRateUnitPer hourEffective
1South Carolina$21.4915 min$85.962025-11-01
2Massachusetts$17.0115 min$68.042026-07-01
3Maryland$15.3315 min$61.322024-07-01
4Colorado$12.8215 min$51.282026-07-01
5Iowa$11.5915 min$46.362025-08-01
6Maine$11.2615 min$45.042026-01-01
7New Jersey$9.8515 min$39.402026-01-01
8Oregon$39.08hour$39.082026-07-01
9Indiana$9.4515 min$37.802023-07-01
10Florida$8.9915 min$35.962026-07-01
11New Mexico$8.7315 min$34.922026-07-01
12Kentucky$8.3115 min$33.242025-01-01
13Oklahoma$6.5815 min$26.322024-10-01
14California$24.28hour$24.282026-07-01
15Tennessee$5.7915 min$23.162025-07-01
16Georgia$5.4915 min$21.962025-04-01
17Kansas$5.3415 min$21.362026-07-01
18Mississippi$5.0415 min$20.162026-01-01
19Nebraska$20.07hour$20.072026-07-01
20Arizona$4.7315 min$18.922024-01-01
21Texas$18.47hour$18.472025-09-01
22Idaho$3.8615 min$15.442026-06-01
23West Virginia$3.3815 min$13.522025-10-01
24Louisiana$3.1015 min$12.402026-10-01

What it costs to deliver in Pennsylvania

Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).

RolePA medianUS medianvs US
Direct support professional *$21.18$22.08-4.1%
Residential advisor$19.24$20.31-5.3%
Home health / personal care aide$14.14$17.21-17.8%
Licensed practical nurse$30.74$30.96-0.7%

* BLS publishes no occupation for this role; the closest published occupation is shown.

Recent Pennsylvania IDD / waiver rate changes

ChangeStatusChangeEffective
56 Pa.B. 1361: Fee schedule rates for supports coordination services funded through the Office of Developmental Programs' consolidated, community living, and person/family directed support waivers and targeted support managementeffective—2027-01-01
Delay in Implementing Fee Schedule Rates for Supports Coordination Services and Targeted Support Managementeffective—2027-01-01
Availability of Documents Required to Implement Selective Contracting for Supports Coordination and Targeted Support Management Services and Availability of Additional Proposed Amendments to the Intellectual Disability/Autism Waivers, as Well as Notice of Payment Changes for Supports Coordination and Targeted Support Management Servicesproposed—2026-07-01
Availability of Renewal of the Office of Developmental Programs’ Adult Autism Waivereffective—2026-07-01
Fee Schedule Rates for Supports Coordination Services Funded Through the Office of Developmental Programs’ Consolidated, Community Living, and Person/Family Directed Support Waivers and Targeted Support Managementproposed—2026-07-01
56 Pa.B. 3581: Delay in implementing fee schedule rates for supports coordination services and targeted support managementenacted——
Availability of Application for a Waiver for Selective Contracting for Residential Services and Availability of Amendments to the Consolidated, Community Living, Person/Family Directed Support and Adult Autism Waivers Required for Selective Contracting of Residential Services, as Well as Additional Proposed Changes to the Waiversproposed—2025-01-01
54 Pa.B. 2179: Availability of the proposed rate setting methodology, fee schedule rates and Department-established fees for services funded through the Office of Developmental Programs' adult autism waiver and availability of a proposed amendment to the adult autism waiverproposed—2024-07-01
54 Pa.B. 2182: Availability of the proposed rate setting methodology, fee schedule rates and Department-established fees for services funded through the Office of Developmental Programs' consolidated, community living and person/family directed support waivers and the community intellectual disability base-funded program and availability of proposed amendments to the community living and person/family directed support waiversproposed—2024-07-01
54 Pa.B. 5541: Fee schedule rates and Department-established fees for services funded through the Office of Developmental Programs' consolidated, community living, person/family directed support and adult autism waivers, targeted support management and the Community Intellectual Disability Base-Funded Programeffective+6.0%2024-07-01
Every variant, every version, every state

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.

Open in workspaceAPI reference

Rates are taken from Pennsylvania'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.

Medicaid rates by state