Self-direction coaching / supports broker: Medicaid rates by state

17 states publish a Medicaid rate for self-direction coaching / supports broker, compared at the self directed level. The median is $42.16 per hour; per hour, rates range from $0.04 in Rhode Island to $72.56 in Vermont.

States: 17
Median per hour: $42.16
Highest: $72.56Vermont
Lowest: $0.04Rhode Island
Rates on file: 626

Self-direction coaching / supports broker: highest and lowest states

Headline rate per state for the same provider level, converted to an hour.

#	State	Rate	Unit	Per hour	Effective
1	VermontSelf-directed worker (hired by the person or family)	$18.14	15 min	$72.56	2025-10-01
2	MaineSelf-directed worker (hired by the person or family)	$17.95	15 min	$71.80	2026-01-01
3	UtahSelf-directed worker (hired by the person or family)	$15.76	15 min	$63.04	2013-07-01
···
9	MissouriAgency provider	$10.54	15 min	$42.16	2022-07-01
···
17	Rhode IslandSelf-directed worker (hired by the person or family)	$0.01	15 min	$0.04	2011-07-01

See all 17 states for self-direction coaching / supports broker — start free

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Frequently asked questions

Which state pays the most for self-direction coaching / supports broker?

Vermont: $18.14 per 15 min ($72.56 per hour).

What is the average Medicaid rate for self-direction coaching / supports broker?

Across 17 states the median is $42.16 per hour, comparing the same provider level in each state.

Other Other home & community services services

Case management / support coordination51 states Respite care (hourly)50 states Adult day services43 states Respite care (daily)41 states Home-delivered meals39 states Nursing assessment37 states Emergency response system monitoring36 states Assisted living / alternative living services33 states Emergency response system installation32 states Respite in a facility (daily)27 states Service planning meeting26 states HCBS waiver service (other)24 states

Top states for this service

Vermont Medicaid fee scheduleMaine Medicaid fee scheduleUtah Medicaid fee schedule