HCBS waiver service (other): Medicaid rates by state
9 states publish a Medicaid rate for HCBS waiver service (other), compared at the agency level. The median is $48.28 per hour; per hour, rates range from $30.64 in Kentucky to $1,454.60 in Virginia.
- States
- 9
- Median per hour
- $48.28
- Highest
- $1,454.60Virginia
- Lowest
- $30.64Kentucky
- Rates on file
- 796
HCBS waiver service (other): highest and lowest states
Headline rate per state for the same provider level, converted to an hour.
How HCBS waiver service (other) is compared
States publish HCBS waiver service (other) under their own codes, modifiers and units. To compare them, this page picks the rate in each state that matches the same service and provider level.
- Provider level. States are compared at the agency provider level. Rates for other levels on file (any qualified provider, aide or attendant, case manager / support coordinator and physician or licensed psychologist) are kept separate, never mixed into this ranking.
- Unit. Of the 9 states, 7 publish their headline rate per 15 min and 2 per hour. The ranking converts every time-based rate to an hour of service, so states that bill by the 15 minutes and by the hour compare directly.
- Variants. 8 of the 9 states publish more than one rate for this service (by modifier, program, setting or provider type); the headline rate is the one that matches the comparison, and the workspace lists every variant.
- Depth. 796 rates for this service are on file across all states, versions and provider levels; this page shows one headline rate per state.
Why HCBS waiver service (other) rates differ between states
The highest-paying state, Virginia, pays $1,454.60 per hour; the lowest, Kentucky, pays $30.64 per hour, a 47.5x gap. 4 of the 9 states pay above the median of $48.28 per hour. Common reasons rates for other home & community services services spread this way:
- Case management may be paid as a monthly rate, a per-contact rate or in 15-minute units.
- Home and community-based services are often paid under waivers, and each waiver can set its own rate for the same service.
- Some services are paid per 15 minutes in one state and per day or per month in another.
Billing notes
Units range from 15 minutes to a day or a month, so a per-unit comparison only holds when the states use the same unit.
Frequently asked questions
Which state pays the most for HCBS waiver service (other)?
Virginia: $363.65 per 15 min ($1,454.60 per hour).
Which state pays the least for HCBS waiver service (other)?
Kentucky: $7.66 per 15 min ($30.64 per hour).
What is the average Medicaid rate for HCBS waiver service (other)?
Across 9 states the median is $48.28 per hour, comparing the same provider level in each state. 4 states pay above it.
How are the states compared?
One headline rate per state, matched on the service and the agency provider level and converted to an hour of service. Rates for other provider levels and add-ons are not mixed in.
What unit is HCBS waiver service (other) billed in?
Of the 9 states, 7 publish it per 15 min and 2 per hour.
Do managed-care plans pay these rates?
It depends on the state. Each state's managed-care page shows whether plans must pay at least the published rate, follow a state-set rate, or negotiate their own for this service line.