Supported employment follow-along: Medicaid rates by state
9 states publish a Medicaid rate for supported employment follow-along, compared at the agency level. Per hour, rates range from — in Louisiana to $111.60 in South Carolina.
- States
- 9
- Median per hour
- $55.17
- Highest
- $111.60South Carolina
- Lowest
- —Louisiana
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | South CarolinaAny qualified provider (rate does not vary by provider) | $27.90 | 15 min | $111.60 | 2025-11-01 | Official source |
| 2 | ColoradoAny qualified provider (rate does not vary by provider) | $14.82 | 15 min | $59.28 | 2026-09-01 | Official source |
| 3 | NebraskaAgency provider | $57.48 | hour | $57.48 | 2026-07-01 | Official source |
| 4 | IndianaAny qualified provider (rate does not vary by provider) | $52.85 | hour | $52.85 | 2023-07-01 | Official source |
| 5 | VirginiaAny qualified provider (rate does not vary by provider) | $48.87 | hour | $48.87 | 2026-07-01 | Official source |
| 6 | MissouriAny qualified provider (rate does not vary by provider) | $7.88 | 15 min | $31.52 | 2022-07-01 | Official source |
| 7 | MarylandAny qualified provider (rate does not vary by provider) | $727.55 | month | — | 2024-07-01 | Official source |
| 8 | OhioAny qualified provider (rate does not vary by provider) | $230.00 | — | — | 2024-07-01 | Official source |
| 9 | LouisianaAny qualified provider (rate does not vary by provider) | $70.00 | day | — | 2025-11-18 | Official source |
Frequently asked questions
Which state pays the most for supported employment follow-along?
South Carolina: $27.90 per 15 min ($111.60 per hour).
What is the average Medicaid rate for supported employment follow-along?
Across 9 states the median is $55.17 per hour, comparing the same provider level in each state.
Other IDD services services
Supported employment (job coaching)23 statesIn-home and community living supports (IDD)19 statesPrevocational services17 statesCommunity integration / community access (IDD)17 statesBehavior support services (disability waiver)16 statesShared living / host home / family model13 statesEmployment exploration13 statesICF/IID stay (daily rate)10 statesAdditional residential staffing7 states
Supported employment follow-along in your statesRates, plan rules, labor costs and changes, with alerts.