In-home and community living supports (IDD): Medicaid rates by state
14 states publish a Medicaid rate for in-home and community living supports (idd), compared at the self directed level. Per hour, rates range from — in Pennsylvania to $68.04 in Massachusetts.
- States
- 14
- Median per hour
- $36.64
- Highest
- $68.04Massachusetts
- Lowest
- —Pennsylvania
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | MassachusettsAny qualified provider (rate does not vary by provider) | $17.01 | 15 min | $68.04 | 2026-07-01 | Official source |
| 2 | MarylandAny qualified provider (rate does not vary by provider) | $15.33 | 15 min | $61.32 | 2024-07-01 | Official source |
| 3 | ColoradoAny qualified provider (rate does not vary by provider) | $12.82 | 15 min | $51.28 | 2026-07-01 | Official source |
| 4 | New JerseyAny qualified provider (rate does not vary by provider) | $9.85 | 15 min | $39.40 | 2026-01-01 | Official source |
| 5 | IndianaAny qualified provider (rate does not vary by provider) | $9.45 | 15 min | $37.80 | 2023-07-01 | Official source |
| 6 | MinnesotaAny qualified provider (rate does not vary by provider) | $9.16 | 15 min | $36.64 | 2026-01-01 | Official source |
| 7 | FloridaAny qualified provider (rate does not vary by provider) | $6.71 | 15 min | $26.84 | 2026-07-01 | Official source |
| 8 | GeorgiaSelf-directed worker (hired by the person or family) | $5.10 | 15 min | $20.40 | 2025-04-01 | Official source |
| 9 | TexasSelf-directed worker (hired by the person or family) | $18.27 | hour | $18.27 | 2025-09-01 | Official source |
| 10 | NebraskaAgency provider | $14.59 | hour | $14.59 | 2026-07-01 | Official source |
| 11 | CaliforniaSelf-directed worker (hired by the person or family) | $14.13 | hour | $14.13 | 2026-01-01 | Official source |
| 12 | VirginiaAny qualified provider (rate does not vary by provider) | $2,454.04 | month | — | 2026-07-01 | Official source |
| 13 | IllinoisAny qualified provider (rate does not vary by provider) | $30.73 | Client Hour | — | 2026-01-01 | Official source |
| 14 | PennsylvaniaAny qualified provider (rate does not vary by provider) | $12.29 | 15-minute unit | — | 2024-10-01 | Official source |
Frequently asked questions
Which state pays the most for in-home and community living supports (idd)?
Massachusetts: $17.01 per 15 min ($68.04 per hour).
What is the average Medicaid rate for in-home and community living supports (idd)?
Across 14 states the median is $36.64 per hour, comparing the same provider level in each state.
Other IDD services services
Supported employment (job coaching)20 statesPrevocational services15 statesCommunity integration / community access (IDD)14 statesBehavior support services (disability waiver)13 statesEmployment exploration12 statesShared living / host home / family model11 statesSupported employment follow-along9 statesICF/IID stay (daily rate)8 statesAdditional residential staffing7 states
In-home and community living supports (IDD) in your statesRates, plan rules, labor costs and changes, with alerts.