Additional residential staffing: Medicaid rates by state
9 states publish a Medicaid rate for additional residential staffing, compared at the self directed level. Per hour, rates range from — in Washington to $56.08 in Maryland.
- States
- 9
- Median per hour
- $28.89
- Highest
- $56.08Maryland
- Lowest
- —Washington
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | MarylandAny qualified provider (rate does not vary by provider) | $14.02 | 15 min | $56.08 | 2025-10-06 | Official source |
| 2 | GeorgiaAny qualified provider (rate does not vary by provider) | $8.00 | 15 min | $32.00 | 2025-04-01 | Official source |
| 3 | CaliforniaAny qualified provider (rate does not vary by provider) | $28.89 | hour | $28.89 | 2026-01-01 | Official source |
| 4 | IllinoisSelf-directed worker (hired by the person or family) | $27.67 | hour | $27.67 | 2026-01-01 | Official source |
| 5 | PennsylvaniaAny qualified provider (rate does not vary by provider) | $19.79 | hour | $19.79 | 2016-12-01 | Official source |
| 6 | ConnecticutAny qualified provider (rate does not vary by provider) | $119,884.00 | — | — | 2026-07-01 | Official source |
| 7 | AlaskaAny qualified provider (rate does not vary by provider) | $339.63 | Per 8 Hours | — | 2026-07-01 | Official source |
| 8 | New MexicoAny qualified provider (rate does not vary by provider) | $65.22 | day | — | 2026-07-01 | Official source |
| 9 | WashingtonAny qualified provider (rate does not vary by provider) | $43.81 | — | — | 2025-07-01 | Official source |
Frequently asked questions
Which state pays the most for additional residential staffing?
Maryland: $14.02 per 15 min ($56.08 per hour).
What is the average Medicaid rate for additional residential staffing?
Across 9 states the median is $28.89 per hour, comparing the same provider level in each state.
Other IDD services services
Supported employment (job coaching)48 statesIn-home and community living supports (IDD)40 statesPrevocational services35 statesBehavior support services (disability waiver)34 statesShared living / host home / family model28 statesCommunity integration / community access (IDD)27 statesICF/IID stay (daily rate)26 statesEmployment exploration24 statesSupported employment follow-along22 states
Additional residential staffing in your statesRates, plan rules, labor costs and changes, with alerts.