Shared living / host home / family model: Medicaid rates by state
24 states publish a Medicaid rate for shared living / host home / family model, compared at the agency level. Rates range from $66.12 in Louisiana to $5,176.75 in Maryland.
- States
- 24
- Median
- —
- Highest
- $5,176.75Maryland
- Lowest
- $66.12Louisiana
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | MarylandAny qualified provider (rate does not vary by provider) | $5,176.75 | month | — | 2024-07-01 | Official source |
| 2 | MontanaAny qualified provider (rate does not vary by provider) | $3,900.15 | month | — | 2025-07-01 | Official source |
| 3 | ConnecticutAny qualified provider (rate does not vary by provider) | $3,471.00 | — | — | 2023-01-01 | Official source |
| 4 | KentuckySelf-directed worker (hired by the person or family) | $726.00 | month | — | 2025-01-01 | Official source |
| 5 | WyomingAgency provider | $295.82 | day | — | 2026-07-22 | Official source |
| 6 | NebraskaAgency provider | $287.71 | day | — | 2026-07-01 | Official source |
| 7 | VirginiaAny qualified provider (rate does not vary by provider) | $279.08 | 344 billing days Per Diem | — | 2026-07-01 | Official source |
| 8 | MassachusettsAny qualified provider (rate does not vary by provider) | $268.38 | — | — | 2026-07-01 | Official source |
| 9 | South DakotaAny qualified provider (rate does not vary by provider) | $228.58 | day | — | 2026-06-01 | Official source |
| 10 | DelawareAgency provider | $223.74 | day | — | 2024-07-01 | Official source |
| 11 | AlaskaAny qualified provider (rate does not vary by provider) | $217.84 | day | — | 2026-07-01 | Official source |
| 12 | OhioAgency provider | $216.09 | day | — | 2024-07-01 | Official source |
| 13 | PennsylvaniaAny qualified provider (rate does not vary by provider) | $208.88 | day unit | — | 2024-10-01 | Official source |
| 14 | WashingtonAgency provider | $206.26 | EA | — | 2022-01-01 | Official source |
| 15 | OregonAny qualified provider (rate does not vary by provider) | $193.55 | — | — | 2026-07-01 | Official source |
| 16 | New MexicoAny qualified provider (rate does not vary by provider) | $191.71 | day | — | 2026-07-01 | Official source |
| 17 | MaineAny qualified provider (rate does not vary by provider) | $187.09 | day | — | 2026-01-01 | Official source |
| 18 | OklahomaAgency provider | $179.47 | day | — | 2024-10-01 | Official source |
| 19 | NevadaAny qualified provider (rate does not vary by provider) | $162.95 | day | — | 2024-04-01 | Official source |
| 20 | MississippiAny qualified provider (rate does not vary by provider) | $152.85 | day | — | 2026-01-01 | Official source |
| 21 | North DakotaAny qualified provider (rate does not vary by provider) | $150.00 | day | — | 2026-06-01 | Official source |
| 22 | TexasAgency provider | $72.56 | day | — | 2024-09-01 | Official source |
| 23 | IdahoAny qualified provider (rate does not vary by provider) | $69.41 | day | — | 2026-07-01 | Official source |
| 24 | LouisianaAny qualified provider (rate does not vary by provider) | $66.12 | day | — | 2026-10-01 | Official source |
Frequently asked questions
Which state pays the most for shared living / host home / family model?
Maryland: $5,176.75 per month.
What is the average Medicaid rate for shared living / host home / family model?
Across 24 states the median is —, 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 statesCommunity integration / community access (IDD)27 statesICF/IID stay (daily rate)26 statesEmployment exploration24 statesSupported employment follow-along22 statesJob development and self-employment outcome payments14 states
Shared living / host home / family model in your statesRates, plan rules, labor costs and changes, with alerts.