California Medicaid IDD / waiver rates
California Medicaid pays $24.28 per hour for in-home and community living supports (idd) delivered by a agency provider, effective July 1, 2026, the 19th highest of 29 states with comparable rates. Below: 6 more IDD / waiver rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- In-home and community living supports (IDD)
- $24.28per hour
- Rank among states
- 19 of 29-30.5% vs median
- Direct support professional median wage
- $24.56BLS May 2025
- California minimum wage
- $16.90$17.40 from January 1, 2027
California IDD / waiver rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open California's official fee schedule.
| Service | Provider level | Code | CA rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | 635 | $24.28 | hour | $24.28 | 19 of 29 | $34.92/hr | $12.40 | $85.96 | 29 |
| Community integration / community access (IDD) | Agency provider | 525 | $26.35 | hour | $26.35 | 13 of 22 | $26.70/hr | $14.60 | $140.64 | 22 |
| Day habilitation / day program (IDD) | Agency provider | 091 | $50.77 | hour | $50.77 | 4 of 32 | $23.14/hr | $6.54 | $100.00 | 32 |
| Prevocational services | Agency provider | 954 | $7.23 | hour | $7.23 | 27 of 29 | $18.96/hr | $3.95 | $230.81 | 29 |
| Residential habilitation / group home supports | Agency provider | 915 | $9,210.94 | month | — | — | $273.72/day | $20.00 | $999.00 | 32 |
| Supported employment (job coaching) | Agency provider | 950 | $52.87 | hour | $52.87 | 10 of 39 | $40.84/hr | $12.36 | $141.64 | 39 |
| Behavior support services (disability waiver) | Agency provider | Not published | $78.07/hr | $24.64 | $173.04 | 23 | ||||
| ICF/IID stay (daily rate) | All levels | 65 | $430.91 | — | — | 8 of 12 | $464.88 | $174.35 | $1,021.84 | 12 |
In-home and community living supports (IDD): where California ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | South Carolina | $21.49 | 15 min | $85.96 | 2025-11-01 |
| 2 | South Dakota | $17.32 | 15 min | $69.28 | 2026-06-01 |
| 3 | Massachusetts | $17.01 | 15 min | $68.04 | 2026-07-01 |
| 4 | Alaska | $15.46 | 15 min | $61.84 | 2026-07-01 |
| 5 | Maryland | $15.33 | 15 min | $61.32 | 2024-07-01 |
| 6 | Delaware | $60.49 | hour | $60.49 | 2024-07-01 |
| 7 | Colorado | $12.82 | 15 min | $51.28 | 2026-07-01 |
| 8 | Iowa | $11.59 | 15 min | $46.36 | 2025-08-01 |
| 9 | Maine | $11.26 | 15 min | $45.04 | 2026-01-01 |
| 10 | North Dakota | $10.43 | 15 min | $41.72 | 2026-07-01 |
| 11 | New Jersey | $9.85 | 15 min | $39.40 | 2026-01-01 |
| 12 | Oregon | $39.08 | hour | $39.08 | 2026-07-01 |
| 13 | Indiana | $9.45 | 15 min | $37.80 | 2023-07-01 |
| 14 | Florida | $8.99 | 15 min | $35.96 | 2026-07-01 |
| 15 | New Mexico | $8.73 | 15 min | $34.92 | 2026-07-01 |
| 16 | Wyoming | $8.34 | 15 min | $33.36 | 2024-04-01 |
| 17 | Kentucky | $8.31 | 15 min | $33.24 | 2025-01-01 |
| 18 | Oklahoma | $6.58 | 15 min | $26.32 | 2024-10-01 |
| 19 | California | $24.28 | hour | $24.28 | 2026-07-01 |
| 20 | Tennessee | $5.79 | 15 min | $23.16 | 2025-07-01 |
| 21 | Georgia | $5.49 | 15 min | $21.96 | 2025-04-01 |
| 22 | Kansas | $5.34 | 15 min | $21.36 | 2026-07-01 |
| 23 | Mississippi | $5.04 | 15 min | $20.16 | 2026-01-01 |
| 24 | Nebraska | $20.07 | hour | $20.07 | 2026-07-01 |
| 25 | Arizona | $4.73 | 15 min | $18.92 | 2024-01-01 |
| 26 | Texas | $18.47 | hour | $18.47 | 2025-09-01 |
| 27 | Idaho | $3.86 | 15 min | $15.44 | 2026-06-01 |
| 28 | West Virginia | $3.38 | 15 min | $13.52 | 2025-10-01 |
| 29 | Louisiana | $3.10 | 15 min | $12.40 | 2026-10-01 |
What it costs to deliver in California
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | CA median | US median | vs US |
|---|---|---|---|
| Direct support professional * | $24.56 | $22.08 | +11.2% |
| Residential advisor | $22.43 | $20.31 | +10.4% |
| Home health / personal care aide | $16.50 | $17.21 | -4.1% |
| Licensed practical nurse | $38.34 | $30.96 | +23.8% |
* BLS publishes no occupation for this role; the closest published occupation is shown.
Recent California IDD / waiver rate changes
The workspace adds every modifier, region and provider variant, full rate history, proposed changes, coverage and prior-authorization rules, managed-care plans and a unit-economics calculator. All of it is available through the API.
Rates are taken from California's official Medicaid publications, and each one links to its source. Confirm with the payer before billing. Managed-care plans may pay differently from fee-for-service.