Delaware Medicaid IDD / waiver rates
Delaware Medicaid pays $60.49 per hour for in-home and community living supports (idd) delivered by a agency provider, effective July 1, 2024, the 6th highest of 28 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)
- $60.49per hour
- Rank among states
- 6 of 28+77.2% vs median
- Direct support professional median wage
- $19.57BLS May 2025
- Delaware minimum wage
- $15.00
Delaware IDD / waiver rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Delaware's official fee schedule.
| Service | Provider level | Code | DE rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | T2013 | $60.49 | hour | $60.49 | 6 of 28 | $34.14/hr | $12.40 | $85.96 | 28 |
| Community integration / community access (IDD) | Agency provider | $9.81 | 15 min | $39.24 | 4 of 21 | $26.40/hr | $14.60 | $140.64 | 21 | |
| Day habilitation / day program (IDD) | Agency provider | $11.40 | 15 min | $45.60 | 7 of 31 | $22.71/hr | $6.54 | $100.00 | 31 | |
| Prevocational services | Agency provider | $11.40 | 15 min | $45.60 | 6 of 28 | $19.82/hr | $5.66 | $230.81 | 28 | |
| Residential habilitation / group home supports | Agency provider | $41.83 | hour | — | — | $267.17/day | $20.00 | $999.00 | 31 | |
| Supported employment (job coaching) | Agency provider | $4.52 | 15 min | $18.08 | 33 of 37 | $40.84/hr | $12.36 | $141.64 | 37 | |
| Behavior support services (disability waiver) | Agency provider | $21.84 | 15 min | $87.36 | 9 of 23 | $78.07/hr | $24.64 | $173.04 | 23 | |
| ICF/IID stay (daily rate) | All levels | Not published | $509.43/day | $195.43 | $951.10 | 11 | ||||
In-home and community living supports (IDD): where Delaware 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 | New Jersey | $9.85 | 15 min | $39.40 | 2026-01-01 |
| 11 | Oregon | $39.08 | hour | $39.08 | 2026-07-01 |
| 12 | Indiana | $9.45 | 15 min | $37.80 | 2023-07-01 |
| 13 | Florida | $8.99 | 15 min | $35.96 | 2026-07-01 |
| 14 | New Mexico | $8.73 | 15 min | $34.92 | 2026-07-01 |
| 15 | Wyoming | $8.34 | 15 min | $33.36 | 2024-04-01 |
| 16 | Kentucky | $8.31 | 15 min | $33.24 | 2025-01-01 |
| 17 | Oklahoma | $6.58 | 15 min | $26.32 | 2024-10-01 |
| 18 | California | $24.28 | hour | $24.28 | 2026-07-01 |
| 19 | Tennessee | $5.79 | 15 min | $23.16 | 2025-07-01 |
| 20 | Georgia | $5.49 | 15 min | $21.96 | 2025-04-01 |
| 21 | Kansas | $5.34 | 15 min | $21.36 | 2026-07-01 |
| 22 | Mississippi | $5.04 | 15 min | $20.16 | 2026-01-01 |
| 23 | Nebraska | $20.07 | hour | $20.07 | 2026-07-01 |
| 24 | Arizona | $4.73 | 15 min | $18.92 | 2024-01-01 |
| 25 | Texas | $18.47 | hour | $18.47 | 2025-09-01 |
| 26 | Idaho | $3.86 | 15 min | $15.44 | 2026-06-01 |
| 27 | West Virginia | $3.38 | 15 min | $13.52 | 2025-10-01 |
| 28 | Louisiana | $3.10 | 15 min | $12.40 | 2026-10-01 |
What it costs to deliver in Delaware
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | DE median | US median | vs US |
|---|---|---|---|
| Direct support professional * | $19.57 | $22.08 | -11.4% |
| Residential advisor | $16.60 | $20.31 | -18.3% |
| Home health / personal care aide | $16.50 | $17.21 | -4.1% |
| Licensed practical nurse | $33.03 | $30.96 | +6.7% |
* BLS publishes no occupation for this role; the closest published occupation is shown.
Recent Delaware IDD / waiver rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| DDDS TCM SFY2026 monthly rates (effective 7/1/2025) | effective | +2.6% | 2025-07-01 |
| DDDS Lifespan Waiver rates leveled up to the $15/hr State minimum wage (effective 1/1/2025) | effective | +6.3% | 2025-01-01 |
| Pathways to Employment 1915(i) SPA DE 24-0013 (approved 12/20/2024, effective 1/1/2025) | approved_cms | — | 2025-01-01 |
| DDDS Lifespan Waiver SFY2025 provider rates (effective 7/1/2024) | effective | +7.6% | 2024-07-01 |
| DDDS TCM SFY2025 monthly rates (effective 7/1/2024) | effective | +2.9% | 2024-07-01 |
| Pathways to Employment SFY2025 provider rates (effective 7/1/2024) | effective | +43.4% | 2024-07-01 |
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 Delaware'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.