Florida Medicaid IDD / waiver rates
Florida Medicaid pays $8.99 per 15 min ($35.96 an hour) for in-home and community living supports (idd) delivered by a agency provider, effective July 1, 2026, the 10th highest of 24 states with comparable rates. Below: 7 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)
- $8.99per 15 min · $35.96/hr
- Rank among states
- 10 of 24+20.8% vs median
- Direct support professional median wage
- $21.35BLS May 2025
- Florida minimum wage
- $15.00
Florida IDD / waiver rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Florida's official fee schedule.
| Service | Provider level | Code | FL rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | 97535 | $8.99 | 15 min | $35.96 | 10 of 24 | $29.78/hr | $12.40 | $85.96 | 24 |
| Community integration / community access (IDD) | Agency provider | S5135 | $4.44 | 15 min | $17.76 | 14 of 17 | $26.40/hr | $14.60 | $140.64 | 17 |
| Day habilitation / day program (IDD) | Agency provider | S5102 | $22.71 | hour | $22.71 | 12 of 25 | $22.64/hr | $6.54 | $100.00 | 25 |
| Prevocational services | Agency provider | T2015 | $22.71 | hour | $22.71 | 8 of 22 | $18.62/hr | $5.66 | $74.31 | 22 |
| Residential habilitation / group home supports | Agency provider | H0043 | $332.76 | day | — | 11 of 24 | $273.72/day | $20.00 | $999.00 | 24 |
| Supported employment (job coaching) | Agency provider | T2021 | $10.72 | 15 min | $42.88 | 13 of 29 | $40.84/hr | $12.80 | $141.64 | 29 |
| Behavior support services (disability waiver) | Agency provider | H2020 | $431.84 | unit | — | — | $74.24/hr | $24.64 | $173.04 | 19 |
| ICF/IID stay (daily rate) | All levels | $790.37 | day | — | 1 of 9 | $464.80/day | $195.43 | $790.37 | 9 |
In-home and community living supports (IDD): where Florida 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 | Massachusetts | $17.01 | 15 min | $68.04 | 2026-07-01 |
| 3 | Maryland | $15.33 | 15 min | $61.32 | 2024-07-01 |
| 4 | Colorado | $12.82 | 15 min | $51.28 | 2026-07-01 |
| 5 | Iowa | $11.59 | 15 min | $46.36 | 2025-08-01 |
| 6 | Maine | $11.26 | 15 min | $45.04 | 2026-01-01 |
| 7 | New Jersey | $9.85 | 15 min | $39.40 | 2026-01-01 |
| 8 | Oregon | $39.08 | hour | $39.08 | 2026-07-01 |
| 9 | Indiana | $9.45 | 15 min | $37.80 | 2023-07-01 |
| 10 | Florida | $8.99 | 15 min | $35.96 | 2026-07-01 |
| 11 | New Mexico | $8.73 | 15 min | $34.92 | 2026-07-01 |
| 12 | Kentucky | $8.31 | 15 min | $33.24 | 2025-01-01 |
| 13 | Oklahoma | $6.58 | 15 min | $26.32 | 2024-10-01 |
| 14 | California | $24.28 | hour | $24.28 | 2026-07-01 |
| 15 | Tennessee | $5.79 | 15 min | $23.16 | 2025-07-01 |
| 16 | Georgia | $5.49 | 15 min | $21.96 | 2025-04-01 |
| 17 | Kansas | $5.34 | 15 min | $21.36 | 2026-07-01 |
| 18 | Mississippi | $5.04 | 15 min | $20.16 | 2026-01-01 |
| 19 | Nebraska | $20.07 | hour | $20.07 | 2026-07-01 |
| 20 | Arizona | $4.73 | 15 min | $18.92 | 2024-01-01 |
| 21 | Texas | $18.47 | hour | $18.47 | 2025-09-01 |
| 22 | Idaho | $3.86 | 15 min | $15.44 | 2026-06-01 |
| 23 | West Virginia | $3.38 | 15 min | $13.52 | 2025-10-01 |
| 24 | Louisiana | $3.10 | 15 min | $12.40 | 2026-10-01 |
What it costs to deliver in Florida
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | FL median | US median | vs US |
|---|---|---|---|
| Direct support professional * | $21.35 | $22.08 | -3.3% |
| Residential advisor | $19.55 | $20.31 | -3.7% |
| Home health / personal care aide | $16.25 | $17.21 | -5.6% |
| Licensed practical nurse | $29.70 | $30.96 | -4.1% |
* BLS publishes no occupation for this role; the closest published occupation is shown.
Recent Florida IDD / waiver rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| Rule 59G-13.081 Notice of Rule Development (FAR notice 31315303) | proposed | +1.0% | — |
| APD iBudget Waiver Rate Changes Effective 7/1/2026 | effective | — | 2026-07-01 |
| Rule 59G-13.081 rule adopted, effective 2026-03-12 (FAR notice 30556666) | enacted | 0.0% | 2026-03-12 |
| Rule 59G-13.081 Notice of Proposed Rule (FAR notice 30426201) | proposed | — | — |
| Rule 59G-13.081 Notice of Rule Development (FAR notice 30111145) | proposed | — | — |
| Rule 59G-13.081 rule adopted, effective 2025-10-12 (FAR notice 30025397) | enacted | +11.0% | 2025-10-12 |
| Rule 59G-13.081 Notice of Proposed Rule (FAR notice 29837605) | proposed | — | — |
| Rule 59G-13.081 Notice of Rule Development (FAR notice 29558148) | proposed | — | — |
| Rule 59G-13.081 rule adopted, effective 2025-04-30 (FAR notice 29464252) | enacted | — | 2025-04-30 |
| Rule 59G-13.081 Notice of Correction (FAR notice 29452806) | proposed | — | — |
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 Florida'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.