Hawaii Medicaid IDD / waiver rates
Hawaii Medicaid pays $6.13 per 15 min ($24.52 an hour) for community integration / community access (idd) delivered by a agency provider, effective July 1, 2025, the 14th highest of 22 states with comparable rates. Below: 1 more IDD / waiver rate compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Community integration / community access (IDD)
- $6.13per 15 min · $24.52/hr
- Rank among states
- 14 of 22-8.2% vs median
- Direct support professional median wage
- $20.39BLS May 2025
- Hawaii minimum wage
- $16.00
Hawaii IDD / waiver rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Hawaii's official fee schedule.
| Service | Provider level | Code | HI rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | Not published | $34.92/hr | $12.40 | $85.96 | 29 | ||||
| Community integration / community access (IDD) | Agency provider | T2021 | $6.13 | 15 min | $24.52 | 14 of 22 | $26.70/hr | $14.60 | $140.64 | 22 |
| Day habilitation / day program (IDD) | Agency provider | Not published | $23.14/hr | $6.54 | $100.00 | 32 | ||||
| Prevocational services | Agency provider | Not published | $18.96/hr | $3.95 | $230.81 | 29 | ||||
| Residential habilitation / group home supports | Agency provider | S5140 | $164.17 | day | — | 27 of 32 | $273.72/day | $20.00 | $999.00 | 32 |
| Supported employment (job coaching) | Agency provider | Not published | $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 | Not published | $464.88 | $174.35 | $1,021.84 | 12 | ||||
Community integration / community access (IDD): where Hawaii ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Virginia | $35.16 | 15 min | $140.64 | 2026-07-01 |
| 2 | Indiana | $26.14 | 15 min | $104.56 | 2020-04-01 |
| 3 | Maryland | $17.11 | 15 min | $68.44 | 2024-07-01 |
| 4 | District of Columbia | $12.91 | 15 min | $51.64 | 2026-01-01 |
| 5 | Delaware | $9.81 | 15 min | $39.24 | 2024-07-01 |
| 6 | New York | $9.66 | 15 min | $38.64 | 2026-04-01 |
| 7 | New Jersey | $8.50 | 15 min | $34.00 | 2026-01-01 |
| 8 | Maine | $8.21 | 15 min | $32.84 | 2026-01-01 |
| 9 | Alabama | $7.93 | 15 min | $31.72 | 2024-01-05 |
| 10 | New Hampshire | $7.00 | 15 min | $28.00 | 2024-01-01 |
| 11 | New Mexico | $6.75 | 15 min | $27.00 | 2026-07-01 |
| 12 | Kentucky | $6.60 | 15 min | $26.40 | 2025-01-01 |
| 13 | California | $26.35 | hour | $26.35 | 2023-01-01 |
| 14 | Hawaii | $6.13 | 15 min | $24.52 | 2025-07-01 |
| 15 | Tennessee | $6.10 | 15 min | $24.40 | 2025-07-01 |
| 16 | Idaho | $5.41 | 15 min | $21.64 | 2025-09-01 |
| 17 | Nebraska | $18.45 | hour | $18.45 | 2026-07-01 |
| 18 | Florida | $4.44 | 15 min | $17.76 | 2026-07-01 |
| 19 | Texas | $16.80 | hour | $16.80 | 2025-09-01 |
| 20 | Wyoming | $4.15 | 15 min | $16.60 | 2024-04-01 |
| 21 | Louisiana | $4.00 | 15 min | $16.00 | 2025-11-18 |
| 22 | Georgia | $3.65 | 15 min | $14.60 | 2025-04-01 |
What it costs to deliver in Hawaii
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | HI median | US median | vs US |
|---|---|---|---|
| Direct support professional * | $20.39 | $22.08 | -7.7% |
| Residential advisor | $17.76 | $20.31 | -12.6% |
| Home health / personal care aide | $18.32 | $17.21 | +6.4% |
| Licensed practical nurse | $34.20 | $30.96 | +10.5% |
* BLS publishes no occupation for this role; the closest published occupation is shown.
Recent Hawaii IDD / waiver rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| CMS approval HI 0013.R08.12 (I/DD waiver amendment 12) | approved_cms | — | 2026-01-01 |
| DOH DDD memo CRB-FY2025-05 (5/14/2025): updated service codes and modifiers | effective | — | 2025-07-01 |
| DOH DDD memo CRB-FY2026-02 (7/8/2025): Updated I/DD Waiver Rate Sheet effective July 1, 2025 | effective | — | 2025-07-01 |
| DOH DDD memo CRB-FY2024-06 (1/10/2024): Updated I/DD Waiver Rate Sheet effective November 1, 2023 | effective | — | 2023-11-01 |
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 Hawaii'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.