Iowa Medicaid IDD / waiver rates
Iowa Medicaid pays $11.59 per 15 min ($46.36 an hour) for in-home and community living supports (idd) delivered by a agency provider, effective August 1, 2025, the 5th highest of 21 states with comparable rates. Below: 5 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)
- $11.59per 15 min · $46.36/hr
- Rank among states
- 5 of 21+39.5% vs median
- Direct support professional median wage
- $20.42BLS May 2025
- Iowa minimum wage
- $7.25
Iowa IDD / waiver rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Iowa's official fee schedule.
| Service | Provider level | Code | IA rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | H2015 | $11.59 | 15 min | $46.36 | 5 of 21 | $33.24/hr | $12.40 | $85.96 | 21 |
| Community integration / community access (IDD) | Agency provider | Not published | $26.40/hr | $14.60 | $140.64 | 15 | ||||
| Day habilitation / day program (IDD) | Agency provider | T2021 | $3.97 | 15 min | $15.88 | 17 of 22 | $22.68/hr | $6.54 | $100.00 | 22 |
| Prevocational services | Agency provider | T2015 | $11.24 | hour | $11.24 | 16 of 20 | $19.82/hr | $5.66 | $74.31 | 20 |
| Residential habilitation / group home supports | Agency provider | H2016 | $140.81 | day | — | 20 of 23 | $267.17/day | $20.00 | $999.00 | 23 |
| Supported employment (job coaching) | Agency provider | T2018 | $79.82 | hour | $79.82 | 3 of 26 | $41.50/hr | $14.96 | $141.64 | 26 |
| Behavior support services (disability waiver) | Agency provider | Not published | $78.80/hr | $27.00 | $173.04 | 16 | ||||
| ICF/IID stay (daily rate) | All levels | $503.46 | — | — | 1 of 8 | $427.05 | $174.35 | $503.46 | 8 | |
In-home and community living supports (IDD): where Iowa 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 | New Jersey | $9.85 | 15 min | $39.40 | 2026-01-01 |
| 7 | Oregon | $39.08 | hour | $39.08 | 2026-07-01 |
| 8 | Indiana | $9.45 | 15 min | $37.80 | 2023-07-01 |
| 9 | Florida | $8.99 | 15 min | $35.96 | 2026-07-01 |
| 10 | New Mexico | $8.73 | 15 min | $34.92 | 2026-07-01 |
| 11 | Kentucky | $8.31 | 15 min | $33.24 | 2025-01-01 |
| 12 | Oklahoma | $6.58 | 15 min | $26.32 | 2024-10-01 |
| 13 | California | $24.28 | hour | $24.28 | 2026-07-01 |
| 14 | Tennessee | $5.79 | 15 min | $23.16 | 2025-07-01 |
| 15 | Georgia | $5.49 | 15 min | $21.96 | 2025-04-01 |
| 16 | Kansas | $5.34 | 15 min | $21.36 | 2026-07-01 |
| 17 | Mississippi | $5.04 | 15 min | $20.16 | 2026-01-01 |
| 18 | Nebraska | $20.07 | hour | $20.07 | 2026-07-01 |
| 19 | Arizona | $4.73 | 15 min | $18.92 | 2024-01-01 |
| 20 | Texas | $18.47 | hour | $18.47 | 2025-09-01 |
| 21 | Louisiana | $3.10 | 15 min | $12.40 | 2026-10-01 |
What it costs to deliver in Iowa
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | IA median | US median | vs US |
|---|---|---|---|
| Direct support professional * | $20.42 | $22.08 | -7.5% |
| Residential advisor | $17.72 | $20.31 | -12.8% |
| Home health / personal care aide | $17.34 | $17.21 | +0.8% |
| Licensed practical nurse | $30.11 | $30.96 | -2.7% |
* BLS publishes no occupation for this role; the closest published occupation is shown.
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 Iowa'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.