Maryland Medicaid IDD / waiver rates
Maryland Medicaid pays $15.33 per 15 min ($61.32 an hour) for in-home and community living supports (idd) delivered by a agency provider, effective July 1, 2024, the 5th highest of 28 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)
- $15.33per 15 min · $61.32/hr
- Rank among states
- 5 of 28+79.6% vs median
- Direct support professional median wage
- $22.70BLS May 2025
- Maryland minimum wage
- $15.00
Maryland IDD / waiver rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Maryland's official fee schedule.
| Service | Provider level | Code | MD rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | W2142 | $15.33 | 15 min | $61.32 | 5 of 28 | $34.14/hr | $12.40 | $85.96 | 28 |
| Community integration / community access (IDD) | Agency provider | W2055 | $17.11 | 15 min | $68.44 | 3 of 21 | $26.40/hr | $14.60 | $140.64 | 21 |
| Day habilitation / day program (IDD) | Agency provider | $60.52 | — | — | — | $22.71/hr | $6.54 | $100.00 | 31 | |
| Prevocational services | Agency provider | Not published | $19.82/hr | $5.66 | $230.81 | 28 | ||||
| Residential habilitation / group home supports | Agency provider | $221.72 | — | — | — | $267.17/day | $20.00 | $999.00 | 31 | |
| Supported employment (job coaching) | Agency provider | $62.72 | — | — | — | $40.84/hr | $12.36 | $141.64 | 37 | |
| Behavior support services (disability waiver) | Agency provider | W5707 | $43.26 | 15 min | $173.04 | 1 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 Maryland 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 Maryland
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | MD median | US median | vs US |
|---|---|---|---|
| Direct support professional * | $22.70 | $22.08 | +2.8% |
| Residential advisor | $22.57 | $20.31 | +11.1% |
| Home health / personal care aide | $18.29 | $17.21 | +6.3% |
| Licensed practical nurse | $35.89 | $30.96 | +15.9% |
* BLS publishes no occupation for this role; the closest published occupation is shown.
Recent Maryland IDD / waiver rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| Targeted Case Management Rate Change Public Notice: geographic differential correction effective 10/1/2026 | proposed | -1.8% | 2026-10-01 |
| PT 03-27 Fiscal Year 2027 Rates for DDA Targeted Case Management Services | effective | — | 2026-07-01 |
| Second Public Notice: DDA TCM rate reduction (SPA 26-0005), comments and responses | proposed | — | 2026-07-01 |
| Targeted Case Management Rate Change Public Notice (FY2027, 2 percent reduction) | proposed | — | 2026-07-01 |
| PT 36-26 Consolidation of Medicaid Waiver Programs Operated by the DDA | effective | — | 2025-10-06 |
| 2025 JCR: Report on rates for personal care aides of residential service agencies (RSA) | effective | — | 2025-07-01 |
| PT 01-25 Fiscal Year 2025 Rates for Autism Waiver Services | effective | — | 2024-07-01 |
| PT 08-25 FY25 Rates for DDA TCM Services | effective | — | 2024-07-01 |
| PT 09-25 FY25 Rates for Medicaid Waiver Programs Operated by the DDA | effective | — | 2024-07-01 |
| PT 27-25 FY25 Rates for Medicaid Waiver Programs Operated by the DDA Updated | effective | — | 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 Maryland'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.