Montana Medicaid IDD / waiver rates
Montana Medicaid pays $44.75 per Staff Hour for in-home and community living supports (idd) delivered by a agency provider, effective July 1, 2025. 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)
- $44.75per Staff Hour
- Rank among states
- —
- Direct support professional median wage
- $18.54BLS May 2025
- Montana minimum wage
- $10.85
Montana IDD / waiver rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Montana's official fee schedule.
| Service | Provider level | Code | MT rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | H2015 | $44.75 | Staff Hour | — | — | $29.78/hr | $12.40 | $85.96 | 24 |
| Community integration / community access (IDD) | Agency provider | T2033 | $30.28 | Staff Hour | — | — | $26.70/hr | $14.60 | $140.64 | 18 |
| Day habilitation / day program (IDD) | Agency provider | T2021 | $85.23 | day | — | — | $22.64/hr | $6.54 | $100.00 | 27 |
| Prevocational services | Agency provider | T2015 | $12.13 | hour | $12.13 | 18 of 24 | $18.67/hr | $5.66 | $74.31 | 24 |
| Residential habilitation / group home supports | Agency provider | T2013 | $44.75 | Staff Hour | — | — | $273.72/day | $20.00 | $999.00 | 26 |
| Supported employment (job coaching) | Agency provider | T2025 | $11.83 | day | — | — | $41.50/hr | $12.80 | $141.64 | 32 |
| Behavior support services (disability waiver) | Agency provider | H0046 | $95.16 | Staff Hour | — | — | $76.16/hr | $24.64 | $173.04 | 20 |
| ICF/IID stay (daily rate) | All levels | Not published | $487.12/day | $195.43 | $951.10 | 10 | ||||
In-home and community living supports (IDD): where Montana 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 Montana
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | MT median | US median | vs US |
|---|---|---|---|
| Direct support professional * | $18.54 | $22.08 | -16.0% |
| Residential advisor | $22.71 | $20.31 | +11.8% |
| Home health / personal care aide | $17.61 | $17.21 | +2.3% |
| Licensed practical nurse | $29.91 | $30.96 | -3.4% |
* BLS publishes no occupation for this role; the closest published occupation is shown.
Recent Montana IDD / waiver rate changes
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 Montana'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.