IDD Medicaid rates in New Mexico land almost exactly on the national middle for the core hourly service. New Mexico pays $8.73 per 15 minutes for in-home and community living supports on code S5125, or $34.92 an hour, effective July 1, 2026. That is precisely the national median of $34.92 and ranks 15th of 29 states.
Around that median anchor, New Mexico pays well above average for clinical and residential services and below average for job coaching. The July 2026 DD Waiver renewal, which raised rates 3.64%, is the latest step in a run of rate work that includes an HCBS rate study and two waiver renewals.
These agency-provider rates come from New Mexico's Developmental Disabilities Waiver schedule:
| Service | Code | Rate | Rank | vs national median |
|---|---|---|---|---|
| Behavior support | H2019 | $124.32/hour | 6 of 23 | +59.2% |
| Residential habilitation | T2016 | $370.12/day | 10 of 31 | +32.1% |
| Community integration | T2021 | $27.00/hour | 11 of 22 | +1.1% |
| Community living supports | S5125 | $34.92/hour | 15 of 29 | 0.0% |
| Supported employment | T2019 | $29.20/hour | 27 of 39 | -28.5% |
| ICF/IID stay | none | $455.24/day | 7 of 12 | -2.1% |
Five of the six services are effective July 1, 2026; supported employment dates from October 1, 2024. New Mexico has no day habilitation or prevocational rate in our ranked data.
The table reads as three tiers. Clinical and residential services sit clearly above the median. Community living and community integration sit on it. Supported employment sits well below it.
Sitting on the median is a useful reference point. The national range for community living supports runs from South Carolina at $85.96 an hour on T2017, South Dakota ($69.28) and Massachusetts ($68.04) at the top, to Idaho ($15.44), West Virginia ($13.52) and Louisiana ($12.40) at the bottom.
For a New Mexico provider, the median rate combined with a direct support wage close to the national median produces a modest but positive margin. The loaded direct support wage is 88.2% of the S5125 rate, leaving $4.12 an hour for supervision, training, travel and overhead. That is enough to operate on, but not enough to absorb a long gap between service delivery and payment, a high rate of cancelled visits or extensive unpaid travel.
Running community living supports at a median rate
At a margin this narrow, operational discipline decides whether the service pays for itself. Agencies that do well usually schedule longer visits where plans allow, cluster clients by area to cut drive time, and keep documentation current so claims go out promptly. S5125 carries no prior authorization rules, which removes one source of delay, but billing accuracy still matters.
Behavior support is New Mexico's strongest rate. At $124.32 an hour, it ranks 6th of 23, behind Maryland ($173.04), New Hampshire ($167.32), Kentucky ($160.96), Alaska ($136.52) and Connecticut ($132.40). The lowest states are New Jersey ($33.20), Tennessee ($27.00) and Idaho ($24.64).
In New Mexico, H2019 carries a single prior authorization rule. Behavior support covers the clinical work of assessing behavior, writing support plans and training the direct support staff who carry them out. A rate this far above the median lets providers recruit qualified clinicians in a state where rural distances add travel time to every visit.
Residential habilitation on T2016 pays $370.12 a day, 10th of 31 and 32.1% above the national median of $280.27. The District of Columbia ($567.62), New York ($564.22) and Oregon ($503.86) are among the highest; Oklahoma ($88.66) is lowest. T2016 is limited per ISP year, as is T2033.
The ICF/IID daily rate of $455.24 is close to the national median of $464.88, ranking 7th of 12. New Mexico also publishes SFY 27 ICF-IID floor rates, which set the minimum facility payment for the fiscal year.
For residential providers, the combination of an above-median daily rate and a residential advisor wage of $18.05, below the $20.31 national figure, is favorable. It is one of the stronger positions for group-home operators in the Mountain region.
Community integration on T2021 pays $6.75 per 15 minutes, or $27.00 an hour, 11th of 22 and 1.1% above the $26.70 median. Supported employment on T2019 pays $7.30 per 15 minutes, or $29.20 an hour, 27th of 39 and 28.5% below the $40.84 median.
Supported employment is the weakest line, both in rank and in margin. It is also the only service on New Mexico's schedule whose rate predates the 2026 renewal, which means it did not share in the 3.64% increase. Job coaching programs in New Mexico should expect to rely on group delivery or on margins from other services until the rate is revisited.
Federal occupational wage data for May 2025:
- Direct support professional: $22.28 an hour, versus $22.08 nationally (based on the closest comparable occupation)
- Residential advisor: $18.05, versus $20.31
- Home health and personal care aide: $13.71, versus $17.21
- Licensed practical nurse: $28.52, versus $30.96
New Mexico's labor market is split. Direct support professionals earn slightly more than the national median, while personal care aides earn well below it. That puts IDD agencies in a tougher wage position than personal care agencies in the same state.
Community integration and supported employment both lose money on a one-to-one hour at the median wage. Providers keep them running through group delivery and through the margins on behavior support and residential care.
New Mexico has issued a series of DD Waiver notices:
- DDSD-DDW Numbered Memo 2026-11 (published July 31, 2026). The DD Waiver Renewal Update, effective July 1, 2026, with a 3.64% change. This edition sets most rates on this page.
- HCBS rate study proposed rate models. A DDSD study comparing current published rates to proposed models, with a 2.21% change.
- Notices of Opportunity to Comment. Renewals of the Developmental Disabilities Waiver and the Medically Fragile Waiver.
- Notice of Opportunity to Comment #59. A Mi Via Waiver amendment application.
- DDSD-DDW Numbered Memo 2025-08. Discontinued Family Living for the Jackson Class only on T2033 HB U7, effective September 1, 2025.
Earlier, CMS approved amendments to the DD, Medically Fragile and Mi Via 1915(c) waivers with a 5.32% cost-of-living adjustment effective July 1, 2023. Taken together, the notices show a state that revisits IDD rates often, through both rate studies and waiver renewals.
For providers, the Mi Via amendment is the item to watch next, since it affects the self-directed alternative to agency services.
New Mexico runs three main IDD programs: the Developmental Disabilities 1915(c) Waiver (NM.0173), the Mi Via self-directed 1915(c) Waiver (NM.0448) and the DDSD Supports Waiver. The Medically Fragile 1915(c) Waiver (NM.0223) serves a related population.
Intellectual and developmental disability services in New Mexico are paid directly by the state, outside managed care. Turquoise Care, the state's risk-based managed care program, covers other benefits through its plans, including Molina Healthcare of New Mexico and UnitedHealthcare Community Plan of New Mexico; our IDD data counts 5 plan listings. For behavioral health, those plans must pay at least the published rate. IDD providers bill the DD Waiver, Mi Via or Supports Waiver schedules through fee-for-service instead. The New Mexico managed care page has the line-by-line rules.
New Mexico's behavior support rate is the highest in the Mountain region among ranked states, well above Idaho at the bottom of the national table. Its residential rate sits above Utah and close to Nevada. For a provider weighing the region, New Mexico is a strong market for clinical and residential services, and a median market for in-home supports. Arizona pays a higher residential daily rate, but its hourly in-home rate ranks near the bottom nationally, which makes New Mexico the more balanced market for an agency that offers both residential and in-home services.
- Budget on the July 2026 rates. Most services reset on July 1, 2026; use those figures for the coming year and keep supported employment on its October 2024 rate.
- Track ISP-year limits. For residential and family living services, plan units across the plan year, not the calendar year.
- Comment on proposals. New Mexico issues Notices of Opportunity to Comment before most changes, and provider cost data is what shapes the final rates.
Rates on this page are compiled from official state Medicaid publications, and each rate links to its source document, including the New Mexico Medicaid Fee for Service HCPCS Level II Codes Fee Schedule and the SFY 27 ICF-IID Floor Rates. Hourly figures convert 15-minute units by multiplying by four. Our methodology explains how units are converted and ranked.
The New Mexico Medicaid rates hub covers the full schedule, drawn from all 31,727 current New Mexico Medicaid rates, and IDD Medicaid rates by state shows every IDD service nationally. The full dataset is described on our pricing page.