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Ohio Medicaid IDD / waiver rates

Ohio Medicaid pays $6.79 per Fifteen minutes for day habilitation / day program (idd) delivered by a agency provider, effective July 1, 2024. Below: 3 more IDD / waiver rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.

Day habilitation / day program (IDD)
$6.79per Fifteen minutes
Rank among states
—
Direct support professional median wage
$18.46BLS May 2025
Ohio minimum wage
$11.00$11.40 from January 1, 2027

Ohio IDD / waiver rates vs other states

Fee-for-service, like-for-like by provider level. Click a rate to open Ohio's official fee schedule.

ServiceProvider levelCodeOH rateUnitPer hourRankMedian across statesLowestHighestStates
In-home and community living supports (IDD)Agency providerNot published$29.78/hr$12.40$85.9624
Community integration / community access (IDD)Agency providerNot published$26.70/hr$14.60$140.6418
Day habilitation / day program (IDD)Agency providerSGE$6.79Fifteen minutes——$22.64/hr$6.54$100.0027
Prevocational servicesAgency providerSVT$6.93Fifteen minutes——$18.67/hr$5.66$74.3124
Residential habilitation / group home supportsAgency providerNot published$273.72/day$20.00$999.0026
Supported employment (job coaching)Agency providerSJH$200.00———$41.50/hr$12.80$141.6432
Behavior support services (disability waiver)Agency providerFPT$68.91hour$68.9114 of 20$76.16/hr$24.64$173.0420
ICF/IID stay (daily rate)All levelsNot published$487.12/day$195.43$951.1010

Day habilitation / day program (IDD): where Ohio ranks

States whose published unit can't be converted are left out of the ranking.

#StateRateUnitPer hourEffective
1Minnesota$25.0015 min$100.002013-11-01
2Connecticut$57.28hour$57.282026-07-01
3California$50.77hour$50.772026-07-01
4Massachusetts$12.6015 min$50.402025-07-01
5Missouri$12.1415 min$48.562022-07-01
6New Jersey$11.2815 min$45.122026-01-01
7Utah$10.7115 min$42.842018-07-01
8Oregon$29.30hour$29.302026-07-01
9Maine$7.0415 min$28.162026-01-01
10Kansas$6.7015 min$26.802026-07-01
11Tennessee$6.1015 min$24.402025-07-01
12Alabama$5.8915 min$23.562024-01-05
13Florida$22.71hour$22.712026-07-01
14Colorado$5.6615 min$22.642026-07-01
15Mississippi$5.2615 min$21.042026-01-01
16New Hampshire$5.1115 min$20.442024-01-01
17Pennsylvania$19.62hour$19.622016-12-01
18Nebraska$18.45hour$18.452026-07-01
19Virginia$18.32hour$18.322026-07-01
20Idaho$4.0015 min$16.002026-07-01
21Iowa$3.9715 min$15.882025-08-01
22Kentucky$3.6215 min$14.482025-01-01
23Arizona$3.4215 min$13.682024-01-01
24West Virginia$3.3915 min$13.562025-10-01
25Texas$10.98hour$10.982025-09-01
26Louisiana$2.4815 min$9.922025-11-18
27Indiana$6.54hour$6.542023-07-01

What it costs to deliver in Ohio

Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).

RoleOH medianUS medianvs US
Direct support professional *$18.46$22.08-16.4%
Residential advisor$18.55$20.31-8.7%
Home health / personal care aide$16.57$17.21-3.7%
Licensed practical nurse$29.78$30.96-3.8%

* BLS publishes no occupation for this role; the closest published occupation is shown.

Recent Ohio IDD / waiver rate changes

ChangeStatusChangeEffective
Register of Ohio: Ohio Department of Developmental Disabilities final-filed rules 5123-9-17 - Home and community-based services waivers - adult day support under the individual options, level one, and self-empowered life funding waivers.effective—2026-07-16
Register of Ohio: Ohio Department of Developmental Disabilities final-filed rules 5123-9-14, 5123-9-19, 5123-9-23, 5123-9-35, 5123-9-40, 5123-9-44, 5123-9-45effective—2026-07-01
Register of Ohio: Ohio Department of Developmental Disabilities final-filed rules 5123-7-28 - Intermediate care facilities for individuals with intellectual disabilities - intensive behavioral support rate add-on.effective—2026-07-01
Register of Ohio: Ohio Department of Developmental Disabilities proposed rules 5123-9-17 - Home and community-based services waivers - adult day support under the individual options, level one, and self-empowered life funding waivers.proposed——
Register of Ohio: Ohio Department of Developmental Disabilities proposed rules 5123-9-19 - Home and community-based services waivers - general requirements for adult day support, career planning, group employment support, individual employment support, non-medical transportation, and vocational habilitation.proposed——
Register of Ohio: Ohio Department of Developmental Disabilities proposed rules 5123-9-19, 5123-9-40proposed——
Register of Ohio: Ohio Department of Developmental Disabilities proposed rules 5123-7-28 - Intermediate care facilities for individuals with intellectual disabilities - intensive behavioral support rate add-on.proposed——
Register of Ohio: Ohio Department of Developmental Disabilities proposed rules 5123-9-14, 5123-9-17, 5123-9-19, 5123-9-23, 5123-9-35, 5123-9-40, 5123-9-44, 5123-9-45proposed——
Register of Ohio: Ohio Department of Developmental Disabilities final-filed rules 5123-9-12, 5123-9-19, 5123-9-35, 5123-9-47effective—2026-01-01
Register of Ohio: Ohio Department of Developmental Disabilities proposed rules 5123-9-12, 5123-9-35proposed——
Every variant, every version, every state

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.

Open in workspaceAPI reference

Rates are taken from Ohio'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.

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