Rhode Island Medicaid IDD / waiver rates
Rhode Island Medicaid pays $8.98 for in-home and community living supports (idd) delivered by a agency provider, effective October 1, 2026. 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)
- $8.98
- Rank among states
- —
- Direct support professional median wage
- $22.94BLS May 2025
- Rhode Island minimum wage
- $16.00$17.00 from January 1, 2027
Rhode Island IDD / waiver rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Rhode Island's official fee schedule.
| Service | Provider level | Code | RI rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | T2017 | $8.98 | — | — | — | $34.92/hr | $12.40 | $85.96 | 29 |
| Community integration / community access (IDD) | Agency provider | Not published | $26.70/hr | $14.60 | $140.64 | 22 | ||||
| Day habilitation / day program (IDD) | Agency provider | T2021 | $13.03 | 15 min | $52.12 | 3 of 32 | $23.14/hr | $6.54 | $100.00 | 32 |
| Prevocational services | Agency provider | T2015 | $230.81 | hour | $230.81 | 1 of 29 | $18.96/hr | $3.95 | $230.81 | 29 |
| Residential habilitation / group home supports | Agency provider | T2016 | $246.00 | day | — | 20 of 32 | $273.72/day | $20.00 | $999.00 | 32 |
| Supported employment (job coaching) | Agency provider | T2019 | $6.41 | 15 min | $25.64 | 30 of 39 | $40.84/hr | $12.36 | $141.64 | 39 |
| Behavior support services (disability waiver) | Agency provider | Not published | $78.07/hr | $24.64 | $173.04 | 23 | ||||
| ICF/IID stay (daily rate) | All levels | $734.52 | — | — | 4 of 12 | $464.88 | $174.35 | $1,021.84 | 12 | |
In-home and community living supports (IDD): where Rhode Island 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 | North Dakota | $10.43 | 15 min | $41.72 | 2026-07-01 |
| 11 | New Jersey | $9.85 | 15 min | $39.40 | 2026-01-01 |
| 12 | Oregon | $39.08 | hour | $39.08 | 2026-07-01 |
| 13 | Indiana | $9.45 | 15 min | $37.80 | 2023-07-01 |
| 14 | Florida | $8.99 | 15 min | $35.96 | 2026-07-01 |
| 15 | New Mexico | $8.73 | 15 min | $34.92 | 2026-07-01 |
| 16 | Wyoming | $8.34 | 15 min | $33.36 | 2024-04-01 |
| 17 | Kentucky | $8.31 | 15 min | $33.24 | 2025-01-01 |
| 18 | Oklahoma | $6.58 | 15 min | $26.32 | 2024-10-01 |
| 19 | California | $24.28 | hour | $24.28 | 2026-07-01 |
| 20 | Tennessee | $5.79 | 15 min | $23.16 | 2025-07-01 |
| 21 | Georgia | $5.49 | 15 min | $21.96 | 2025-04-01 |
| 22 | Kansas | $5.34 | 15 min | $21.36 | 2026-07-01 |
| 23 | Mississippi | $5.04 | 15 min | $20.16 | 2026-01-01 |
| 24 | Nebraska | $20.07 | hour | $20.07 | 2026-07-01 |
| 25 | Arizona | $4.73 | 15 min | $18.92 | 2024-01-01 |
| 26 | Texas | $18.47 | hour | $18.47 | 2025-09-01 |
| 27 | Idaho | $3.86 | 15 min | $15.44 | 2026-06-01 |
| 28 | West Virginia | $3.38 | 15 min | $13.52 | 2025-10-01 |
| 29 | Louisiana | $3.10 | 15 min | $12.40 | 2026-10-01 |
What it costs to deliver in Rhode Island
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | RI median | US median | vs US |
|---|---|---|---|
| Direct support professional * | $22.94 | $22.08 | +3.9% |
| Residential advisor | $21.77 | $20.31 | +7.2% |
| Home health / personal care aide | $21.00 | $17.21 | +22.0% |
| Licensed practical nurse | $38.51 | $30.96 | +24.4% |
* BLS publishes no occupation for this role; the closest published occupation is shown.
Recent Rhode Island IDD / waiver rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| FY2027 Waiver Rates - OHIC - 1915c like DD (FY2027 Budget Article 8; pending CMS approval) | enacted | +10.6% | 2026-10-01 |
| OHIC Social and Human Service Programs Review - 2025 cycle rate recommendations | proposed | +9.2% | 2026-10-01 |
| DD Services Rate Table FY26 (Revised 03/17/2026) | effective | — | 2025-07-01 |
| CMS approved RI SPA 24-0015 (Attachment 4.19B) | approved_cms | — | 2024-08-15 |
| TBI Payment Methodology | proposed | — | 2024-08-15 |
| BHDDH DD FY25 Billing Communication and FAQs to Providers (9/10/2024) | effective | — | 2024-07-01 |
| DD Services Rate Table (revised 2/4/25) - FY25 Rate Table | effective | — | 2024-07-01 |
| DD Professional Rates | proposed | — | 2024-01-01 |
| OHIC Social and Human Service Programs Review - 2023 cycle rate recommendations | proposed | +16.3% | — |
| Community-based Group Homes for Children and Youth with Intellectual/Developmental Disabilities Rate Increase | proposed | — | 2023-07-21 |
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 Rhode Island'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.