Tennessee Medicaid IDD / waiver rates
Tennessee Medicaid pays $5.79 per 15 min ($23.16 an hour) for in-home and community living supports (idd) delivered by a agency provider, effective July 1, 2025, the 14th highest of 21 states with comparable rates. 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)
- $5.79per 15 min · $23.16/hr
- Rank among states
- 14 of 21-30.3% vs median
- Direct support professional median wage
- $19.38BLS May 2025
- Tennessee minimum wage
- $7.25
Tennessee IDD / waiver rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Tennessee's official fee schedule.
| Service | Provider level | Code | TN rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | H2025 | $5.79 | 15 min | $23.16 | 14 of 21 | $33.24/hr | $12.40 | $85.96 | 21 |
| Community integration / community access (IDD) | Agency provider | T2021 | $6.10 | 15 min | $24.40 | 10 of 15 | $26.40/hr | $14.60 | $140.64 | 15 |
| Day habilitation / day program (IDD) | Agency provider | T2021 | $6.10 | 15 min | $24.40 | 9 of 22 | $22.68/hr | $6.54 | $100.00 | 22 |
| Prevocational services | Agency provider | T2015 | $18.96 | hour | $18.96 | 11 of 20 | $19.82/hr | $5.66 | $74.31 | 20 |
| Residential habilitation / group home supports | Agency provider | T2033 | $247.12 | day | — | 14 of 23 | $267.17/day | $20.00 | $999.00 | 23 |
| Supported employment (job coaching) | Agency provider | T2019 | $3.74 | 15 min | $14.96 | 26 of 26 | $41.50/hr | $14.96 | $141.64 | 26 |
| Behavior support services (disability waiver) | Agency provider | H2011 | $6.75 | 15 min | $27.00 | 16 of 16 | $78.80/hr | $27.00 | $173.04 | 16 |
| ICF/IID stay (daily rate) | All levels | Not published | $427.05 | $174.35 | $503.46 | 8 | ||||
In-home and community living supports (IDD): where Tennessee 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 | New Jersey | $9.85 | 15 min | $39.40 | 2026-01-01 |
| 7 | Oregon | $39.08 | hour | $39.08 | 2026-07-01 |
| 8 | Indiana | $9.45 | 15 min | $37.80 | 2023-07-01 |
| 9 | Florida | $8.99 | 15 min | $35.96 | 2026-07-01 |
| 10 | New Mexico | $8.73 | 15 min | $34.92 | 2026-07-01 |
| 11 | Kentucky | $8.31 | 15 min | $33.24 | 2025-01-01 |
| 12 | Oklahoma | $6.58 | 15 min | $26.32 | 2024-10-01 |
| 13 | California | $24.28 | hour | $24.28 | 2026-07-01 |
| 14 | Tennessee | $5.79 | 15 min | $23.16 | 2025-07-01 |
| 15 | Georgia | $5.49 | 15 min | $21.96 | 2025-04-01 |
| 16 | Kansas | $5.34 | 15 min | $21.36 | 2026-07-01 |
| 17 | Mississippi | $5.04 | 15 min | $20.16 | 2026-01-01 |
| 18 | Nebraska | $20.07 | hour | $20.07 | 2026-07-01 |
| 19 | Arizona | $4.73 | 15 min | $18.92 | 2024-01-01 |
| 20 | Texas | $18.47 | hour | $18.47 | 2025-09-01 |
| 21 | Louisiana | $3.10 | 15 min | $12.40 | 2026-10-01 |
What it costs to deliver in Tennessee
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | TN median | US median | vs US |
|---|---|---|---|
| Direct support professional * | $19.38 | $22.08 | -12.2% |
| Residential advisor | $16.68 | $20.31 | -17.9% |
| Home health / personal care aide | $15.45 | $17.21 | -10.2% |
| Licensed practical nurse | $28.31 | $30.96 | -8.6% |
* BLS publishes no occupation for this role; the closest published occupation is shown.
Recent Tennessee IDD / waiver rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| TennCare/DDA letter to LTSS providers: DSP wage increase and new HCBS rates effective 7/1/2025 | effective | — | 2025-07-01 |
| Notice of Change in 1915(c) HCBS Waivers – Posted | proposed | — | — |
| TennCare memo 'Wage Increases for Frontline HCBS Workers in CHOICES' | effective | +9.4% | 2022-07-01 |
| TennCare memo 'Wage Increases for Frontline HCBS Workers in ECF CHOICES' | effective | +9.3% | 2022-07-01 |
| TennCare memo 'Wage Increases for Frontline HCBS Workers in CHOICES' | effective | +18.6% | 2021-07-01 |
| TennCare memo 'Wage Increases for Frontline HCBS Workers in Employment and Community First CHOICES' | effective | +20.9% | 2021-07-01 |
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 Tennessee'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.