Washington Medicaid IDD / waiver rates
Washington Medicaid pays $9.79 per OF for residential habilitation / group home supports delivered by a agency provider, effective January 1, 2026. Below: 2 more IDD / waiver rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Residential habilitation / group home supports
- $9.79per OF
- Rank among states
- —
- Direct support professional median wage
- $26.33BLS May 2025
- Washington minimum wage
- $17.13$17.73 from January 1, 2027
Washington IDD / waiver rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Washington's official fee schedule.
| Service | Provider level | Code | WA rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | Not published | $34.14/hr | $12.40 | $85.96 | 28 | ||||
| Community integration / community access (IDD) | Agency provider | Not published | $26.40/hr | $14.60 | $140.64 | 21 | ||||
| Day habilitation / day program (IDD) | Agency provider | Not published | $22.71/hr | $6.54 | $100.00 | 31 | ||||
| Prevocational services | Agency provider | Not published | $19.82/hr | $5.66 | $230.81 | 28 | ||||
| Residential habilitation / group home supports | Agency provider | SA727 | $9.79 | OF | — | — | $267.17/day | $20.00 | $999.00 | 31 |
| Supported employment (job coaching) | Agency provider | SA935 | $500,000.00 | EA | — | — | $40.84/hr | $12.36 | $141.64 | 37 |
| Behavior support services (disability waiver) | Agency provider | SA040 | $60.00 | hour | $60.00 | 18 of 23 | $78.07/hr | $24.64 | $173.04 | 23 |
| ICF/IID stay (daily rate) | All levels | Not published | $509.43/day | $195.43 | $951.10 | 11 | ||||
Residential habilitation / group home supports: where Washington ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Minnesota | $999.00 | day | — | 2015-07-01 |
| 2 | New York | $564.22 | day | — | 2026-04-01 |
| 3 | Oregon | $503.86 | day | — | 2026-07-01 |
| 4 | Alaska | $483.15 | day | — | 2026-07-01 |
| 5 | New Jersey | $483.14 | day | — | 2026-01-01 |
| 6 | Arizona | $468.92 | day | — | 2024-01-01 |
| 7 | Pennsylvania | $439.74 | day | — | 2018-01-01 |
| 8 | Nebraska | $371.36 | day | — | 2026-07-01 |
| 9 | New Mexico | $370.12 | day | — | 2026-07-01 |
| 10 | Idaho | $368.67 | day | — | 2026-07-01 |
| 11 | Nevada | $344.80 | day | — | 2024-04-01 |
| 12 | Florida | $332.76 | day | — | 2026-07-01 |
| 13 | New Hampshire | $295.72 | day | — | 2024-01-01 |
| 14 | South Dakota | $292.61 | day | — | 2026-06-01 |
| 15 | Indiana | $280.27 | day | — | 2023-07-01 |
| 16 | Missouri | $267.17 | day | — | 2024-07-01 |
| 17 | Mississippi | $250.18 | day | — | 2026-01-01 |
| 18 | Tennessee | $247.12 | day | — | 2025-07-01 |
| 19 | Rhode Island | $246.00 | day | — | 2011-07-01 |
| 20 | South Carolina | $239.39 | day | — | 2021-07-01 |
| 21 | Colorado | $237.12 | day | — | 2026-07-01 |
| 22 | Kansas | $205.61 | day | — | 2026-07-01 |
| 23 | Kentucky | $198.70 | day | — | 2025-01-01 |
| 24 | Wyoming | $198.22 | day | — | 2026-07-22 |
| 25 | Texas | $194.31 | day | — | 2025-09-01 |
| 26 | Hawaii | $164.17 | day | — | 2025-07-01 |
| 27 | Utah | $154.54 | day | — | 2026-07-01 |
| 28 | Iowa | $140.81 | day | — | 2025-08-01 |
| 29 | Illinois | $108.00 | day | — | 2026-01-01 |
| 30 | Oklahoma | $88.66 | day | — | 2024-10-01 |
| 31 | Louisiana | $20.00 | day | — | 2025-11-18 |
What it costs to deliver in Washington
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | WA median | US median | vs US |
|---|---|---|---|
| Direct support professional * | $26.33 | $22.08 | +19.2% |
| Residential advisor | $23.38 | $20.31 | +15.1% |
| Home health / personal care aide | $22.95 | $17.21 | +33.4% |
| Licensed practical nurse | $39.98 | $30.96 | +29.1% |
* BLS publishes no occupation for this role; the closest published occupation is shown.
Recent Washington 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 Washington'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.