West Virginia Medicaid IDD / waiver rates
West Virginia Medicaid pays $3.38 per 15 min ($13.52 an hour) for in-home and community living supports (idd) delivered by a agency provider, effective October 1, 2025, the 24th highest of 25 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)
- $3.38per 15 min · $13.52/hr
- Rank among states
- 24 of 25-59.3% vs median
- Direct support professional median wage
- $18.89BLS May 2025
- West Virginia minimum wage
- $8.75
West Virginia IDD / waiver rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open West Virginia's official fee schedule.
| Service | Provider level | Code | WV rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| In-home and community living supports (IDD) | Agency provider | S5125 | $3.38 | 15 min | $13.52 | 24 of 25 | $33.24/hr | $12.40 | $85.96 | 25 |
| Community integration / community access (IDD) | Agency provider | Not published | $26.70/hr | $14.60 | $140.64 | 20 | ||||
| Day habilitation / day program (IDD) | Agency provider | T2021 | $3.39 | 15 min | $13.56 | 26 of 29 | $22.71/hr | $6.54 | $100.00 | 29 |
| Prevocational services | Agency provider | T2021 | $3.39 | 15 min | $13.56 | 18 of 26 | $19.82/hr | $5.66 | $230.81 | 26 |
| Residential habilitation / group home supports | Agency provider | S5125 | $3.74 | 15 min | $14.96 | — | $258.68/day | $20.00 | $999.00 | 28 |
| Supported employment (job coaching) | Agency provider | T2019 | $3.20 | 15 min | $12.80 | 34 of 34 | $39.46/hr | $12.80 | $141.64 | 34 |
| Behavior support services (disability waiver) | Agency provider | T2021 | $13.58 | 15 min | $54.32 | 18 of 21 | $78.07/hr | $24.64 | $173.04 | 21 |
| ICF/IID stay (daily rate) | All levels | $509.43 | day | — | 5 of 10 | $487.12/day | $195.43 | $951.10 | 10 | |
In-home and community living supports (IDD): where West Virginia 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 | Delaware | $60.49 | hour | $60.49 | 2024-07-01 |
| 5 | Colorado | $12.82 | 15 min | $51.28 | 2026-07-01 |
| 6 | Iowa | $11.59 | 15 min | $46.36 | 2025-08-01 |
| 7 | Maine | $11.26 | 15 min | $45.04 | 2026-01-01 |
| 8 | New Jersey | $9.85 | 15 min | $39.40 | 2026-01-01 |
| 9 | Oregon | $39.08 | hour | $39.08 | 2026-07-01 |
| 10 | Indiana | $9.45 | 15 min | $37.80 | 2023-07-01 |
| 11 | Florida | $8.99 | 15 min | $35.96 | 2026-07-01 |
| 12 | New Mexico | $8.73 | 15 min | $34.92 | 2026-07-01 |
| 13 | Kentucky | $8.31 | 15 min | $33.24 | 2025-01-01 |
| 14 | Oklahoma | $6.58 | 15 min | $26.32 | 2024-10-01 |
| 15 | California | $24.28 | hour | $24.28 | 2026-07-01 |
| 16 | Tennessee | $5.79 | 15 min | $23.16 | 2025-07-01 |
| 17 | Georgia | $5.49 | 15 min | $21.96 | 2025-04-01 |
| 18 | Kansas | $5.34 | 15 min | $21.36 | 2026-07-01 |
| 19 | Mississippi | $5.04 | 15 min | $20.16 | 2026-01-01 |
| 20 | Nebraska | $20.07 | hour | $20.07 | 2026-07-01 |
| 21 | Arizona | $4.73 | 15 min | $18.92 | 2024-01-01 |
| 22 | Texas | $18.47 | hour | $18.47 | 2025-09-01 |
| 23 | Idaho | $3.86 | 15 min | $15.44 | 2026-06-01 |
| 24 | West Virginia | $3.38 | 15 min | $13.52 | 2025-10-01 |
| 25 | Louisiana | $3.10 | 15 min | $12.40 | 2026-10-01 |
What it costs to deliver in West Virginia
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | WV median | US median | vs US |
|---|---|---|---|
| Direct support professional * | $18.89 | $22.08 | -14.4% |
| Residential advisor | $15.31 | $20.31 | -24.6% |
| Home health / personal care aide | $13.47 | $17.21 | -21.7% |
| Licensed practical nurse | $26.61 | $30.96 | -14.1% |
* BLS publishes no occupation for this role; the closest published occupation is shown.
Recent West Virginia IDD / waiver rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| HCBS and Personal Care rate increases effective October 1, 2025 (BMS letter October 10, 2025) | effective | +6.1% | 2025-10-01 |
| HCBS rate increases effective October 1, 2024 (BMS memo August 22, 2024) | effective | +27.2% | 2024-10-01 |
| Myers and Stauffer HCBS Rate Setting Brief: proposed rates (December 2023) | proposed | +29.3% | — |
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 West Virginia'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.