Supported employment (job coaching): Medicaid rates by state
35 states publish a Medicaid rate for supported employment (job coaching), compared at the self directed level. Per hour, rates range from — in Ohio to $141.64 in New York.
- States
- 35
- Median per hour
- $34.36
- Highest
- $141.64New York
- Lowest
- —Ohio
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | New YorkAny qualified provider (rate does not vary by provider) | $35.41 | 15 min | $141.64 | 2026-04-01 | Official source |
| 2 | ArkansasAny qualified provider (rate does not vary by provider) | $25.59 | 15 min | $102.36 | 2022-10-12 | Official source |
| 3 | ConnecticutAny qualified provider (rate does not vary by provider) | $96.60 | hour | $96.60 | 2026-07-01 | Official source |
| 4 | IowaAny qualified provider (rate does not vary by provider) | $79.82 | hour | $79.82 | 2025-08-01 | Official source |
| 5 | MissouriAny qualified provider (rate does not vary by provider) | $19.45 | 15 min | $77.80 | 2022-07-01 | Official source |
| 6 | NevadaAny qualified provider (rate does not vary by provider) | $14.21 | 15 min | $56.84 | 2024-04-01 | Official source |
| 7 | IndianaAny qualified provider (rate does not vary by provider) | $11.91 | 15 min | $47.64 | 2023-07-01 | Official source |
| 8 | WisconsinAny qualified provider (rate does not vary by provider) | $11.51 | 15 min | $46.04 | 2010-01-01 | Official source |
| 9 | IdahoAny qualified provider (rate does not vary by provider) | $11.44 | 15 min | $45.76 | 2026-07-01 | Official source |
| 10 | KentuckySelf-directed worker (hired by the person or family) | $10.54 | 15 min | $42.16 | 2025-01-01 | Official source |
| 11 | PennsylvaniaAny qualified provider (rate does not vary by provider) | $10.21 | 15 min | $40.84 | 2018-07-01 | Official source |
| 12 | ColoradoAny qualified provider (rate does not vary by provider) | $9.52 | 15 min | $38.08 | 2024-07-01 | Official source |
| 13 | FloridaAny qualified provider (rate does not vary by provider) | $8.76 | 15 min | $35.04 | 2026-07-01 | Official source |
| 14 | OklahomaSelf-directed worker (hired by the person or family) | $8.59 | 15 min | $34.36 | 2024-10-01 | Official source |
| 15 | NebraskaIndependent (non-agency) provider | $33.62 | hour | $33.62 | 2026-07-01 | Official source |
| 16 | OregonAny qualified provider (rate does not vary by provider) | $32.92 | hour | $32.92 | 2026-07-01 | Official source |
| 17 | TexasSelf-directed worker (hired by the person or family) | $32.34 | hour | $32.34 | 2025-09-01 | Official source |
| 18 | New MexicoAny qualified provider (rate does not vary by provider) | $7.30 | 15 min | $29.20 | 2024-10-01 | Official source |
| 19 | New JerseyAny qualified provider (rate does not vary by provider) | $7.23 | 15 min | $28.92 | 2026-01-01 | Official source |
| 20 | MississippiAny qualified provider (rate does not vary by provider) | $6.78 | 15 min | $27.12 | 2026-01-01 | Official source |
| 21 | ArizonaAny qualified provider (rate does not vary by provider) | $6.26 | 15 min | $25.04 | 2026-10-01 | Official source |
| 22 | GeorgiaSelf-directed worker (hired by the person or family) | $5.37 | 15 min | $21.48 | 2025-04-01 | Official source |
| 23 | MaineAny qualified provider (rate does not vary by provider) | $5.35 | 15 min | $21.40 | 2026-01-01 | Official source |
| 24 | VirginiaAny qualified provider (rate does not vary by provider) | $20.29 | hour | $20.29 | 2026-07-01 | Official source |
| 25 | CaliforniaSelf-directed worker (hired by the person or family) | $19.61 | hour | $19.61 | 2026-01-01 | Official source |
| 26 | LouisianaAny qualified provider (rate does not vary by provider) | $4.16 | 15 min | $16.64 | 2025-11-18 | Official source |
| 27 | West VirginiaAny qualified provider (rate does not vary by provider) | $3.20 | 15 min | $12.80 | 2025-10-01 | Official source |
| 28 | WashingtonAny qualified provider (rate does not vary by provider) | $500,000.00 | EA | — | 2022-01-01 | Official source |
| 29 | MarylandAny qualified provider (rate does not vary by provider) | $62.72 | — | — | 2024-07-01 | Official source |
| 30 | MassachusettsAny qualified provider (rate does not vary by provider) | $60.78 | — | — | 2026-07-01 | Official source |
| 31 | IllinoisAny qualified provider (rate does not vary by provider) | $26.09 | Client Hour | — | 2026-01-01 | Official source |
| 32 | South CarolinaAny qualified provider (rate does not vary by provider) | $21.95 | 15 min | — | 2020-07-01 | Official source |
| 33 | MontanaSelf-directed worker (hired by the person or family) | $11.83 | day | — | 2025-07-01 | Official source |
| 34 | AlabamaSelf-directed worker (hired by the person or family) | $8.00 | 15 min | — | 2020-12-17 | Official source |
| 35 | OhioAny qualified provider (rate does not vary by provider) | $6.21 | Fifteen minutes | — | 2024-07-01 | Official source |
Frequently asked questions
Which state pays the most for supported employment (job coaching)?
New York: $35.41 per 15 min ($141.64 per hour).
What is the average Medicaid rate for supported employment (job coaching)?
Across 35 states the median is $34.36 per hour, comparing the same provider level in each state.
Other IDD services services
In-home and community living supports (IDD)31 statesPrevocational services28 statesBehavior support services (disability waiver)27 statesCommunity integration / community access (IDD)22 statesShared living / host home / family model22 statesEmployment exploration20 statesICF/IID stay (daily rate)19 statesSupported employment follow-along16 statesRemote supports (technology-based supervision)13 states
Supported employment (job coaching) in your statesRates, plan rules, labor costs and changes, with alerts.