Community integration / community access (IDD): Medicaid rates by state
15 states publish a Medicaid rate for community integration / community access (idd), compared at the self directed level. Per hour, rates range from — in Pennsylvania to $140.64 in Virginia.
- States
- 15
- Median per hour
- $20.41
- Highest
- $140.64Virginia
- Lowest
- —Pennsylvania
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | VirginiaAny qualified provider (rate does not vary by provider) | $35.16 | 15 min | $140.64 | 2026-07-01 | Official source |
| 2 | IndianaAny qualified provider (rate does not vary by provider) | $26.14 | 15 min | $104.56 | 2020-04-01 | Official source |
| 3 | MarylandAny qualified provider (rate does not vary by provider) | $17.11 | 15 min | $68.44 | 2024-07-01 | Official source |
| 4 | New YorkAny qualified provider (rate does not vary by provider) | $9.66 | 15 min | $38.64 | 2026-04-01 | Official source |
| 5 | New JerseyAny qualified provider (rate does not vary by provider) | $5.74 | 15 min | $22.96 | 2026-01-01 | Official source |
| 6 | KentuckySelf-directed worker (hired by the person or family) | $5.32 | 15 min | $21.28 | 2025-01-01 | Official source |
| 7 | NebraskaIndependent (non-agency) provider | $19.53 | hour | $19.53 | 2026-07-01 | Official source |
| 8 | LouisianaAny qualified provider (rate does not vary by provider) | $4.00 | 15 min | $16.00 | 2025-11-18 | Official source |
| 9 | TexasSelf-directed worker (hired by the person or family) | $15.14 | hour | $15.14 | 2025-09-01 | Official source |
| 10 | GeorgiaSelf-directed worker (hired by the person or family) | $3.65 | 15 min | $14.60 | 2025-04-01 | Official source |
| 11 | CaliforniaSelf-directed worker (hired by the person or family) | $13.82 | hour | $13.82 | 2026-01-01 | Official source |
| 12 | FloridaAny qualified provider (rate does not vary by provider) | $3.33 | 15 min | $13.32 | 2026-07-01 | Official source |
| 13 | MassachusettsAny qualified provider (rate does not vary by provider) | $69.92 | — | — | 2026-07-01 | Official source |
| 14 | South CarolinaAny qualified provider (rate does not vary by provider) | $41.63 | 1/2 day = 2-3 hrs | — | 2025-11-01 | Official source |
| 15 | PennsylvaniaAny qualified provider (rate does not vary by provider) | $12.46 | 15-minute unit | — | 2024-07-01 | Official source |
Frequently asked questions
Which state pays the most for community integration / community access (idd)?
Virginia: $35.16 per 15 min ($140.64 per hour).
What is the average Medicaid rate for community integration / community access (idd)?
Across 15 states the median is $20.41 per hour, comparing the same provider level in each state.
Other IDD services services
Supported employment (job coaching)23 statesIn-home and community living supports (IDD)19 statesPrevocational services17 statesBehavior support services (disability waiver)16 statesShared living / host home / family model13 statesEmployment exploration13 statesSupported employment follow-along11 statesICF/IID stay (daily rate)10 statesAdditional residential staffing7 states
Community integration / community access (IDD) in your statesRates, plan rules, labor costs and changes, with alerts.