In-home and community living supports (IDD): Medicaid rates by state
17 states publish a Medicaid rate for in-home and community living supports (idd), compared at the self directed level. Per hour, rates range from — in Pennsylvania to $85.96 in South Carolina.
- States
- 17
- Median per hour
- $31.74
- Highest
- $85.96South Carolina
- Lowest
- —Pennsylvania
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | South CarolinaAny qualified provider (rate does not vary by provider) | $21.49 | 15 min | $85.96 | 2025-11-01 | Official source |
| 2 | MassachusettsAny qualified provider (rate does not vary by provider) | $17.01 | 15 min | $68.04 | 2026-07-01 | Official source |
| 3 | MarylandAny qualified provider (rate does not vary by provider) | $15.33 | 15 min | $61.32 | 2024-07-01 | Official source |
| 4 | ColoradoAny qualified provider (rate does not vary by provider) | $12.82 | 15 min | $51.28 | 2026-07-01 | Official source |
| 5 | New JerseyAny qualified provider (rate does not vary by provider) | $9.85 | 15 min | $39.40 | 2026-01-01 | Official source |
| 6 | IndianaAny qualified provider (rate does not vary by provider) | $9.45 | 15 min | $37.80 | 2023-07-01 | Official source |
| 7 | MinnesotaAny qualified provider (rate does not vary by provider) | $9.16 | 15 min | $36.64 | 2026-01-01 | Official source |
| 8 | FloridaAny qualified provider (rate does not vary by provider) | $6.71 | 15 min | $26.84 | 2026-07-01 | Official source |
| 9 | KentuckySelf-directed worker (hired by the person or family) | $6.70 | 15 min | $26.80 | 2025-01-01 | Official source |
| 10 | GeorgiaSelf-directed worker (hired by the person or family) | $5.10 | 15 min | $20.40 | 2025-04-01 | Official source |
| 11 | TexasSelf-directed worker (hired by the person or family) | $18.27 | hour | $18.27 | 2025-09-01 | Official source |
| 12 | NebraskaAgency provider | $14.59 | hour | $14.59 | 2026-07-01 | Official source |
| 13 | CaliforniaSelf-directed worker (hired by the person or family) | $14.13 | hour | $14.13 | 2026-01-01 | Official source |
| 14 | LouisianaAny qualified provider (rate does not vary by provider) | $3.10 | 15 min | $12.40 | 2026-10-01 | Official source |
| 15 | VirginiaAny qualified provider (rate does not vary by provider) | $2,454.04 | month | — | 2026-07-01 | Official source |
| 16 | IllinoisAny qualified provider (rate does not vary by provider) | $30.73 | Client Hour | — | 2026-01-01 | Official source |
| 17 | PennsylvaniaAny qualified provider (rate does not vary by provider) | $12.29 | 15-minute unit | — | 2024-10-01 | Official source |
Frequently asked questions
Which state pays the most for in-home and community living supports (idd)?
South Carolina: $21.49 per 15 min ($85.96 per hour).
What is the average Medicaid rate for in-home and community living supports (idd)?
Across 17 states the median is $31.74 per hour, comparing the same provider level in each state.
Other IDD services services
Supported employment (job coaching)23 statesPrevocational services17 statesCommunity integration / community access (IDD)17 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
In-home and community living supports (IDD) in your statesRates, plan rules, labor costs and changes, with alerts.