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IDD waiver provider license requirements by state
Day, residential and in-home supports under HCBS waivers. Whether each state requires a license, who issues it, what it costs, certificate of need, electronic visit verification and the Medicaid rate, with the official source for each.
- States compiled
- 51 of 51
- Require a state license
- 51
- No state license
- 0
- States with a CON program
- 37of states compiled
On this page
By state
IDD waiver provider requirements in every state
States still being compiled are marked; we only publish a state once its details are confirmed against the official source.
| State | License | Issuing agency | Fee | Renewal | CON program | EVV model | Medicaid rate |
|---|---|---|---|---|---|---|---|
| Alabama | Alabama Department of Mental Health (ADMH) community provider certification - developmental disabilities | Alabama Department of Mental Health, Division of Developmental Disabilities (Office of Provider Certification) | — | — | Yes | open/provider choice | $7.93per 15 min |
| Alaska | Home and Community-Based Waiver Services provider certification | Alaska Department of Health, Division of Senior and Disabilities Services (SDS) - Provider Certification & Compliance | — | — | Yes | hybrid | $15.46per 15 min |
| Arizona | DDD Qualified Vendor Agreement (DES/DDD); group homes for individuals with developmental disabilities also need an ADHS license | Arizona Department of Economic Security, Division of Developmental Disabilities (DDD); Arizona Department of Health Services licenses DD group homes | — | — | No | hybrid | $4.73per 15 min |
| Arkansas | DDS CES Waiver provider certification (or Community Support System Provider (CSSP) certification) | Arkansas Department of Human Services, Division of Developmental Disabilities Services (DDS) | — | — | Yes | hybrid | $6.40per 15 min |
| California | Regional center vendorization (vendor number) under Title 17; plus any facility or professional license the service type requires | California Department of Developmental Services (DDS) through the 21 regional centers (vendoring regional center) | — | — | No | hybrid | $24.28per hour |
| Colorado | Program Approved Service Agency (PASA) - Medicaid certification for HCBS-DD, HCBS-SLS and HCBS-CES waiver services | Colorado Department of Public Health and Environment (CDPHE), Health Facilities and EMS Division, with the Department of Health Care Policy and Financing (HCPF) enrolling the provider | — | — | No | hybrid | $12.82per 15 min |
| Connecticut | DDS Agency Qualified Provider (waiver services) | Connecticut Department of Developmental Services (DDS) Operations Center | — | — | Yes | hybrid | $14,712.00per year |
| Delaware | DDDS Authorized Provider (Lifespan Waiver / Pathways to Employment); residential neighborhood homes also fall under Division of Health Care Quality neighborhood home regulations | Delaware Department of Health and Social Services, Division of Developmental Disabilities Services (DDDS) - Authorized Provider Committee | — | — | Yes | open/provider choice | $60.49per hour |
| District of Columbia | DDA HCBS IDD Waiver qualified provider; day/vocational and residential providers must hold DDS Provider Certification Review (PCR) certification | DC Department on Disability Services (DDS), Developmental Disabilities Administration (DDA); Medicaid enrollment through the Department of Health Care Finance (DHCF) | — | — | Yes | hybrid | $8.97 |
| Florida | APD license for foster care facilities, group home facilities, residential habilitation centers and adult day training programs; APD waiver provider enrollment for iBudget services | Florida Agency for Persons with Disabilities (APD); Medicaid enrollment through the Agency for Health Care Administration (AHCA) | License applications must be accompanied by the license f… | — | Yes | hybrid | $8.99per 15 min |
| Georgia | DBHDD approved I/DD community provider (NOW/COMP waivers) plus DCH Medicaid enrollment | Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD); Medicaid enrollment by the Department of Community Health (DCH) | — | — | Yes | hybrid | $5.49per 15 min |
| Hawaii | Medicaid I/DD Waiver provider approval (DDD recommendation, MQD provider agreement) | Hawaii Department of Health, Developmental Disabilities Division (DDD) Community Resources Branch; Department of Human Services Med-QUEST Division (MQD) signs the provider agreement | $500 | — | Yes | hybrid | $6.13per 15 min |
| Idaho | Developmental Disabilities Agency (DDA) certificate; Residential Habilitation Agency certificate | Idaho Department of Health and Welfare, Division of Licensing and Certification (Therapeutic and Residential Program) | — | Renewal application due at least 60 days before the certificate expires; a lapsed certificate is rescinded. | No | open/provider choice | $3.86per 15 min |
| Illinois | Community-Integrated Living Arrangement (CILA) license (for residential CILA services); DDD Medicaid waiver provider enrollment | Illinois Department of Human Services - Bureau of Accreditation, Licensure & Certification (license) and Division of Developmental Disabilities (enrollment); HFS IMPACT for Medicaid enrollment | — | — | Yes | hybrid | $30.73per Client Hour |
| Indiana | Bureau of Disabilities Services (BDS) approved HCBS waiver provider | Indiana Family and Social Services Administration, Division of Disability and Rehabilitative Services (DDRS), Bureau of Disabilities Services (BDS) - Provider Services | BDS charges no application fee for the BDS New Provider A… | Providers of non-accredited services are reviewed before the end of the first year of approval and every two years thereafter, and submit annual financial and other information. | Yes | hybrid | $9.45per 15 min |
| Iowa | HCBS provider certification (core certification for ID/BI waiver Supported Community Living and Home-Based Habilitation; add-on certifications such as RBSCL and Intensive Residential Services) | Iowa Department of Health and Human Services - Iowa Medicaid, with its Quality Improvement Organization (QIO) HCBS unit performing certification reviews | — | Certification term depends on review result: Distinguished or Proficient = 3 years (1 year for RBSCL/IRS); Developing = 1 year (270 days for RBSCL/IRS); Remedial = 270 days. | Yes | MCO-chosen | $11.59per 15 min |
| Kansas | KDADS I/DD community service provider license (Day Services, Residential Services, Targeted Case Management) | Kansas Department for Aging and Disability Services (KDADS) IDD licensing; local Community Developmental Disabilities Organization (CDDO) affiliation | — | — | No | hybrid | $5.34per 15 min |
| Kentucky | SCL waiver provider certification | Kentucky Cabinet for Health and Family Services - Department for Behavioral Health, Developmental and Intellectual Disabilities (DBHDID), Division of Developmental and Intellectual Disabilities (DDID); Department for Medicaid Services issues the provider number | — | Every 2 years · Recertification by the department at least every two years (907 KAR 12:010). | Yes | hybrid | $8.31per 15 min |
| Louisiana | HCBS provider license (single license with service modules: Adult Day Care, Family Support, Personal Care Attendant, Respite, Substitute Family Care, Supervised Independent Living incl. Shared Living Conversion, Supported Employment, Monitored In-Home Care) | Louisiana Department of Health, Health Standards Section (HSS); waivers operated by the Office for Citizens with Developmental Disabilities (OCDD) | HSS publishes a 'Fees for Waiver Programs' schedule; amou… | — | Yes | hybrid | $3.10per 15 min |
| Maine | Home and Community Support Services Agency license (service-specific) under 10-144 CMR Ch. 108, plus OADS approval as a MaineCare Section 21 / Section 29 waiver provider | Maine DHHS Division of Licensing and Certification (DLC) jointly with the Office of Aging and Disability Services (OADS) | — | — | Yes | hybrid | $11.26per 15 min |
| Maryland | DDA Qualified Services Provider approval (DDA-certified services) and OHCQ Developmental Disabilities license for licensed services/sites | Maryland Department of Health - Developmental Disabilities Administration (DDA) and Office of Health Care Quality (OHCQ) Developmental Disabilities Unit | — | — | Yes | state-sponsored | $15.33per 15 min |
| Massachusetts | DDS licensure and certification (115 CMR 8.00) for DDS-funded residential, day, employment and remote supports services | Massachusetts Department of Developmental Services (DDS), Office of Quality Enhancement (OQE) | — | — | Yes | hybrid | $17.01per 15 min |
| Michigan | No single state IDD provider certificate: providers contract with a Prepaid Inpatient Health Plan (PIHP) or Community Mental Health Services Program (CMHSP) and meet MDHHS provider qualifications; residential homes need a LARA adult foster care license (with specialized program for developmental disabilities where applicable) | Michigan Department of Health and Human Services (MDHHS) via PIHPs/CMHSPs (network contracting); Department of Licensing and Regulatory Affairs (LARA) Bureau of Community and Health Systems, Adult Foster Care & Homes for the Aged Licensing Division | — | — | Yes | hybrid | — |
| Minnesota | 245D HCBS license (basic support services and/or intensive support services); statewide license | Minnesota Department of Human Services (DHS) Licensing Division; waiver enrollment through DHS Disability Services | $4,200 | Annual nonrefundable license fee based on the prior calendar year's revenue from 245D-licensed services (Minn. Stat. 245A.10). | No | hybrid | $67.02 |
| Mississippi | Mississippi Department of Mental Health provider certification / Certificate of Operation (required for ID/DD Waiver services) | Mississippi Department of Mental Health (DMH), Division of Certification; DMH Bureau of IDD operates the ID/DD Waiver | $150 | — | Yes | hybrid | $5.04per 15 min |
| Missouri | DMH Division of Developmental Disabilities provider contract; OL&C certification required for Out of Home Respite, Individualized Supported Living, Shared Living, Day Habilitation, Community Networking, Individualized Skill Development and employment services (except Benefits Planning) | Missouri Department of Mental Health - Division of Developmental Disabilities (enrollment/contract) and Office of Licensure & Certification (OL&C); Missouri Medicaid Audit and Compliance (MMAC) for Medicaid enrollment | — | — | Yes | open/provider choice | $12.14per 15 min |
| Montana | Enrolled DDP 0208 Comprehensive Waiver provider (Montana Medicaid enrollment plus DDP Provider Addendum); residential habilitation homes must be licensed under ARM 37.100.301-340 | Montana DPHHS Developmental Disabilities Program (DDP); Montana Medicaid provider enrollment; DPHHS licensure for group homes | — | — | Yes | hybrid | $44.75per Staff Hour |
| Nebraska | Certified DD agency provider (404 NAC 4) with a DHHS provider agreement | Nebraska Department of Health and Human Services, Division of Developmental Disabilities (DDD) | — | — | Yes | hybrid | $20.07per hour |
| Nevada | Supported Living Arrangement (SLA) and Jobs and Day Training (JDT) provider certification (NAC 435) | Nevada Department of Health and Human Services, Aging and Disability Services Division (ADSD) - Developmental Services Regional Centers | — | — | Yes | hybrid | $4.89 |
| New Hampshire | Community residence certification (He-M 1001) for residential settings; provider agencies must meet He-M 504 criteria and work within the regional area agency system | New Hampshire Department of Health and Human Services - Office of Legal and Regulatory Services (certification); Bureau of Developmental Services and regional area agencies (service system) | — | Every year · Annual certificates run to the end of the 12th month after temporary certification; later annual certificates last one year. Certificates are tied to one physical location and are non-transferable. | No | hybrid | $7.00per 15 min |
| New Jersey | Medicaid/DDD approved provider (Combined Application); licensed residential settings (group homes) additionally require a DHS license; Day Habilitation requires DDD Day Habilitation Certification | New Jersey Department of Human Services, Division of Developmental Disabilities (DDD); enrollment processed by the Medicaid fiscal agent (Gainwell Technologies) | — | — | Yes | hybrid | $9.85per 15 min |
| New Mexico | DD Waiver Provider Agreement (DDSD Provider Enrollment & Relations Unit approval) | New Mexico Health Care Authority (HCA), Developmental Disabilities Supports Division (DDSD) - Provider Enrollment & Relations Unit (PERU) | — | — | No | state-sponsored | $8.73per 15 min |
| New York | OPWDD provider certification (OPWDD certifies and regulates providers of IDD services) | New York State Office for People With Developmental Disabilities (OPWDD) | — | — | Yes | open/provider choice | $9.66per 15 min |
| North Carolina | DHSR Mental Health Licensure (e.g., 10A NCAC 27G .5600 Supervised Living, incl. .5600C for adults with developmental disabilities) for facility-based services; network enrollment with an LME/MCO for NC Innovations Waiver services | NC DHHS Division of Health Service Regulation (DHSR) Mental Health Licensure & Certification Section; LME/MCOs (Tailored Plans) contract providers for the NC Innovations Waiver | Initial license fee (G.S. 131E-272): non-residential $265… | Every year · Annual license renewal fee required for all licensed facilities. | Yes | hybrid | $423.18 |
| North Dakota | DD licensed provider (DD Licensing Portal) | North Dakota Department of Health and Human Services, Developmental Disabilities Section | — | Every year · Licenses are renewed annually through the DD Licensing Portal. | No | hybrid | $10.43per 15 min |
| Ohio | Ohio Department of Developmental Disabilities (DODD) agency provider certification | Ohio Department of Developmental Disabilities (DODD) - Office of Provider Certification | Non-refundable application fee for initial or renewal cer… | Every 3 years · Renewal certification is issued for three years; renewal fee is the same as the initial fee ($800 small / $1,600 large). | Yes | hybrid | $6.79per Fifteen minutes |
| Oklahoma | OHCA SoonerCare provider agreement for HCBS ID waivers, after OKDHS Developmental Disabilities Services (DDS) provider review | Oklahoma Department of Human Services, Developmental Disabilities Services (DDS) (review/operation); Oklahoma Health Care Authority (OHCA) (contract) | — | Provider agreements may not be renewed for providers failing programmatic or financial requirements. | Yes | hybrid | $6.58per 15 min |
| Oregon | I/DD Medicaid agency certification with service endorsements; 24-hour residential homes and host homes also need a site license | Oregon Department of Human Services, Office of Developmental Disabilities Services (ODDS) - I/DD Licensing | $500 | Every 2 years · Certification and endorsements renew every two years at the same fees; 24-hour residential license renewal $50 per capacity slot; host home renewal $50 per home. | Yes | hybrid | $39.08per hour |
| Pennsylvania | ODP waiver provider qualification (by service specialty, statewide) | Pennsylvania Department of Human Services, Office of Developmental Programs (ODP); county Administrative Entities review qualification as ODP's designee | — | — | No | hybrid | $12.29per 15-minute unit |
| Rhode Island | BHDDH license to provide services to adults with developmental disabilities (residential supports, day programs, supported employment, fiscal intermediary, community-based supports) | Rhode Island Department of Behavioral Healthcare, Developmental Disabilities and Hospitals (BHDDH) - Office of Facilities and Program Standards and Licensure | — | — | Yes | hybrid | $8.98 |
| South Carolina | Qualified (or verified) provider on the BHDD-OIDD Qualified Provider List; DDSN/DHEC license where the service requires one (e.g., residential) | South Carolina Department of Behavioral Health and Developmental Disabilities, Office of Intellectual and Developmental Disabilities (BHDD-OIDD, formerly SC DDSN); Medicaid enrollment by SC Department of Health and Human Services (SCDHHS) | — | — | Yes | state-sponsored | $21.49per 15 min |
| South Dakota | Community Services Provider (CSP) or Community Support Provider (SP) certification under ARSD 46:11, plus provider agreements with DDD and DSS | South Dakota Department of Human Services, Division of Developmental Disabilities (DDD); South Dakota Medicaid (Department of Social Services) provider agreement | — | — | No | hybrid | $17.32per 15 min |
| Tennessee | Department of Disability and Aging (DDA) provider credentialing and contract (plus any service-specific license listed in the service definitions) | Tennessee Department of Disability and Aging (DDA, formerly DIDD); MCOs (Wellpoint, BlueCare, UnitedHealthcare) contract for ECF CHOICES | — | — | Yes | MCO-chosen | $5.79per 15 min |
| Texas | HCS / Texas Home Living (TxHmL) program provider contract (provisional, then certified by HHSC) | Texas Health and Human Services Commission (HHSC) - Contract Administration and Provider Monitoring; HHSC Long-term Care Regulation certifies program providers | — | — | No | hybrid | $18.47per hour |
| Utah | DHHS Office of Licensing DSPD certification (residential support or day support sites serving 3 or fewer DSPD clients) or human services program license (4 or more clients), plus a DSPD service contract | Utah Department of Health and Human Services - Division of Services for People with Disabilities (DSPD) (contracting) and Division of Licensing and Background Checks, Office of Licensing (certification/licensing) | Office of Licensing states no fees are currently required… | Renew through the DLBC provider portal; contact the licensor 60-90 days before expiration to schedule the program review and safety inspection. No certification fees at this time. | No | open/provider choice | $54.19 |
| Vermont | Agency designation as a Designated Agency (DA) or Specialized Service Agency (SSA) for developmental disabilities services, with DDS certification to deliver services directly (18 V.S.A. ch. 204A) | Vermont Agency of Human Services - Department of Disabilities, Aging and Independent Living (DAIL), Developmental Disabilities Services Division (DDSD) | — | Every 4 years · Designations last up to four years unless extended; re-designation requires a letter of intent and formal application. | Yes | hybrid | $6.60 |
| Virginia | DBHDS provider license for developmental services (e.g., group home/residential, day support, in-home), by service | Virginia Department of Behavioral Health and Developmental Services (DBHDS), Office of Licensing; DMAS (Medicaid) enrollment for waiver billing | — | — | Yes | open/provider choice | $2,454.04per month |
| Washington | Certified Community Residential Services and Supports (CCRSS) certification - supported living, group home, group training home, community protection (group homes also need an adult family home or assisted living license) | Washington DSHS Aging and Long-Term Support Administration, Residential Care Services (certification); DSHS Developmental Disabilities Administration (DDA) (contract); Health Care Authority (billing enrollment) | An annual certification fee is required (WAC 388-101-3120… | — | Yes | open/provider choice | $9.79per OF |
| West Virginia | OHFLAC behavioral health license plus Certificate of Need approval and a BMS IDDW provider agreement (case-management-only agencies instead need UMC provider certification) | West Virginia Department of Human Services - Bureau for Medical Services (BMS) (IDDW operation and provider agreements); Office of Health Facility Licensure & Certification (OHFLAC) (license); West Virginia Health Care Authority (CON) | — | — | Yes | hybrid | $3.38per 15 min |
| Wisconsin | No separate state IDD agency certificate: providers contract with Family Care / Family Care Partnership MCOs or serve IRIS participants; 1-2 bed adult family homes must be certified by one MCO, county human service agency, or the IRIS program under Wisconsin Medicaid Standards (P-00638) | Wisconsin Department of Health Services (Medicaid long-term care programs); certifying agency for 1-2 bed AFHs is an MCO, county human service agency or IRIS | — | — | Yes | hybrid | $11.51per 15 min |
| Wyoming | DD Waiver provider certification (Wyoming Department of Health, Division of Healthcare Financing, HCBS Section) | Wyoming Department of Health, Division of Healthcare Financing - Home and Community-Based Services (HCBS) Section, Credentialing Team | — | Wyoming Medicaid enrollment and provider agreement are separate from HCBS certification and must be renewed every 5 years. | No | hybrid | $8.34per 15 min |
Medicaid rate: the community integration / community access (idd) fee-for-service rate, linked to the state's fee schedule. Fees as printed by the licensing agency; where it gives a range or formula, the page for that state has the wording.