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DSP pay and rates by state

Each row is the latest desk note for that state. The line is the story summary, dated, and linked. A newer story for the same state replaces the row.

StateAs ofLatest note
ArizonaArizona's Parents as Paid Caregivers model never fully put its 2025 cost controls in place, missing up to $493 million in savings, the Arizona Auditor General found in a July 30, 2026 audit.
ArkansasArkansas plans to offer supportive living to the 2,464 people on its CES Waiver waitlist by January 2027 at the latest, at an estimated cost of about $17 million, Gov. Sarah Huckabee Sanders announced Sept. 15, 2026.
CaliforniaA 10% cut to five Medi-Cal home and community-based services programs would raise California's long-term care costs by $57 million in year one and $1.17 billion over 2026-2030, an ATI Advisory brief for CHCF published Oct. 23, 2025, found.
ColoradoColorado set a 2% rate cut for all LTSS, HCBS and case management services from July 1, 2026, plus a weekly caregiver cap falling to 56 hours by July 2027, in an April 8, 2026 update.
FloridaFlorida's 2022 budget tied more than $600 million in Medicaid rate money to a $15 wage floor without defining who counted, a question that drove legal fights until 2023 and still applies as the state minimum wage reaches $15 on Sept. 30, 2026.
GeorgiaOn July 11, 2024, Georgia announced federal approval of NOW and COMP waiver amendments that raise Medicaid rates for I/DD providers retroactive to July 1, 2024, with rate models built on a $16.70 average direct support wage.
IdahoIdaho's House Bill 863, signed by Gov. Brad Little in March 2026, cuts $21.8 million in general funds from residential habilitation rates in fiscal 2027 and adds annual cost surveys.
IllinoisIllinois proposed a DD waiver amendment, posted Sept. 10, 2026, that would raise the DSP wage in its rate model to $21.90 statewide from Jan. 1, 2027, with public comments due Oct. 8, 2026.
IndianaIndiana's Family Supports waiver amendment, effective for services on or after Jan. 1, 2026 and announced Jan. 22, 2026, requires DSPs to be on the state registry and adds hourly shift notes.
IowaIowans with disabilities are facing cuts to Medicaid waiver home care hours, including a managed care plan's bid to cut one man's support by nearly 40%, KFF Health News reported in March 2026.
LouisianaLouisiana will raise rates for its I/DD home and community services about 3% on Oct. 1, 2026, and lift the DSP wage floor to $9.27, far short of the 14.4% increase its own rate study modeled.
MarylandOn June 30, 2026, Maryland's Developmental Disabilities Administration held provider rates and self-directed wages at June 30 levels until CMS approves its waiver amendment, delaying cuts that had been set to start July 1.
MinnesotaMinnesota's rush to revalidate Medicaid providers cut about two-thirds of 5,500 high-risk providers on May 31, 2026, leaving disability services in limbo during appeals, the Star Tribune reported.
MissouriMissouri Gov. Mike Kehoe signed the state's $50.7 billion fiscal 2027 budget on June 30, 2026, keeping $80.7 million for adults with developmental disabilities that he had proposed cutting.
New HampshireThe New Hampshire Senate passed SB 670 in March 2026, a bipartisan bill that would create a Developmental Services Oversight Commission after reports of abuse and deaths, and sent it to the House.
New JerseyConcerns about guardians flagged to New Jersey judges rose to 694 in 2025 from 252 in 2024, including unexplained spending, an NJ.com review published by Disability Scoop on Aug. 27, 2026, found.
New YorkCaregivers in New York's Consumer Directed Personal Assistance Program filed with the NLRB in September 2026 for a union election that would put about 190,000 workers under 1199SEIU.
North CarolinaNorth Carolina's budget, signed July 7, 2026, puts $21.3 million a year in state funds, about $59.4 million with the federal match, into Innovations waiver rates to raise pay for direct care workers.
North DakotaAn HHS inspector general audit issued June 16, 2026, found 182 instances of noncompliance at North Dakota residential habilitation settings for waiver participants with I/DD, from late background checks to broken alarms.
OhioOhio Senate Bill 35, under consideration in September 2026, would give supported decision-making formal standing as an alternative to guardianship for adults with developmental disabilities.
OklahomaOklahoma's Developmental Disabilities Services division reported in November 2024 that the wait for services had fallen from 13 years to two after the Legislature put $32.5 million toward ending the waitlist in 2022.
PennsylvaniaPennsylvania House Bill 1939, heard by the House Human Services Committee on Aug. 18, 2026, would raise ID/A service rates with inflation each Oct. 1 and require providers to raise DSP wages by the same percentage.
TexasIn June 2025, Texana Center, a major Houston-area I/DD provider, said it would close all 14 of its group homes over several months, displacing about 50 people, the Houston Chronicle reported.
WashingtonAs of Sept. 26, 2026, Washington's offer to the board that sets pay for about 80,000 consumer-directed caregivers keeps the $37.42 hourly labor rate flat in fiscal 2028, while SEIU 775 seeks $38.40, with an Oct. 1 deadline.