2019 waiver rate-setting frameworks

NOTE: The federal Centers for Medicare & Medicaid Services approved 2026 rate frameworks on March 25. DHS is implementing these frameworks for services with start dates April 1, 2026, or later, on a rolling implementation basis. The approved rates are available on the 2026 CMS-approved DWRS rate frameworks webpage.

DHS has posted previous rate frameworks for reference purposes only. The 2019 Disability Waiver Rate System rate-setting frameworks are listed below. To view the 2013 rate frameworks, visit the 2013 waiver rate-setting frameworks webpage. For July 1, 2017, rate frameworks, visit the 2017 waiver rate-setting frameworks webpage. For Jan. 1, 2018, rate frameworks, see the January 2018 waiver rate-setting frameworks webpage. For July 1, 2018, frameworks, see the July 1, 2018, waiver rate-setting frameworks webpage. For the Jan. 1, 2020, frameworks, see the 2020 waiver rate-setting frameworks webpage. For the Jan. 1, 2021, frameworks, see the January 2021 waiver rate-setting frameworks webpage. For the July 1, 2021, frameworks, see the July 2021 waiver rate-setting frameworks webpage. For the Jan. 1, 2022, frameworks, see the January 2022 waiver rate-setting frameworks webpage. For the July 1, 2022, frameworks, see the July 2022 waiver rate-setting frameworks webpage. For the Jan. 1, 2023, frameworks, see the January 2023 waiver rate-setting frameworks webpage. For the Jan. 1, 2024, frameworks, see the January 2024 waiver rate-setting frameworks webpage. For the Jan. 1, 2025, frameworks, see the January 2025 waiver rate-setting frameworks webpage. For rates with service starting dates between Jan. 1 and March 31, 2026, you must use the 2026 amended frameworks available on the 2026 amended DWRS rate frameworks for start dates between Jan. 1 and March 31 webpage

If you have questions or comments about the rate frameworks, or need an alternative format, contact us using the DSD contact form.

2019 DWRS rate frameworks

Day Unit based Residential
2019 Adult Day Bath (XLS) 2019 Employment Services (XLS) 2019 Customized Living / 24-Hour Customized Living (XLS)
2019 Adult Day Care Services - Daily (XLS) 2019 Housing Access Coordination (XLS) 2019 Foster Care/Supported Living Services Corporate (XLS)
2019 Adult Day Care Services - 15 Minutes (XLS) 2019 In-home Family Support (XLS) 2019 Foster Care/Supported Living Services Family (XLS)
2019 Day Training and Habilitation Services - Daily (XLS) 2019 Independent Living Skills Training (XLS) No framework
2019 Day Training and Habilitation Services - 15 Minutes (XLS) 2019 Individualized Home Support - Daily (XLS) No framework
2019 Prevocational Services - Day (XLS) 2019 Individualized Home Support - 15 Minutes (XLS) No framework
2019 Prevocational Services - Hourly (XLS) 2019 Night Supervision (XLS) No framework
2019 Structured Day Services - Daily (XLS) 2019 Personal Support / Adult Companion (XLS) No framework
2019 Structured Day Services - 15 Minutes (XLS) 2019 Positive Supports (XLS) No framework
No framework 2019 Respite - 15 Minutes (XLS) No framework
No framework 2019 Supported Employment Services (XLS) No framework
No framework 2019 Supported Living Services - 15 minutes (XLS) No framework