January 2025 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. 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, 2019, frameworks, see the 2019 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 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.

Jan. 1, 2025, DWRS rate frameworks

Day Unit based Residential
2025 Adult Day Bath (XLS) 2025 Employment Services (XLS) 2025 Community Residential Services (XLS)
2025 Adult Day Services - 15 Minutes (XLS) 2025 Individualized Home Support with Family Training - 15 Minutes (XLS) 2025 Customized Living / 24-Hour Customized Living (XLS)
2025 Adult Day Services - Daily (XLS) 2025 Individualized Home Support with Training - 15 Minutes (XLS) 2025 Family Residential Services (XLS)
2025 Day Support Services (XLS) 2025 Individualized Home Support with Training - Daily (XLS) 2025 ICS Framework (XLS)
2025 Prevocational Services - 15 minutes (XLS) 2025 Individualized Home Support without Training - 15 Minutes (XLS) No framework
2025 Prevocational Services - Daily (XLS) 2025 Night Supervision (XLS) No framework
No framework 2025 Positive Supports (XLS) No framework