Q2 2026 findings

Reporting period open through July 15. First aggregate findings will publish once at least five providers have submitted included responses, per the published methodology. This page updates automatically as the threshold is reached.

View findings by

Service line: All service lines

DSP vacancy — five quarter trend

Median across reporting providers, all service lines. The July 2026 rate cuts took effect July 1, 2026 (start of Q3).

Q1 2026
Q2 2026
10%

Quadrant one — Provider stability

Share of reporting providers in each category indicating at least one stability change in the last 90 days.

Residential Habilitation / Supported Living46.2%
Developmental Disability Agency100%
Targeted Service Coordination25%
Certified Family Home (suppressed, n=0)
Behavioral Health / Crisis (suppressed, n=2)
Community Supported Employment (suppressed, n=2)
Day / Community Habilitation (suppressed, n=0)
Personal Care Services (suppressed, n=1)
Nursing / Clinical Support (suppressed, n=1)
Other HCBS service (suppressed, n=2)

Quadrant four — Crisis spillover

Service-gap-attributed events across the reporting period. These represent costs that have shifted from HCBS to higher-cost or non-Medicaid settings.

ER visits28
Hospitalizations18
Law enforcement44
Placement disruptions29
Crisis stabilization32

Stress indicator by IDHW region

Composite of all four quadrants, all service lines. Regions with fewer than three reporting providers fold up to neighbors.

Region 1Coeur d'AleneElevated
Region 2LewistonElevated
Region 3CaldwellElevated
Region 4BoiseElevated
Region 5Twin FallsAwaiting data
Region 6PocatelloElevated
Region 7Idaho FallsElevated

Intervention thresholds

Per the Potentia framework, deterioration is normalized one step at a time without defined trigger points. Each indicator below has a published threshold at which the coalition considers system stress to have crossed from elevated into emergency.

Provider closures statewide2
Median DSP vacancy10%
Counties with documented reductions18
High-acuity referral denialsTracking — baseline pending
ResHab PulseMonthly · ResHab only

Monthly pulse — Residential Habilitation

A faster-cadence read on the segment absorbing the largest share of the July 2026 rate reductions. Months marked before the cut are baseline; the vertical line marks the cut effective date.

Median DSP vacancy — twelve-month rolling

Months below the publish threshold appear as gaps (n < 5). The vertical line marks July 1, 2026, when the rate reductions took effect.

0%25%50%July 1, 2026 · rate cutAprMayJunJulAugn<5n<5

Most recent month with published findings: June 2026

Providers reporting
8
6 vs prior month
Median DSP vacancy
11.4%
2.1pp vs prior month
Homes offline (est.)
20
26 vs prior month
Paused or limiting admissions
100%
35.7pp vs prior month

Changes providers attribute to the rate reductions

Share of 8 reporting residential habilitation providers in June 2026 who cited each operational change as a direct response to the cuts.

Paused intake37.5%
Reduced planned wage increases37.5%
Cut administrative or clinical support25%
Reduced staff or froze hiring25%
Shifted to lower-cost service models25%
No specific changes12.5%
Closed a location12.5%

A note on this data

These figures reflect self-selected providers who chose to participate. The sample is not statistically representative of all Idaho HCBS providers. Trends across reporting periods are more meaningful than absolute values. See methodology for details on collection, suppression, and limitations.

Last updated 8/4/2026, 3:07:42 PM

Trends across periods

How key indicators have moved over time

Quarterly Survey

Median DSP vacancy

10% latest · Q2 2026 (April–June 2026)

Q2 2026 (April–June 2026): 10%
Q2 2026 (April–June 2026)Q2 2026 (April–June 2026)

Included submissions

15 latest · Q2 2026 (April–June 2026)

Q1 2026 (January–March 2026): 2Q2 2026 (April–June 2026): 15
Q1 2026 (January–March 2026)Q2 2026 (April–June 2026)

Provider closures statewide

2 latest · Q2 2026 (April–June 2026)

Q2 2026 (April–June 2026): 2
Q2 2026 (April–June 2026)Q2 2026 (April–June 2026)

Counties with documented reductions

18 latest · Q2 2026 (April–June 2026)

Q2 2026 (April–June 2026): 18
Q2 2026 (April–June 2026)Q2 2026 (April–June 2026)
ResHab Pulse

Median DSP vacancy

11.4% latest · June 2026

April 2026: 13%May 2026: 13.5%June 2026: 11.4%
April 2026June 2026

ResHab homes offline (est.)

20 latest · June 2026

April 2026: 11May 2026: 46June 2026: 20
April 2026June 2026

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