ResHab Pulse findings

Monthly ResHab Pulse findings — residential habilitation and supported living only. Each month publishes once it has at least five included submissions.

Quarterly findings ResHab Pulse findings

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Quarterly findings — all provider types

The quarterly survey is the methodological backbone: all HCBS provider types, the full four-quadrant indicator set, financial position, and narrative. It is reported and aggregated independently of the monthly pulse.

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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 11/11/2026, 10:20:30 AM

Trends across periods

How key indicators have moved over time

ResHab Pulse

Median DSP vacancy

13% latest · October 2026

April 2026October 2026

ResHab homes offline (est.)

13 latest · October 2026

April 2026October 2026

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.

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Month: October 2026 · Service line: Residential habilitation / supported living

Only months with at least five included submissions are listed. The Monthly Pulse covers residential habilitation and supported living only, so the service-line filter above does not subdivide it further.

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.

Showing: October 2026 · most recent month with published findings · compared with September 2026

Providers reporting

▼ 4 vs prior month

Median DSP vacancy

13%

▼ 3.6pp vs prior month

Median overtime rate

11.4%

▲ 1.7pp vs prior month

Homes offline (est.)

▼ 4 vs prior month

Paused or limiting admissions

100%

▲ 9.1pp vs prior month

Direct-support positions reported

Budgeted direct-support positions (FTE) reported by 6 of 7 providers in October 2026. A fall in this total means positions were eliminated, not merely left vacant.

Budgeted positions (FTE)

175.9

▼ 304.8 vs prior month

Filled positions (FTE)

143.2

▼ 143.6 vs prior month

Providers reporting positions

Month-over-month change compares only against the prior published month, and the set of reporting providers can differ between months.

Overtime and vacancy by region

Median overtime and DSP vacancy rates for October 2026, by IDHW region. A provider counts toward every region it reported serving. Regions with fewer than three reporting providers are withheld.

Region	Providers	Median overtime	Median vacancy
Region 1 · Coeur d'Alene	—	Awaiting data
Region 2 · Lewiston	—	Awaiting data
Region 3 · Caldwell	—	Awaiting data
Region 4 · Boise	—	Awaiting data
Region 5 · Twin Falls	—	Awaiting data
Region 6 · Pocatello	—	Awaiting data
Region 7 · Idaho Falls	4	15.4%	12.5%

Changes providers attribute to the rate reductions

Share of 7 reporting residential habilitation providers in October 2026 who cited each operational change as a direct response to the cuts.

Cut administrative or clinical support57.1%

Reduced planned wage increases42.9%

No specific changes28.6%

Paused intake28.6%

Shifted to lower-cost service models14.3%

Reduced staff or froze hiring0%

Closed a location0%