Sadly, most agencies report high levels of turnover, difficulty in finding people that want to do this kind of work, and staff who work multiple jobs to make ends meet. For example, most agencies can only afford to pay their staff members $11-$13 per hour. In 2004, the state reimbursement for direct support was 69 percent above minimum wage. Today, that number has decreased to just over 20 percent. If minimum wage is raised to $15 per hour, most agencies will have difficulty paying their direct support professionals that rate.