How much do they pay special needs foster parents?

Special rates vary by state and even by county. Here in OR if you want a special rate you can request one through the cw. We get a special care rate for our son's special needs that comes out to--I believe $4.30 per hour of actual time spent dealing with the special need beyond "normal" time it would take. There are caps on some of the catagories that special care rates can come under. You may spend 60 hours a month with something and get only 20 hrs. max. Your best bet is to ask the child's worker and see if you have a special care's nurse come out to assess the needs/rate with you.