Rate Review Reports
Medicaid Provider Rate Review Annual Reports
Use the drop-down menus below to view services reviewed each year and the Department's accompanying Analysis and Recommendation Reports.
How to submit a CORA request for documents that have been archived from our website.
- First Three-Year Cycle Review (2023 - 2025)
2024
- Year Two Services:
- Emergency Medical Transportation (EMT)
- Non-Emergent Medical Transportation (NEMT)
- Qualified Residential Treatment Programs (QRTP)
- Psychiatric Residential Treatment Program (PRTF)
- Home Health Services
- Pediatric Personal Care (PPC)
- Private Duty Nursing (PDN)
- Physician Services
- EEG Ambulatory Monitoring Codes
- Sleep Studies
- FFS Substance Use Disorder (SUD) Codes
- Home and Community Based Services (HCBS):
- ADL Assistance and Delivery Models
- Behavioral Services
- Community Access and Integration
- Community Directed Attendant Support Services (CDASS)
- Day Program
- Professional Services
- Residential Services
- Respite Services
- Technology, Adaptations, and Equipment
- Transition Services
2024 Medicaid Provider Rate Review Analysis and Recommendation Report
- Appendix A - Research Methodology
- Appendix A1 - Excluded Codes
- Appendix A2 - Base Data Summary
- Appendix A3 - Benchmark Ratios
- Appendix B - Access to Care Metrics
- Appendix C - Rate Change Track Document
- Appendix D - PDN Cross-work of Benchmark Ratios
- Appendix E - Stakeholder Feedback
- Appendix F - Glossary & County Reference Map
Health Care Policy & Financing MPRRAC Report Presentation to the Joint Budget Committee
- November 19, 2024 2:30pm - 3:00pm
2023
Year One Services:
- Anesthesia
- Ambulatory Surgical Centers
- Fee-for-service Behavioral Health
- Pediatric Behavioral Therapy
- Maternity Services
- Abortion Services
- Dental Services
- Surgeries
- Digestive System
- Musculoskeletal System
- Cardiovascular System
- Respiratory System
- Integumentary System
- Eye and Auditory System
- Other Surgeries
- Co-Surgeries
2023 Medicaid Provider Rate Review Analysis and Recommendation Report
- Appendix A - Cycle 1 Year 1 Methodology and Data
- Appendix A - Table 2(a)
- Appendix B1 - Base Data Summary
- Appendix B2 - Rate Ratios
- Appendix B2 (2)
- Appendix C - Fiscal Impact
- Appendix D - Stakeholder Feedback
- Appendix E - Glossary and County Reference Map
Health Care Policy & Financing MPRRAC Report Presentation to the Joint Budget Committee
- November 28, 2023 9:00am - 9:30am
Rate Change Tracking Spreadsheet
- Year Two Services: