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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.

Click here for information on how to submit a CORA request for documents that have been archived from our website. 
 

 

First Three-Year Cycle Review (2023 - 2026)

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

Health Care Policy & Financing MPRRAC Report Presentation to the Joint Budget Committee

  • November 28, 2023 9:00am - 9:30am

Rate Change Tracking Spreadsheet

Second Five-Year Review Cycle (2021-2025) Update - Review Cycle changed from 5 years to 3 years in 2023

2022

Year Two Services:

  • Physician Services
  • Dialysis & Nephrology
  • Eyeglasses & Vision
  • Laboratory & Pathology
  • Injections & Miscellaneous J-Codes

2022 Medicaid Provider Rate Review Analysis Report

 

2022 Medicaid Provider Rate Review Recommendation Report 

2021

Year One Services:

  • Emergency Medical Transportation (EMT)
  • Non-Emergent Medical Transportation (NEMT)
  • Home and Community-Based Services (HCBS) Waivers
  • Targeted Case Management (TCM)
Report Documents

2021 Medicaid Provider Rate Review Analysis Report (Main Report)

*Please note that the Medicaid Provider Rate Review Advisory Committee (MPRRAC) does not agree with the findings of this report, specifically regarding Transportation Services.

 

2021 Medicaid Provider Rate Review Recommendation Report