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.

Second Five-Year Review Cycle (2021-2025)

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 

     

    First Five-Year Review Cycle (2016-2020)

    2020

    Year Five Services: 

    • Pediatric Personal Care
    • Pediatric Behavioral Therapy
    • Prosthetics, Orthotics, and Supplies
    • Vision Services
    • Home Health Services
    • Private Duty Nursing
    • Speech Therapy
    • Physical and Occupational Therapy

    2020 Medicaid Provider Rate Review Analysis Report

    2020 Medicaid Provider Rate Review Recommendation Report

     

    2019

    Year Four Services:
    • Ambulatory Surgical Centers
    • Fee-for-Service Behavioral Health Services
    • Residential Child Care Facilities
    • Psychiatric Residential Treatment Facilities
    • Special Connections Program Services
    • Dialysis
    • Durable Medical Equipment

    2019 Medicaid Provider Rate Review Analysis Report

    2019 Medicaid Provider Rate Review Recommendation Report

     

    2018

    Year Three Services:
    • Evaluation and Management
    • Primary Care Services
    • Radiology
    • Physical and Occupational Therapy
    • Maternity Services
    • Surgeries
    • Physician Services
    • Dental Services

    2018 Medicaid Provider Rate Review Analysis Report

    2018 Medicaid Provider Rate Review Recommendation Report

     

    2017

    2017 Medicaid Provider Rate Review Analysis Report - Physician Services, Surgery, and Anesthesia

    2017 Medicaid Provider Rate Review Analysis Report - Home- and Community-Based Services (HCBS) Waivers

    2017 Medicaid Provider Rate Review Recommendation Report

     

    2016

    Year One Services:
    • Laboratory and Pathology
    • Private Duty Nursing
    • Home Health
    • Non-Emergent Medical Transportation
    • Emergency Medical Transportation
    • Physician-Administered Drugs

    2016 Medicaid Provider Rate Review Analysis Report

    2016 Medicaid Provider Rate Review Recommendation Report