Rhode Island Medicaid Other Services Fee Schedule 2026

Rhode Island Medicaid publishes 261 other services procedure rates effective 2026, paying a median 144.3% of the national Medicare amount for the same services. This page shows published rates for common other services procedures with plain-language descriptions and, where a comparator exists, each rate as a percentage of national Medicare.

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The table on this page is a common-procedure sample. The full Rhode Island other services schedule has 261 codes.

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Published codes

261

Other Services procedures on the 2026 schedule

Median % of Medicare

144.3%

vs national Medicare, GPCI-neutral

Effective vintage

2026

latest effective year on the schedule

Common other services procedures and what Rhode Island Medicaid pays

A curated sample of recognizable procedures from the 261-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.

CodeProcedureRhode Island rate% of Medicare

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.

More Rhode Island Medicaid fee schedules

Other Services rates in neighboring states

Frequently asked questions

What does Rhode Island Medicaid pay for other covered services?

Rhode Island Medicaid publishes 261 other services procedure rates effective 2026, paying a median 144.3% of the national Medicare amount for the same services. The schedule covers clinic encounters, screenings, and state-specific service codes. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.

How do Rhode Island's other services rates compare with Medicare?

Across other services codes with a national Medicare comparator, Rhode Island Medicaid pays a median 144.3% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.

Do other services services need prior authorization in Rhode Island?

Rhode Island does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".

Where do these rates come from?

Directly from Rhode Island's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.

Get an email the next time Rhode Island changes these rates.