Every state, kept current
The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Rhode Island state-specific services schedule has 261 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Published codes
261
state-specific and temporary HCPCS codes on the 2026 schedule
Median % of Medicare
--
no national Medicare comparator for this category
Effective vintage
2026
latest effective year on the schedule
Rhode Island publishes only hospital-grain schedules: an outpatient (APC) schedule plus laboratory and radiology fee files. There is no professional physician fee schedule, and because APC amounts bundle facility costs, those rows are shown without a Medicare comparison.
Common state-specific and temporary HCPCS codes 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.
| Code | Procedure | Rhode 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
- Rhode Island Medicaid fee schedule 2026, all categories
- Rhode Island physician fee schedule · 5,024 codes
- Rhode Island lab & imaging fee schedule · 2,784 codes
- Rhode Island drugs fee schedule · 589 codes
- Rhode Island vision fee schedule · 53 codes
- Rhode Island dme & supplies fee schedule · 23 codes
- Rhode Island behavioral health fee schedule · 16 codes
State-Specific Services rates in neighboring states
Frequently asked questions
What does Rhode Island Medicaid pay for state-specific and temporary HCPCS services?
Rhode Island Medicaid publishes 261 state-specific and temporary HCPCS code rates effective 2026 on its fee-for-service schedule. The schedule covers clinic and screening encounters, telehealth facility fees, personal care, and other C, Q, S and T 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 state-specific services rates compare with Medicare?
Most state-specific services codes in this category have no direct national Medicare comparator (Medicare prices these services through different mechanisms), so a median comparison is not published here.
Do state-specific and temporary HCPCS 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.