Rhode Island Medicaid Fee Schedule

Rhode Island publishes 8,754 Medicaid fee-for-service rates across 8 service categories. Pooled across categories with a national Medicare comparator, Rhode Island's published rates run a median 114.9% of the Medicare amount, ranking 4 of 49 jurisdictions with a comparable basis.

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These pages show common-procedure samples per category. The complete all-codes Rhode Island schedules export as CSV with the Rates plan.

  • Every code on all 51 published schedules
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  • Full state Medicaid dental network lists
  • Email alerts when a state changes its rates
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How Rhode Island pays

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.

Rhode Island's published schedules by category

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.

Compare Rhode Island nationally

Frequently asked questions

Does Rhode Island publish a Medicaid fee schedule?

Yes. Rhode Island publishes 8,754 Medicaid fee-for-service procedure rates across 8 service categories, all collected and normalized here with plain-language procedure names. One thing to know about how Rhode Island pays: 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.

How do Rhode Island's Medicaid rates compare with Medicare?

Pooled across categories with a national Medicare comparator, Rhode Island's published rates run a median 114.9% of the Medicare amount, ranking 4 of 49 jurisdictions with a comparable basis.

What service categories does Rhode Island publish?

Physician (5,024 codes), Lab & Imaging (2,784 codes), Drugs (589 codes), Other Services (261 codes), Vision (53 codes), DME & Supplies (23 codes), Behavioral Health (16 codes), Transport (4 codes). Dental rates have their own section with per-state pages.

How current are these rates?

Rates come from Rhode Island's currently published fee schedules and are re-collected on a rolling monthly cadence, so most schedules here are effective 2026. This page updates automatically after each collection sweep.