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$29/mo7-day free trialThese 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
- Full-schedule CSV export and state 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
Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.
| Category | Codes | Effective | Median % of Medicare | Example rate | PA required |
|---|---|---|---|---|---|
| Physician | 5,024 | Jul 2026 | -- | $101.35 Office visit, established patient, low complexity (20-29 min) (99213) | -- |
| Lab & Imaging | 2,784 | Jul 2026 | 114.9% | $84.38 Chest X-ray, 2 views (71046) | -- |
| DME & Supplies | 23 | Jul 2026 | -- | -- | -- |
| Drugs | 589 | Jul 2026 | -- | -- | -- |
| Vision | 53 | Jul 2026 | -- | $131.88 Eye exam, new patient, comprehensive (92004) | -- |
| Behavioral Health | 16 | Jul 2026 | -- | $149.97 Psychotherapy, 60 minutes (90837) | -- |
| State-Specific Services | 261 | Jul 2026 | -- | -- | -- |
| Dental | Rhode Island's dental Medicaid rates live in the dental section, with their own per-state page. | ||||
Rhode Island also publishes 4 transport codes (Jul 2026), too few or too old to summarize here.
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.
Where Rhode Island publishes its fee schedules
- Publisher
- Rhode Island Executive Office of Health and Human Services (EOHHS)
- Program
- Rhode Island Medicaid
- Official source
- https://eohhs.ri.gov/providers-partners/fee-schedules
- Last checked
- Aug 21, 2026
ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.
These are common-procedure samples. The complete Rhode Island schedules, every category and every code, export as CSV on the Rates plan.
Compare Rhode Island nationally
Frequently asked questions
Does Rhode Island publish a Medicaid fee schedule?
Yes. Rhode Island publishes 8,750 Medicaid fee-for-service procedure rates across 7 service categories, effective through Jul 2026, all collected and normalized here with plain-language procedure names. Rhode Island Executive Office of Health and Human Services (EOHHS) publishes Rhode Island's Medicaid fee schedules. 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.
Who publishes Rhode Island's Medicaid fee schedule?
Rhode Island Executive Office of Health and Human Services (EOHHS) publishes Rhode Island's Medicaid fee schedules. The state's own fee-schedule page is https://eohhs.ri.gov/providers-partners/fee-schedules. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Aug 21, 2026).
What does Rhode Island Medicaid pay for common services?
An established-patient office visit (99213) pays $101.35, a two-view chest X-ray (71046) $84.38 and a new-patient comprehensive eye exam (92004) $131.88. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.
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), DME & Supplies (23 codes), Drugs (589 codes), Vision (53 codes), Behavioral Health (16 codes), State-Specific Services (261 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, the newest effective Jul 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.