Approved State Directed Payment Preprints

Minimum Fee Schedule established by the State for the Program of Assertive Community Treatment (PACT) for the rating period covering January 1, 2023 through March 31, 2023, incorporated into the capitation rates through a risk-based adjustment.

The minimum fee schedule for Acute Treatment Services (ATS) and Clinical Support Services (CSS) (which may include individualized treatment services in a specialized setting), and Residential Rehabilitation Services (RRS) services established by the state for the rating period covering January 1, 2023 through March 31, 2023, incorporated into the capitation rates through a risk-based adjustment.

Uniform increase established by the state for hospitals participating in the Rhode Island Medicaid Program, as defined in RIGL 40-8-13.4, for outpatient hospital services for the rating period covering July 1, 2023 through June 30, 2024, incorporated in the capitation rates through a risk-based rate adjustment

Uniform increase established by the state for eligible inpatient and outpatient hospital services, for the rating period covering July 1, 2023 through June 30, 2024, incorporated in the capitation rates through a separate payment term of up to $287,927,025.

Uniform increase established by the state for shared living services for the rating period covering July 1, 2023 through June 30, 2024, incorporated in the capitation rates through a risk-based rate adjustment.

Uniform increase established by the State for eligible home and community-based service (HCBS) services for the rating period covering January 1, 2024 through December 31, 2024, incorporated in the capitation rates through a separate payment term of up to $146 million.

The minimum and maximum fee schedules established by the state for the rating period covering January 1, 2024 through December 31, 2024, incorporated in the capitation rates through a risk-based adjustment.

Minimum Medicare fee schedules established by the state for eligible primary care services, specialty physician services, behavioral health outpatient services, and durable medical equipment for the rating period, January 1, 2024 through December 31, 2024, incorporated into the capitation rates through a risk-based rate adjustment.

Uniform increase established by the state for professional services of staff and faculty dental providers at an academic dentistry institution of a public university for the rating period covering July 1, 2023 through December 31, 2023, incorporated as an adjustment to risk-based capitation rates.

Minimum fee schedules established by the state for eligible primary care services, specialty physician services, nursing facility services, behavioral health outpatient services, dental services and durable medical equipment for the rating period, January 1, 2024 through December 31, 2024, incorporated into the capitation rates through a risk-based rate adjustment.