Rhode Island Health Care Cost Growth Target Data Submission Guide and Information for Insurers

1. The Data Submission Guide contains the methodology the Health Care Cost Trends Steering Committee used to set the health care cost growth target, and the methodologies for calculating performance against the target. Appendix A contains the technical specifications and instructions that licensed insurers must use for data reporting. This version was last updated August 2025.

2. The Cost Growth Target and Performance Submission Template should be used by licensed insurers to submit their total medical expense (TME) data to OHIC. Data that is submitted in any other form will not be accepted by OHIC.

Attachment 1. Rhode Island 2023-2024 TME Submission Template 2025 8-20 v3

Attachment 2. Rhode Island Primary Care Spending Submission Template 2025 8-20 v3

Attachment 3. RI Quality Measure Performance 2024 Submission Template 2025 8-14

Attachment 4. Rhode Island Behavioral Health Spending Submission Template 2025 8-14

OHIC BH Code Reference File 2025 8-14

RI Standard Deviation Example

Appendix F and G

For questions about the annual insurer data reporting process, email Charles Estabrook.