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

1. The Data Submission Guide contains the methodology the Office of the Health Insurance Commissioner uses 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 2026.

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 2024-2025 TME Submission Template 2026 8-11

Attachment 2. Rhode Island Primary Care Spending Submission Template 2026 8-11

Attachment 3. RI Quality Measure Performance 2025 Submission Template 2026 8-11

Attachment 4. Rhode Island Behavioral Health Spending Submission Template 2026 8-11

OHIC BH Code Reference File 2026 8-11

RI Standard Deviation Example

Appendix F and G

Insurer Technical Briefing on Reporting 8-11-2026

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