Official State of Rhode Island website

State of Rhode Island Office of The Health Insurance Commissioner Department of Business Regulation

Social and Human Service Programs Review

OHIC conducts comprehensive reviews of all social and human service programs having a contract with or licensed by the state.

Social and Human Service Programs Review - 2025 Cycle

Report 1 - Final: An assessment and detailed reporting on social and human services program rates, including rates currently being paid and the date of the last increase

Report 1 - Appendix 1

Report 2 - Final: An assessment and detailed reporting on eligibility standards and processes of all mandatory and discretionary social and human service programs

Report 3 - Final: An assessment and detailed reporting on utilization trends for social and human service programs

Report 3 - Appendix 1

Report 3 - Appendix 2

Report 3 - Appendix 3

Report 3 - Appendix 4

(No Updates for 2025 Cycle) Report 4 - Final: An assessment and detailed reporting on the structure of the state government as it relates to the provision of services by social and human service providers including eligibility and functions of the provider network

Report 5 - Final: An assessment and detailed reporting on accountability standards for services for social and human service programs

Report 6 - Final: An assessment and detailed reporting on all professional licensed and unlicensed personnel requirements for established rates for social and human service programs pursuant to a contract or established fee schedule

Report 7 - Final: An assessment and reporting on access to social and human service programs, to include any wait lists and length of time on wait lists, in each service category

Report 8 - Final: An assessment and reporting of national and regional Medicaid rates in comparison to Rhode Island social and human service provider rates

Report 8 - Final: Appendices

Report 9 - Final: An assessment and reporting on usual and customary rates paid by private insurers and private pay for similar social and human service providers, both nationally and regionally

Report 9 - Final: Appendices

2023 Cycle - Final Report and Recommendations

Click here to view.

Appendix 1: Rate Recommendations Exhibit

2023 Cycle - Public Forum on Rate Recommendations

OHIC held a public forum on September 22, 2023 to allow interested parties an opportunity to ask questions and comment on the recommendations.

Click here to view the agenda.

Click here to view the presentation.

Click here to view the recording.

Click here to view written public comments (as of October 2023).

Report 1 - Final: An assessment and detailed reporting on social and human services program rates, including rates currently being paid and the date of the last increase.

Report 1 - Appendix 1 - Medicaid Fee Schedule for Selected Provider Types

Report 1 - Appendix 2 - Non-Medicaid Service Reimbursement

Report 1 - Appendix 3 - Mapping of Provider Code to Service Category

Report 2 - Final: An assessment and detailed reporting on eligibility standards and processes of all mandatory and discretionary social and human service programs

Report 3 - Final 1: An assessment and detailed reporting on utilization trends from the period of January 1, 2017, through December 31, 2021, for social and human service programs

Report 3 - Final: Appendix 1

Report 3 - Final: Appendix 2

Report 3 - Final: Appendix 3

Report 3 - Final: Appendix 4

Report 3 - Final: Appendix 5

Report 3 - Final: Data Book

Report 4 - Final: An assessment and detailed reporting on the structure of the state government as it relates to the provision of services by social and human service providers including eligibility and functions of the provider network

Report 5 - Final: An assessment and detailed reporting on accountability standards for services for social and human service programs

Report 6 - Final: An assessment and detailed reporting on all professional licensed and unlicensed personnel requirements for established rates for social and human service programs pursuant to a contract or established fee schedule

Report 7 - Final: An assessment and reporting on access to social and human service programs, to include any wait lists and length of time on wait lists, in each service category

Report 8 - Final: An assessment and reporting of national and regional Medicaid rates in comparison to Rhode Island social and human service provider rates

Report 8 - Final: Appendices (Medicaid Rate Comparison)

Report 9 - Final: An assessment and reporting on usual and customary rates paid by private insurers and private pay for similar social and human service providers, both nationally and regionally

Report 9 - Final: Appendix 1

Report 9 - Final: Appendix 2

Social and Human Service Program Review Advisory Council

Upcoming Advisory Council Meeting:

The next meeting of the Social and Human Service Programs Review Advisory Council will be Thursday, June 5, 2025 from 10:00 AM to 11:30 AM at 300 Jefferson Blvd. Suite 300, Warwick, Rhode Island.