September/October 2026 Top of Mind

Outpatient Fee Schedule Changes for Rhode Island Medicaid

In accordance with Rhode Island Executive Office of Health and Human Services (EOHHS) requirements, updates are being made to the Medicaid fee schedules. These updates include the addition and/or removal of certain procedure codes and corresponding reimbursement rates. You’re being notified of these changes to ensure awareness and alignment with current state guidelines.

Updated fee schedules reflecting these modifications are now available in the Provider Express secure portal.

Go to Providerexpress.com > Log-In (requires One Healthcare ID)
Select My Networks > View Fee Schedule
Note: Fee schedules can only be accessed by the group’s designated primary portal user. Other group users will not see the View Fee Schedule option.

Questions?

We encourage you to review these changes carefully to understand any potential impact to billing and reimbursement.

Questions about these changes: Contact Provider Services at 1-877-614-0484, 8 am – 8 pm ET, Monday – Friday.
For help accessing your fee schedule: Call Technical Support at 1-866-209-9320, 8 am – 8 pm ET, Monday – Friday

Code	Description	Rate	Effective Date	Change
H2031	Clubhouse	$0.00	4/27/2026	Terminating code from all fee schedules
99446	Telephone or internet assessment and management service provided by a consultative physician / 5-10 min	$17.47	10/1/2025	Adding code/rate for all license levels
99447	Telephone or internet assessment and management service provided by a consultative physician /11-20 min	$35.27	10/1/2025	Adding code/rate for all license levels
99448	Telephone or internet assessment and management service provided by a consultative physician / 21-30 min	$52.47	10/1/2025	Adding code/rate for all license levels
99449	Telephone or internet assessment and management service provided by a consultative physician / 31 minutes	$70.89	10/1/2025	Adding code/rate for all license levels
99451	Telephone or internet assessment and management service provided by a consultative physician with written report / 5 minutes or more of medical consultative discussion and review	$33.72	10/1/2025	Adding code/rate for all license levels
99452	Telephone or internet referral service, 30 minutes	$34.39	10/1/2025	Adding code/rate for all license levels

Go to Top of Mind home page