Reports To Government Partners

Rhode Island Long-term Services and Supports (LTSS) Annual Performance Report: SFY 2019 - SFY 2023, September 2024

State Fiscal Year 2023 Medicaid Expenditure Report, September 2024

2022 Aggregate EQR Technical Report, April 2024

2022 Tufts EQR Technical Report, April 2024

2022 Neighborhood EQR Technical Report, April 2024

2022 UHCCP-RI EQR Technical Report, April 2024

2022 RIte Smiles EQR Technical Report, April 2024

No Managed Care Organizations (MCOs) providing services in the State of Rhode Island were exempt from external quality review in state fiscal year 2024 (measurement year 2022) according to federal regulation 42 CFR 438.364(a)(7) .

SFY 2022 Medicaid Expenditure Report

2022 NHPRI Encounter Data Validation Study, September 2023

2022 NHPRI-MMP Encounter Data Validation Study, September 2023

2022 Point32Health (Tufts) Encounter Data Validation Study, September 2023

2022 UnitedHealthcare Encounter Data Validation Study, September 2023

2022 UHC Dental Encounter Data Validation Study, September 2023

2021 Aggregate EQR Technical Report, April 2023

2021 Tufts EQR Technical Report, April 2023

2021 Neighborhood EQR Technical Report, April 2023

2021 UHCCP-RI EQR Technical Report, April 2023

2021 RIte Smiles EQR Technical Report, April 2023

RI Medicaid Managed Care Program Report (MCPAR), December 2022

SFY 2021 Medicaid Expenditure Report

2020 Aggregate EQR Technical Report, April 2022

2020 Tufts EQR Technical Report, April 2022

2020 RIte Smiles EQR Technical Report, April 2022

2020 Neighborhood EQR Technical Report, April 2022

2020 UHCP-RI EQR Technical Report, April 2022

Long Term Care Service and Finance Performance Report, April 2022

SFY 2020 Medicaid Expenditure Report, April 2022

2021

• An Assessment of the Department of Behavioral Healthcare,Developmental Disabilities, and Hospitals, June 2021
• SFY19 Rhode Island Medicaid Expenditure Report, May 2021
• Long Term Care Service and Finance Performance Report, April 2021, April 2021
• LTSS Scorecard (.XLSX format)
• 2019 Aggregate EQR Technical Report, April 2021
• 2019 Neighborhood EQR Technical Report, April 2021
• 2019 Tufts EQR Technical Report, April 2021
• 2019 UHCP-RI EQR Technical Report, April 2021
• 2019 RIte Smiles EQR Technical Report, April 2021

2020

• Long Term Care Service and Finance Performance Report, April 2020
• 2018 Aggregate EQR Technical Report, April 2020

2019

• 2019 Public Health Access Beneficiary Employers Report, March 2019
• Long Term Care Service and Finance Performance Report, April 2019

2018

• SFY 2017 RI Medicaid Expenditure Report, July 2018  
• Progress Report on LTC System Reform and Rebalancing, March 2018
• State Expenditures for Long Term Care Supports and Services under Managed Long Term Care, April 2018

2017

• RI Medicaid Expenditure Report SFY 2016, May 2017
• Progress Report on LTC System Reform and Rebalancing, May 2017
• 1115 Waiver Quarterly Report, Oct-Dec 2016, Feb 2017
• Monitoring Quality & Access through the Performance Goal Program, Sept 2017
• Annual External Quality Review Technical Report, Reporting Year 2016, Oct 2017

2016

• LTSS Evaluation of Rebalancing Strategies, Lewin Group, Oct 2016
• LTSS Evaluation of Rebalancing Strategies-Qualitative Inquiry, Oct 2016
• LTSS Evaluation of Rebalancing Strategies-Quantitative Analyses, Oct 2016
• Monitoring Quality & Access through the Performance Goal Program, Oct 2016
• RI Medicaid Annual External Quality Review Technical Report, Oct 2016
• 1115 Waiver Annual Operations Report, CY 2014, August 2016
• 1115 Waiver Annual Operations Report, CY 2015, August 2016
• Rhode Island Medicaid Expenditure Report SFY 2015, May 2016
• Medicaid Long Term Care System Reform and Rebalancing, April 2016   
• State Expenditures for Long-Term Care Supports and Services under Managed Long Term Care, March 2016   

2015 

• Monitoring Quality and Access in RIte Care and Rhody Health Partners, Oct 2015
• Sherlock Plan Report, Sept 2015    
• Sherlock Plan Report, May 2015    
• Rhode Island Medicaid Expenditure Report SFY2014, June 2015
• 1115 Waiver Quarterly Report, January-March 2014, March 2015
• Sherlock Plan Report, March 2015

2014

• RI Medicaid Comprehensive Quality Strategy, Dec 2014, revised
• Sherlock Plan Report, December 2014
• Rhode Island Annual Medicaid Expenditure Report (SFY2013)
• Rhode Island's Medicaid Managed Care Program: Annual External Quality Review, November 2014
• Sherlock Plan Report, August 2014
• Medicaid Report to RI Senate, October - December 2013, June 2014
• 1115 Waiver Quarterly Report, October-December 2013, May 2014
• Medicaid Report to RI Senate, July-September 2013, March 2014
• Global Waiver Quarterly Report, July-September 2013, March 2014
• Global Waiver Quarterly Report, April-June 2013, March 2014
• Long-term Care Transition Report, February 2014
• An Assessment of the Rhode Island Medicaid Adult Dental Program, January 2014

2013

• Medicaid Report to RI Senate April-June 2013, December 2013
• Sherlock Plan Report, October 2013
• Global Waiver Quarterly Report, January-March 2013, Sept. 2013
• Medicaid Report to RI Senate January-March 2013, Sept. 2013
• RI Annual Medicaid Expenditure Report, SFY 2012, June 2013

2012

• RI Medicaid Expenditure Report, SFY 2011, June 2012
• Assessing & Improving Quality of Managed Care Services, Oct. 2012
• Medicaid Report to RI Senate Jan-March 2012, Sept 2012
• Medicaid Report to RI Senate April-June 2012
• Medicaid Report to RI Senate July-Sept. 2012
• Medicaid Report to RI Senate Oct.-Dec. 2012
• Global Waiver Quarterly Report, April-June 2012, August 2012
• Statutory Changes to Medicaid Intercept and Estate Recoveries, August 2012
• Medicaid Report to RI Senate Oct-Dec 2011, June 2012
• Global Waiver Quarterly Report, Jan - March 2012, May 2012

2011

• Medicaid Report to RI Senate, July-Sept 2011
• Global Waiver Quarterly Report, Oct-Dec 2011
• Global Waiver Quarterly Report, July-Sept 2011
• Global Waiver Quarterly Report, April-June 2011
• Global Waiver Quarterly Report, Jan-Mar 2011
• Medicaid Report to RI Senate, April -June 2011
• Medicaid Report to RI Senate, Jan- March 2011
• RI Annual Medicaid Expenditure Report, SFY 2010, EOHHS, June 2011

2010

• Medicaid Report to RI Senate, July-Dec 2010
• Medicaid Report to RI Senate, April- June 2010
• Medicaid Report to RI Senate, Jan- Mar 2010
• Global Waiver Quarterly Report, Oct-Dec 2010
• Global Waiver Quarterly Report, July-Sept 2010
• Global Waiver Quarterly Report, Apr-Jun 2010
• Global Waiver Quarterly Report, Jan-Mar 2010

2009

• Global Waiver Quarterly Report, Oct-Dec 2009
• Global Waiver Quarterly Report, July-Sept 2009
• Medicaid Report to RI Senate, July-Dec 2009
• RI Annual Medicaid Expenditure Report, SFY 2008, 9/17/09

2007

• Statewide 2-1-1 Call Center Study
• Updated Medicaid Expenditure Report

2006

• Report to the Governor and General Assembly on the Development of Children's Behavioral Health Continuum of Care
• First Annual State Medicaid Expenditure Report

2005

• Final Assisted Living Report