The MediRate Platform
MediRate's Mission
MediRate makes access to Medicaid payment data easy. Our simple intuitive platform enables quick answers to your Medicaid rate questions and easy monitoring so that you can stay on top of changes when they happen.
With over 80 million Americans enrolled, and approaching $1 trillion in annual expenditures, Medicaid is the largest government-funded health care program in the United States.
Despite the size and growth of the market, state-specific program designs and the lack of standardization and comparability in data collection present challenges for policy-setters and business interests.
How MediRate Helps You
MediRate aggregates fee schedule data for key service lines across all 50 states to enable on-demand rate look-up, trend identification and cross-state comparisons.
Payment rates are updated real-time, and are searchable by state, service line, billing code, program and date.
MediRate monitors payment rate developments by state and service line and offers daily, customizable alerts, enabling users to track potential changes as they emerge.
MediRate Answers Your Key Questions
📊Data Aggregation
MediRate aggregates fee-for-service payment amounts by CPT/HCPCS billing code across 50 states and the District of Columbia by curating:
- State Medicaid and related agency fee schedules
- Provider manuals
- Provider bulletins
- Legislative and appropriations' documents
- Regulatory actions
- Other sources
📈Payment Rate Analysis
Subscribers can:
- Search for payment rates by:
- Service line category
- Billing code
- State
- Program
- Date
- Track trends by analyzing payment rates over time
- Compare rates to payment amounts in other states and national averages
🔍Policy Monitoring
Subscribers can:
- Monitor real-time policy developments related to Medicaid payment rates nationally and on a state-by-state basis
- Sign up for customizable email alerts for real-time notification of policy developments in the service lines and markets that matter to you
See MediRate in Action
Watch our comprehensive demo to see how MediRate makes Medicaid payment rate tracking simple, efficient, and insightful for healthcare providers and stakeholders.
Learn how to search, compare, and monitor Medicaid payment rates across all 50 states
MediRate Tracks Medicaid Reimbursement Rates for Key Service Lines
Search and monitor Medicaid payment rates for Applied Behavior Analysis (ABA), behavioral health services, and other critical service lines across all 50 states.
| Service Line/Provider Type | MediRate |
|---|---|
| Applied Behavior Analysis (ABA) and Early Intervention (EI) Services | |
| Home and Community Based Services including Personal Care | |
| Behavior Health services | |
| Substance Use Disorder services | |
| Services for Individuals Living with Intellectual and Developmental Disabilities |
What Our Customers Say
Prior to leveraging MediRate, our team scoured state websites to find Medicaid fee schedules, regulatory changes impacting service lines, and any state legislation that could impact our Medicaid business. The difficulty in managing this is no one state stores information in the same manner, information is often difficult to gather, and finding rate change information was often at the 11th hour or sometimes after the publication of new rates. MediRate has been the solution to solve these issues for us as a multi-state provider.
MediRate consolidates state-by-state, service line-specific fee schedules, has historical and real-time data to identify trends and outliers, and assists organizations like ours in evaluating new market entry not only from a reimbursement landscape, but also by providing insights into the regulatory and legislative environment. I highly recommend leveraging MediRate to gain insights into the Medicaid landscape across the country.