The Office of Rate Review (ORR) establishes Medicaid payment rates for hospitals, nursing facilities, ambulatory surgical centers, rural health clinics, federally qualified health centers, end stage renal dialysis services, free standing birthing centers, community behavioral health services, personal care services, and home and community based waiver services. ORR also works with tribal providers and various divisions and units throughout the Alaska Department of Health and Social Services on rate setting and accounting issues.