Ramps constitute an essential part of an agency highway network. They not only provide access to the mainline highway network, but some ramps also may be of sufficient length to be treated as a highway segment. Ramps can deteriorate faster than mainline routes, with resulting safety issues and discomfort to motorists. To be maintained in the same fashion that highway agencies maintain mainline pavements, ramps need to be included in pavement management systems (PMSs). A recent informal survey from 11 highway agencies in the United States and Canada showed that no agency had a formal maintenance and rehabilitation (M&R) program for ramps. All of them, on most occasions, include ramp M&R with adjacent mainline pavement M&R projects, and on a few occasions they fix ramps separately. A novel approach was developed to integrate ramps with the existing mainline network database that resulted from 8 years of PMS development and enhancement efforts. Included are the scope and methodology for the ramp survey and analysis, development of a ramp identification system, a condition-rating procedure for field testing of the ramp network, a ramp data-loading and data-processing procedure, and a ramp M&R and optimization analysis. Also described are the benefits of such analysis and how it can be used in other agencies to improve ramp pavements in the long term. The integration of ramps into the PMS provides the ramp's condition, needs, and budgeting summaries. The PMS modeling capabilities can be used to determine the asset value of the ramp network. Therefore, integrating ramp inventory and condition-rating data with the PMS mainline network can lead to effective ramp M&R decision making.