Ohio Medicaid School Program Bulletin — HBS 2025-2
The Medicaid School Program (MSP) Final Settlements for the 2022/23 school year (SFY 2023) are now being processed by the Ohio Department of Medicaid (ODM).
The process will be the same as in prior years. Districts will receive via Certified Mail, a “PROPOSED ADJUDICATION ORDER OF THE OHIO DEPARTMENT OF MEDICAID TO IMPLEMENT FINAL SETTLEMENT”. This is usually addressed to “c/o Medicaid School Program Administrator”. Please forward a copy of the final settlement packet to Shelly Jolley (sjolley@teamhbs.com) who will verify the final computation. Upon her final review, she will request that you sign the third page “WAIVER” and fax it to ODM at 614-752-2349.
Most District’s MSP reimbursement and Final Settlement increased for the 2022/23 school year
Most Ohio school districts will see their MSP reimbursement for the 2022/23 school year increase from prior years. This is a result of an increase in the “Random Moment Time Study” (RMTS) percentage for 22/23 Cost Report year. HBS has worked very close with our time study vendor, Sivic Solutions Group, and we are monitoring detailed RMTS data each quarter. The yearly RMTS percentage for Ohio MSP had previously decreased from 56% in 2014 to under 40% for the years of 2017-2022. We are happy to report that the RMTS percentage is up to 49.08% for SFY 2023 and is 55.17% for SFY 2024. The first time-study quarter for the current SFY 2025 (Oct-Dec 2024) is 53.37%.
In an upcoming MSP Bulletin, we will provide a detailed explanation of Random Moment Time Study (RMTS), which is one of the most important components of the Ohio Medicaid School Program.
Current open school years of the Ohio Medicaid School Program (MSP)
At any given time, we are usually working in three different school years with MSP, which are currently:
July 1, 2022 – June 30, 2023 (SFY 2023) – Currently being Cost Settled and Final Settlements are being processed.
July 1, 2023 – June 30, 2024 (SFY 2024) – HBS is currently gathering data and preparing the MSP Cost Report (due 12/31/2025).
July 1, 2024 – June 30, 2025 (SFY 2025) – Current school year with RMTS and Interim Claiming being processed.
If you have any questions or need further information on any of our Ohio MSP Bulletins, please contact our office at (740) 639-4218, or email at Info@teamhbs.com.