MSP Random Moment Time Study (The Computation)

Please see “HBS 2025-8 Part 1” before proceeding with Part 2.

Since Contracted therapy service costs will now be factored down by the RMTS percentage beginning with the 2025/26 school year, it is even more important that the RMTS process is done properly by districts and by all billing agent vendors.

The historical RMTS rates for Ohio MSP are:

SFY 2014 = 56.10%	SFY 2017 = 35.74%	SFY 2020 = 37.13%	SFY 2023 = 49.08%
SFY 2015 = 48.29%	SFY 2018 = 34.74%	SFY 2021 = 36.16%	SFY 2024 = 55.17%
SFY 2016 = 48.54%	SFY 2019 = 34.31%	SFY 2022 = 36.00%	SFY 2025 = 54.25%

Here is the RMTS computation for the 2024/25 School Fiscal Year (SFY). For this SFY, there were 3,000 moments sampled for each of the three quarters of October-December 2024, January-March 2025, and April-June 2025, for a total of 9,000 moments sampled. The results are:

• 3,781 moments were performing an IEP Direct Service. (Medicaid Reimbursable)
• 2,031 moments were performing a General Administrative Activity (Allocated)
• 1,720 moments were performing an Educational/Social Service Activity (Non-Medicaid)
• 853 moments were performing a Non-IEP Direct Medical Service (Non-Medicaid)
• 573 moments were Not Working/Unpaid (Non-Medicaid)
• 22 moments were performing a Medicaid Outreach Activities (MAC)
• 20 moments were performing a Non-Medicaid Outreach Activities (Non-Medicaid)
• 9,000 Total Moments Sampled

After the allocation of General Administrative Activities, 4,883 of the 9000 moments were computed as IEP Direct Medical reimbursable services. 4,883/9000= 54.25%, which is the percentage that will be used on the 2024/25 MSP Cost Report. (down 1% from 2023/24)

Now that you know what RMTS is (Part 1) and how RMTS is computed (Part 2), RMTS (Part 3) will focus on the specific changes to RMTS for SFY 2025/26.

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.