MSP Random Moment Time Study
Random Moment Time Study (RMTS) is one of the most important components of the Ohio Medicaid School Program (MSP), and there are big changes to the process/methodology for the 2025-26 school year.
What is MSP Random Moment Time Study (RMTS)?
RMTS is a “Time Study” that computes the “percent of time that MSP therapists spend performing Medicaid Reimbursable Activities”. MSP therapists are included in a statewide pool along with their work schedule, and are randomly selected to record what they were doing on a specific date and time. The final result is a statewide percent that is used on the MSP Cost Report to compute “MSP Reimbursable Costs” (Total MSP Reimbursement).
Prior to the 2025-26 school year, only “district employed therapists” were included in RMTS, and “contracted therapists’” costs were not factored down by RMTS.
There are three percentages that are applied to your total “Therapy Costs” to compute your total “MSP Reimbursable Costs” (Total MSP Reimbursement), which are:
- RMTS “Random Moment Time Study” (Statewide)
- MER “Medicaid Eligibility Rate” (District)
- FFP/FMAP “Federal Financial Participation” (Statewide)
Cost Report Computation Example:
| Employed | Contracted | |
| Total therapy costs ($100,000) | $100,000 | $100,000 |
| x RMTS (random moment time study %) *(53%) | $53,000 | N/A (pre-25/26) |
| x MER (district Medicaid Eligibility Rate) (40%) | $21,200 | $40,000 |
| x FFP/FMAP (% Medicaid reimburses) (70%) | $14,840 | $28,000 |
| Total MSP Reimbursement | $14,840 | $28,000 |
* 1,431 moments selected were “Medicaid Reimbursable” out of 2,700 total moments selected (1431/2700=53%)
The biggest change to RMTS for 2025/26 is that “Contracted Therapists” will now need to be included in RMTS, and their costs will now be factored down by the RMTS statewide percentage.
HBS 2025-8 Part 2 will be released next week with additional details on the changes to the Random Moment Time Study.
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 Info@teamhbs.com.