MSP Random Moment Time Study (The Computation)
Please see “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.