Medicaid Administrative Claiming (MAC) and Random Moment Time Study (RMTS)

Medicaid Administrative Claiming (MAC) is a joint state and federal program that offers reimbursement for a portion of cost of certain administrative activities that support the Medicaid program and the population it serves. The Federal Financial Participation (FFP), or federal reimbursement, rate for administrative activities is 50%.

Random Moment Time Studies (RMTS) is a federally-accepted method for documenting time spent on administering Medicaid-funded programs. Qualified participants from DODD Central Office are pooled into one cost group, while qualified participants from County Boards of DD and COGs are combined into a second cost group. Names from each cost group are randomly selected and paired with 'random moments in time' to create representative sampled moments.

Reimbursement is directly related to the percentage of time spent on Medicaid-related administrative activities, as documented by sampled participants from each cost group, and consider participants' payroll costs and eligible contract costs. 

RMTS participants should respond to all sampled moments to ensure the required compliance rate is met. Failure to do so will negatively impact Medicaid Administrative reimbursements.

RMTS methodology resources:

RMTS Initial Training                  

DODD RMTS Guide effective 2012

RMTS Facts for Participants

RMTS Facts for Coordinators

CB-COG Activity Map

Central Office Activity Map