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Time Study ECI Training Information

Training Requirements:

To participate in Medicaid Administrative Claiming (MAC) attendance of the following training is mandatory:

Random Moment Time Study (RMTS) training and MAC Financial Training.

Training is conducted by the Texas Health and Human Services Commission (HHSC).

Provider entities must attend required training each federal fiscal year (FFY). FFY is defined as October 1 through September 30.

Failure to meet annual training requirements will impact the provider's ability to draw federal funding for MAC eligible services.

It is the responsibility of each provider to ensure one or more of their designated Contacts attend training. HHSC strongly recommends that each provider entity require at least two Contacts attend the required training to ensure compliance should employee turnover occur.

Access to the necessary online RMTS systems will be limited to VIEW-ONLY until such time that mandatory training requirements are met.

Annual Training Overview:

Random Moment Time Study (RMTS) Training

Participation in RMTS and compliance with all RMTS requirements is mandatory for participation in MAC.

RMTS training is held separate from MAC financial training. It will be mandatory for the RMTS Contact to attend the separate RMTS training each FFY in order to be granted access to the online RMTS system for that FFY.  Attendance of the mandatory RMTS training is the only training that will grant the RMTS Contact access to the online RMTS system.

Each MAC participating provider must designate a "Primary" RMTS Contact. HHSC strongly recommends that at least one "Secondary" RMTS Contact also be designated to ensure compliance should employee turnover occur.

View additional information regarding RMTS training

Annual training conducted by HHSC is mandatory for all Primary and Secondary RMTS Contacts. The annual training requirements can be completed by attending webinar training.

FFY 2024 – Updates
Consolidated Trainings - In an effort to simplify qualification requirements for providers, HHSC has consolidated “Initial” and “Refresher” trainings into a single RTMS training. Training must be attended by anyone who wishes to gain RMTS participant list and time study sample access, regardless of prior training status.

Streamlined Training Schedule - To further simplify the training process for providers, the training calendar has undergone several changes. 
o    ECI, MH-IDD, and LHD are consolidated into a single RMTS training.

It is important to understand that "full" access to the RMTS online system is contingent upon compliance with all annual training requirements. RMTS Contacts who have not completed the required training will have "view-only" access that will not allow the entry or modification of required information on the RMTS Participant List (PL), or certification of the PL. It is the responsibility of each provider entity to ensure their designated RMTS Contacts attend RMTS Contact Training.

RMTS Contact Training
RMTS contacts are responsible for ensuring compliance with all RMTS requirements. RMTS Contacts must understand their role, the purpose of the time study, appropriate completion of the PL, training requirements for participating staff, completion requirements for RMTS moments, and the timeframes and deadlines for participation.

Full access to the RMTS online system is necessary for the RMTS Contact to develop, update and/or certify the required PL each quarter prior to the PL close date. Failure to certify the PL will result in non-compliance with RMTS requirements and will result in the provider entity being deemed ineligible to participate in Medicaid Administrative Claiming for the specified quarter.

Sampled Staff Training
RMTS Contacts who have successfully completed HHSC training (see above) are responsible for conducting annual training for their participating staff that are randomly selected by the RMTS system to participate in the time study. This sampled staff training must be made available quarterly and can be provided by the HHSC trained RMTS Contact.

RMTS Contacts must ensure that sampled staff receives annual training prior to their completion of the RMTS sampled moment. The following items must be included in the annual sampled staff training: overview of the required process to participate in RMTS; review the standards for RMTS response submitted by staff; and, method used to request additional documentation from time study participants when insufficient information was provided in the sampled moment response.

Documentation must be maintained to prove that all staff selected to participate in each quarter's time study received the required annual training. Staff that has not received annual training cannot participate in the RMTS. RMTS Contacts are encouraged to use and distribute to participating staff any materials provided by HHSC regarding the time study.


Training is sponsored by the Texas Health and Human Services Commission (HHSC) and is presented at no charge to the provider.

Training Sessions:

The training presented via Webinar does require registration. Webinar is an interactive online training. Once you have registered, you will receive a website link to access the presentation and a conference call number to call in and participate in the training session.

Training schedule:

FFY 2025 (.pdf)

Register for training:

NOTE: The new schedule no longer provides an Initial and Refresher format, only a single RMTS training. 

FFY 2025 RMTS Training for ECI

Date: Wednesday, August 07, 2024
Time: 9:00 AM - 11:00 AM CST (recommended log in time 8:45 AM)
Sign up at:

Date: Wednesday, August 14, 2024
Time: 1:00 PM - 3:00 PM CST (recommended log in time 12:45 PM)
Sign up at:

Date: Wednesday, November 13, 2024
Time: 9:00 AM - 11:00 AM CST (recommended log in time 8:45 AM)
Sign up at:

Date: Wednesday, February 19, 2025
Time: 1:00 PM - 3:00 PM CST (recommended log in time 12:45 PM)
Sign up at:

Date: Wednesday, May 07, 2025
Time: 9:00 AM - 11:00 AM CST (recommended log in time 8:45 AM)
Sign up at:

Training materials:

2024 - FFY


ECI Participant Training for FFY 2024 (.pdf) 

For information on Medicaid Administrative Claiming training opportunities:

View the MAC ECI Training Information