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Challenging a Determination – Special 20- and 25-Year Plans
… calculated, you may request a hearing and redetermination to be held before an independent hearing officer. Your … by NYSLRS. Hearing requests sent by certified mail, return receipt requested, are considered filed on the date … return email and mailing addresses, and a phone number where you can be reached during the day. We will send you an …
https://www.osc.ny.gov/retirement/publications/1517/challenging-determinationMedicaid Program – Multiple Same-Day Procedures on Ambulatory Patient Groups Claims
… Purpose To determine if Medicaid overpaid Ambulatory Patient Groups claims because of deficiencies in the claims … outpatient services through the use of the Ambulatory Patient Groups (APG) payment methodology. The APG system was … rendered. Accordingly, APG claims are reimbursed based on patient condition and complexity of service. The Department …
https://www.osc.ny.gov/state-agencies/audits/2014/08/12/medicaid-program-multiple-same-day-procedures-ambulatory-patient-groups-claimsState Contract and Payment Actions in July
… programs. $1.1 million with Moor-Clark USA, Inc. for fish food at state hatcheries. $1.1 million with Rensselaer … Child Development Program. Department of Civil Service $235.2 million to CVS Caremark to provide pharmacy benefit …
https://www.osc.ny.gov/press/releases/2019/08/state-contract-and-payment-actions-julyPayroll Improvement Project Bulletin No. PIP-007
… processing Form AC3346 (Direct Deposit Conversion Election), using locked queries to track employee compliance, … OSC Actions: AC 3346 OSC has created a Direct Deposit Election Form (AC 3346) . Each affected employee will be … the form multiple times; the most recent effective dated election at the time of conversion will be the election …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/payroll-improvement-project/pip-007-direct-deposit-record-changes-requiring-modificationsMedicaid Program – Improper Payments for Services Related to Ordering, Prescribing, Referring, or Attending Providers No Longer Participating in the Medicaid Program
… made improper payments for claims in violation of federal and State requirements related to ordering, … providers who were no longer participating in the Medicaid program. The audit covered the period from January 2015 … $68.1 billion. The Affordable Care Act and implementing federal regulations mandated that state Medicaid agencies …
https://www.osc.ny.gov/state-agencies/audits/2022/04/19/medicaid-program-improper-payments-services-related-ordering-prescribing-referring-orEnrolling Members – Membership and Enrollment
… Online Enrolling a member through Retirement Online allows you to immediately view important information, such as your … Dashboard” button to begin the enrollment process. Once you complete the enrollment process, an Enrollment … When you use Retirement Online to enroll members you receive …
https://www.osc.ny.gov/retirement/employers/membership-enrollment/enrolling-membersXII.6.U Payments Pursuant to Awards and Non-Judicial Settlement Agreements – XII. Expenditures
… This section informs Business Units how to process vouchers for payments pursuant to Awards and … This section informs Business Units how to process vouchers for payments pursuant to Awards and …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii6u-payments-pursuant-awards-and-non-judicial-settlement-agreementsDiNapoli Statement on Guilty Plea in Federal Court of Cancer Care Provider
… Junkovic shamelessly diverted $360,556 earmarked for cancer screening support to fund his opulent lifestyle of … of the Bronx, through the not-for-profit corporation Cancer Service Network, Inc. (CSN), billed the state for …
https://www.osc.ny.gov/press/releases/2014/04/dinapoli-statement-guilty-plea-federal-court-cancer-care-providerOneida-Herkimer-Madison BOCES – Claim Payments (2015M-350)
… of Audit The purpose of our audit was to review the BOCES’ claim payments for the period July 1, 2014 through August 31, … OneidaHerkimerMadison BOCES Claim Payments 2015M350 …
https://www.osc.ny.gov/local-government/audits/boces/2016/03/11/oneida-herkimer-madison-boces-claim-payments-2015m-350Update Vendor Information and Access
… the Vendor Self-Service Portal or manually by mailing in forms AC-3326-S or AC-3327-S , which can take up to … you can create and manage Vendor Self-Service user log-ins for others in your company, allowing those users to … will all be configured for payments to be made via ACH. Log in Don't have an account? Update Address and Contact …
https://www.osc.ny.gov/state-vendors/portal/update-vendor-information-and-accessXII.6.F Paying Deceased Legislator Benefits – XII. Expenditures
… AND POLICIES Legislation provides that when a New York State Senator or Member of Assembly dies in Office, New York State will provide the beneficiary with a benefit equal to … Obtain a single payment vendor ID from the Office of the State Comptroller’s (OSC) Vendor Management Unit. Enter this …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii6f-paying-deceased-legislator-benefitsMedicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (Follow-Up)
… (Report 2017-S-36 ). About the Program The Department of Health (Department) administers the State’s Medicaid Program. … insurance coverage for outpatient medical services, physician services, and medical supplies. As the secondary …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-part-b-services-billed-directly-emedny-followProblem Claims – Improving the Effectiveness of Your Claims Auditing Process
… If the answer to any question posed in the earlier section (Claims Auditing) is no, then some type of action should be … available to the body or official responsible for auditing claims: If original documentation (such as invoices, purchase … may indicate the possibility of a duplicate claim. Claims generally may be rejected or reduced if they do not …
https://www.osc.ny.gov/local-government/publications/claims-auditing-process/problem-claimsCitywide Payment Services and Standards – Controls Over Payments
… To determine whether the New York City Department of Finance (DOF) Citywide Payments Services and Standards … ensure that payments received by and processed on behalf of agencies are correctly matched with receivables and that agencies are appropriately advised of payments. We also determined whether the implementation of …
https://www.osc.ny.gov/state-agencies/audits/2024/08/01/citywide-payment-services-and-standards-controls-over-paymentsRepaying Your NYSLRS Loan after Retirement
… System (ERS) retirees who retired with an outstanding loan to repay that loan and increase their pension. Retirees … information about taking a NYSLRS loan. How Much Do I Need to pay? If you retired with an outstanding loan, your pension … go toward repaying your outstanding loan balance. In order to pay back your loans, you must pay the full balance of the …
https://www.osc.ny.gov/retirement/retirees/repaying-your-nyslrs-loan-after-retirementDiNapoli and Diaz Help Bronx Residents Claim $245 Million in Lost Money
… President Ruben Diaz Jr. will help raise awareness about unclaimed funds across the borough. It’s your money, come and get it. … Bronx residents to make the effort to track down their unclaimed money from the more than $244 million in unclaimed …
https://www.osc.ny.gov/press/releases/2015/03/dinapoli-and-diaz-help-bronx-residents-claim-245-million-lost-moneyImproper Payments for Brand Name Drugs (Follow-Up)
… contained in our initial audit report, Improper Payments for Brand Name Drugs (Report 2020-S-62 … 13, 2022, was to determine whether Medicaid made improper payments for brand name drugs. The audit found $1,102,823 in … minimal progress in reviewing and recovering any improper payments identified in the initial report. Of the initial …
https://www.osc.ny.gov/state-agencies/audits/2024/07/03/improper-payments-brand-name-drugs-followOpinion 2003-4
… a proper charge against the fire district (17 Opns St Comp, 1961, p 315; see, also, e.g., In Re White , 51 App … (see, e.g., Seif v City of Long Beach , supra ; 1990 Opns St Comp No. 90-25, p 58). Under the doctrine of ratification, … Volunteer Firefighters' Benefit Law, §5[1]; 2000 Opns St Comp No. 2000-20, p 53; 1992 Opns St Comp No. 92-41, p …
https://www.osc.ny.gov/legal-opinions/opinion-2003-4Errors in Identification of 340B Providers in the Medicaid Drug Rebate Program (Follow-Up)
… 340B program requires drug manufacturers to discount the price of drugs sold to eligible health care providers. … rebates on drugs sold at the already-discounted 340B price. Consequently, to collect allowable rebates and avoid …
https://www.osc.ny.gov/state-agencies/audits/2018/10/23/errors-identification-340b-providers-medicaid-drug-rebate-program-followEfforts to Collect Tolls and Fees Using License Plate Images and Law Firms (Follow-Up)
… was approximately $1.669 billion. According to New York Codes, Rules and Regulations, Title 21, Section 1023.7, “No … There are three ways to pay with cashless tolling: 1) E-Z Pass, 2) Short Term Account, and 3) Tolls by Mail. The Open … E-Z Pass violations that have unpaid tolls after the due date on the second violation notice are sent to a collection …
https://www.osc.ny.gov/state-agencies/audits/2021/10/07/efforts-collect-tolls-and-fees-using-license-plate-images-and-law-firms-follow