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Medicaid Program – Medicaid Claims Processing Activity October 1, 2012 Through March 31, 2013
… Purpose To determine whether the Department of Health's eMedNY system reasonably ensured that Medicaid claims were submitted by approved providers, were processed … Department of Health (Department) administers the State's Medicaid program. The Department's eMedNY computer system …
https://www.osc.ny.gov/state-agencies/audits/2014/05/22/medicaid-program-medicaid-claims-processing-activity-october-1-2012-through-march-31-2013Waiver Request Form
To request a waiver from completing publication activities relative to your abandoned property filing as described in Section 1411 of the New York State Abandon
https://www.osc.ny.gov/files/unclaimed-funds/reporters/pdf/waiver-request.pdfAccounts Payable Advisory No. 70
… handling codes: “Special Handling” (“S” handling code) – For a cost to the agency of $21.00 per envelope, agencies may … the “Special Handling” handling code on their vouchers for overnight courier delivery. When multiple checks are … handling, volume and frequency of payments, and a contact person. OSC will coordinate with the contact person to …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/70-producing-checks-emergency-eventWestchester Attorney Indicted for Fraud and False Statement Charges Arising From His Attempt to Embezzle From a Decedent's Estate for Which He Was Court-Appointed Administrator
… White Plains Division. Assistant United States Attorney James McMahon is in charge of the prosecution. The charges …
https://www.osc.ny.gov/press/releases/2018/08/westchester-attorney-indicted-fraud-and-false-statement-charges-arising-his-attempt-embezzleDiNapoli: State Missing Out on Millions in Medicare Payments for Kidney Patients
… there were 3,015 Medicaid recipients with ESRD who met the Medicare eligibility criteria, but who were not … Medicaid recipients diagnosed with ESRD, as long as they met ESRD Medicare requirements. This could allow Medicaid to …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-state-missing-out-millions-medicare-payments-kidney-patientsOpinion 89-40
… views if, among other things, there have been subsequent court cases or statutory amendments that bear on the issues … because the commissioner was subpoenaed to testify in a case in which the fire district was the defendant, unless the … because the commissioner was subpoenaed to testify in court in a case in which the fire district was the defendant. …
https://www.osc.ny.gov/legal-opinions/opinion-89-40Transferring or Terminating Your Membership
… Tier Reinstatement is a method of restoring a membership that has been terminated. For Tier Reinstatement purposes, your membership terminates when: You have less than five years of … and you would become ineligible for any Retirement System benefits. If you have ten or more years of credited service, …
https://www.osc.ny.gov/retirement/members/transferring-or-terminating-your-membershipCredit Cards – Travel and Conference Expense Management
… may authorize designated employees to use a credit card issued in the name of the local government or school … to have a local government or school district credit card issued in both the name of the local government or … by allowing authorized employees to sign out a credit card when they need to travel, or by allowing the business or …
https://www.osc.ny.gov/local-government/publications/travel-conference-expense/credit-cardsState Agencies Bulletin No. 1445
… All tax-related inquiries/requests must be submitted in writing to the Tax and Compliance mailbox. Requests sent … time the job goes to print for receipt of the W-2c in the mail. When W-2cs are issued, agencies are informed via a … Control-D report (Agency W-2c Report) and complete a Form AC3206 (Prior Year Social Security and Medicare Tax …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1445-general-tax-tipsOverview – State Police Plan
… We will also need a certified death certificate. We will mail information about death benefits, and any needed forms, …
https://www.osc.ny.gov/retirement/publications/1518/death-benefits/overviewOverview – Special 20- and 25-Year Plans
… We will also need a certified death certificate. We will mail information about death benefits, and any needed forms, …
https://www.osc.ny.gov/retirement/publications/1517/death-benefits/overviewXIII.2 Overview – XIII. Employee Expense Reimbursement
… SECTION OVERVIEW AND POLICY Agencies are responsible for ensuring employees adhere to all employee expense … may be paid through the Statewide Financial System (SFS) Travel and Expense module. Every employee seeking expense … using the Claim for Payment ( AC 3253-S ) or the Claim for Travel Reimbursement by a Non-Employee ( AC 3257-S ) and …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiii/xiii2-overviewBabylon Union Free School District – Medicaid Reimbursements (2022M-91)
… services provided. Key Findings The District did not claim any Medicaid reimbursements to which it was entitled, … incurred the full cost of providing more than $536,000 in Medicaid-eligible services. Had these services been … totaling $268,308. District officials did not: Claim any Medicaid reimbursements, totaling $442,841, for 18 …
https://www.osc.ny.gov/local-government/audits/school-district/2023/01/13/babylon-union-free-school-district-medicaid-reimbursements-2022m-91Oversight of Resident Care-Related Medical Equipment in Nursing Homes
… Purpose To determine whether the Department of Health's monitoring and inspection of nursing homes is … Human Services, Centers for Medicare & Medicaid Services (CMS), in monitoring quality of care in nursing homes. The … in the State. The Division assesses and certifies nursing home compliance through unannounced, on-site inspections, …
https://www.osc.ny.gov/state-agencies/audits/2018/09/19/oversight-resident-care-related-medical-equipment-nursing-homesFreedom of Information Law (FOIL)
… 15th floor Office of the State Comptroller 110 State Street Albany, NY 12236-0001 Fax: 518-473-8940 In Person: … be submitted in person at OSC’s main office at 110 State Street in Albany, New York, between 9:00 a.m. and 5:00 p.m. … 14th Floor Office of the State Comptroller 110 State Street Albany, NY 12236-0001 Further Information For more …
https://www.osc.ny.gov/help/foilMultiple Same-Day Procedures on Ambulatory Patient Groups Claims (Follow-Up)
… Purpose To determine the implementation status of the five recommendations made in … State’s Medicaid program provides a wide range of health care services to individuals who are economically … The APG methodology was then implemented in diagnostic and treatment centers and freestanding ambulatory surgery centers …
https://www.osc.ny.gov/state-agencies/audits/2017/01/12/multiple-same-day-procedures-ambulatory-patient-groups-claims-followDiNapoli: Medicaid Audits Find More Than $700 Million in Unnecessary Costs and Overpayments
… funded program that provides a wide range of health care services to individuals who are economically disadvantaged or have special health care needs. For the State Fiscal Year ended March 31, 2019, … Medicaid Program: Cost of Pharmacy Services Under Managed Care DOH uses two methods to pay health care providers for …
https://www.osc.ny.gov/press/releases/2020/09/dinapoli-medicaid-audits-find-more-700-million-unnecessary-costs-and-overpaymentsDiNapoli: Audits Find $70 Million in Dubious Claims, Persistent Medicaid Billing System Failures
… the first audit , the Department of Health (DOH) made as much as $39.6 million in Medicaid overpayments through a … limits dental cleaning and dental exam services to twice per year, yet in one case, DiNapoli’s auditors found Medicaid reimbursed a clinic …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-audits-find-70-million-dubious-claims-persistent-medicaid-billing-system-failuresMedicaid Claims Submitted by Accordis, Inc. on Behalf of the New York City Health and Hospitals Corporation
… of the New York City Health and Hospitals Corporation (HHC). Background Healthcare providers submit Medicaid claims … the Department of Health’s eMedNY claims processing system for payment of their services. For various reasons, eMedNY … eMedNY does not provide a mechanism for associating a paid claim to its previously denied claim. As a result, we …
https://www.osc.ny.gov/state-agencies/audits/2013/03/12/medicaid-claims-submitted-accordis-inc-behalf-new-york-city-health-and-hospitalsDiNapoli: New Law Makes It Easier for the Comptroller To Return Your Lost Money
… New York State Comptroller Thomas P. DiNapoli issued the … John T. McDonald III. “My office holds over $19 billion in unclaimed funds, and we want to make sure that every New Yorker can easily claim their money. By simplifying the …
https://www.osc.ny.gov/press/releases/2024/11/dinapoli-new-law-makes-it-easier-comptroller-return-your-lost-money