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Medicaid Program – Cost Saving Opportunities on Payments of Medicare Part C Claims
… methodology for Medicare Part C cost-sharing claims in accordance with federal requirements. The audit covered … Many of the State’s Medicaid recipients are enrolled in both Medicaid and Medicare. Medicare is the primary payer … amounts established by the state and approved by CMS. In 2016, the New York State Legislature approved a plan for …
https://www.osc.ny.gov/state-agencies/audits/2021/09/21/medicaid-program-cost-saving-opportunities-payments-medicare-part-c-claimsPrivacy and Links Policy
… you provide that information voluntarily by sending an e-mail or by initiating an online transaction, such as a survey, registration or application form. The voluntary disclosure of personal information to the … you have requested. We will use information you provide us in connection with an online application to process your …
https://www.osc.ny.gov/online-services/privacy-and-links-policyOpinion 97-9
… or statutory amendments that bear on the issues discussed in the opinion. CONFLICTS OF INTEREST -- Disclosure of … 806: A village board member who has a financial interest in a business which may be negatively impacted by a zoning … by the board should publicly disclose his or her interest in the matter. If the potential negative financial impact of …
https://www.osc.ny.gov/legal-opinions/opinion-97-9X.6 Overview – X. Guide to Vendor/Customer Management
… State agencies of established Special Use Vendor IDs used in the Statewide Financial System (SFS). Vendor Management … one can be requested by following the procedures outlined in the sub section following this section overview. The … schema and details for the assigned Special Use Vendor IDs in the Statewide Vendor File: Vendor ID Usage How to Request* …
https://www.osc.ny.gov/state-agencies/gfo/chapter-x/x6-overviewUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… members. United’s payments to medical providers are based, in part, on procedure codes billed on claims that indicate … United will not pay for certain procedure codes billed in combination with other procedure codes unless the provider includes a modifier code on the claim to further describe the services performed. Modifier 59 …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59Town of Stony Point – Claims Processing and Purchasing (2014M-239)
… 21, 2014. Background The Town of Stony Point is located in Rockland County and has a population of approximately … between monthly abstracts. One abstract with no supporting claim detail was signed by four Board members certifying that …
https://www.osc.ny.gov/local-government/audits/town/2014/10/31/town-stony-point-claims-processing-and-purchasing-2014m-239XII.9.H Audit Recoveries – XII. Expenditures
… will continue to receive contract payments from the State in an amount sufficient to recover the alleged amount due and … Business Unit should send notice to the contractor in the form of written correspondence that describes the amount due … the contractor a reasonable period of time to review its claim and submit a response. After the Business Unit receives …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii9h-audit-recoveriesState Agencies Bulletin No. 2421
… not automatically processed. Affected Employees: Employees in the following bargaining units with an increment code of … 2026-2027 Longevity Payment, a one-time lump sum payment in the amount of $1,500, $3,000, or $4,500. As a result of … listing should be submitted on the Correction Sheet . The form may be duplicated if additional copies are needed. Add …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2421-april-2026-civil-service-employees-association-csea-longevity-lump-sumXII.9.C Reissuing or Cancelling a Vendor, Employee Expense, or SSP Check – XII. Expenditures
… face, while SSP checks have an “A” with a smaller “SSP” in front of it. Information on how to reissue or cancel other … who requested the stop will be notified by Treasury via e-mail. Check stop requests entered through the Agency Stop … with the cashing bank to render a decision on the claim. If the banks determine the claim is a valid forgery, …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii9c-reissuing-or-cancelling-vendor-employee-expense-or-ssissp-checkPension Payment Calendar
… convenient and secure. You won’t have to wait for a check in the mail, travel to the bank to cash it or worry about your check …
https://www.osc.ny.gov/retirement/retirees/pension-payment-calendarOpinion 98-5
… or statutory amendments that bear on the issues discussed in the opinion. CONFLICTS OF INTEREST -- Interest in Contract (county coroner paid by county for burial of … director, generally, would not have a prohibited interest in a contract if he or she submitted a bill to the county …
https://www.osc.ny.gov/legal-opinions/opinion-98-5St. Paul Boulevard Fire District - Board Oversight (2018M-116)
… The Board did not: Adopt realistic budgets, which resulted in excessive unrestricted fund balance that was not substantiated by planned uses in any fund balance policy or multiyear financial or capital … District residents. Properly audit claims to ensure each claim has supporting documentation and policies were …
https://www.osc.ny.gov/local-government/audits/fire-district/2018/10/05/st-paul-boulevard-fire-district-board-oversight-2018m-116Medicaid Program – Oversight of Clinical Trials
… for services provided to Medicaid members enrolled in clinical trials were appropriate. The audit covered the … or treating complications arising from participation in the trial. Routine costs may also include any item or … Medicaid coverage determination for members participating in clinical trials within 72 hours of the request. In …
https://www.osc.ny.gov/state-agencies/audits/2026/06/04/medicaid-program-oversight-clinical-trialsWaverly Central School District - Financial Operations (2019M-136)
… internal controls over disbursements and payroll duties. In our audit sample, 30 claims (11 percent) totaling $73,865 … claims for payment and requires adequate support for each claim. District officials generally agreed with our …
https://www.osc.ny.gov/local-government/audits/school-district/2019/09/13/waverly-central-school-district-financial-operations-2019m-136Lake View Fire District – Internal Controls Over Financial Activity (2014M-342)
… distinct and separate from the Town of Hamburg, located in Erie County. The District is governed by an elected … The Board does not conduct a comprehensive audit of each claim prior to payment. Forty-three disbursements totaling …
https://www.osc.ny.gov/local-government/audits/fire-district/2015/02/27/lake-view-fire-district-internal-controls-over-financial-activity-2014m-342Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance (Follow-Up)
… of implementation of the eight recommendations included in our initial audit report, Medicaid Program – Improper … recipients have other third-party health insurance (TPHI) in addition to Medicaid (e.g., employer-based coverage, … Key Finding DOH and OMIG officials made minimal progress in addressing the problems we identified in the initial audit …
https://www.osc.ny.gov/state-agencies/audits/2025/06/18/improper-fee-service-pharmacy-payments-recipients-third-party-health-insurance-followDiNapoli: Former Dannemora Official Charged With Falsifying Time Sheets Attempting to Beef Up Retirement Benefits for Some Correction Officers
… time sheets aiming to allow state correction officers to claim they worked as village employees to secure more … prior to their retirement from the state to allow them to claim to have retired from the village. Scholl, who’s term as … time sheets aiming to allow state correction officers to claim they worked as village employees to secure more …
https://www.osc.ny.gov/press/releases/2026/01/dinapoli-former-dannemora-official-charged-falsifying-time-sheets-attempting-beef-retirement-benefitsMedicaid Program – Improper Fee-for-Service Payments for Services Covered by Managed Care
… a monthly premium for each Medicaid recipient enrolled in managed care, and the managed care plans pay providers for … types of managed care. Most recipients are enrolled in mainstream managed care plans (Plans), which provide … whether recipients are enrolled in Plans and will deny FFS claim payments unless the services are carved out from the …
https://www.osc.ny.gov/state-agencies/audits/2019/01/10/medicaid-program-improper-fee-service-payments-services-covered-managed-careAgency Form ac3272s
agency-form-ac3272s.doc
https://www.osc.ny.gov/files/state-agencies/docs/agency-form-ac3272s.doc2084 Retirement Checkbox Form
agencies-bulletin-attachment-2084
https://www.osc.ny.gov/files/state-agencies/excel/agencies-bulletin-attachment-2084.xlsx