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DiNapoli: Contractor Failed to Turn Over $1.5 Million in Prescription Drug Rebates to NYS
… A company that was supposed to collect rebates from drug manufacturers on behalf of the … money is intended to help hold down costs of the program and contractors are expected to make every effort to collect … DiNapoli said. “The Department of Civil Service and United HealthCare need to make sure this money is fully collected …
https://www.osc.ny.gov/press/releases/2016/11/dinapoli-contractor-failed-turn-over-15-million-prescription-drug-rebates-nysPayments by Beacon Health Options for Mental Health and Substance Abuse Services for Ineligible Members
To determine whether Beacon Health Options paid mental health and substance abuse MHSA claims for Empire Plan members who were not eligible for coverage
https://www.osc.ny.gov/state-agencies/audits/2022/05/13/payments-beacon-health-options-mental-health-and-substance-abuse-services-ineligibleUnited HealthCare – Compensation and Benefit Costs for the Empire Plan for the Period January 1, 2008 through December 31, 2010
… years ended December 31, 2010. Background The New York State Department of Civil Service (Civil Service) is … and summary data to support the charges for time worked by claims and call center staff assigned to the Empire Plan. … a uniform method to track and account for the time worked by claims center staff. Key Recommendations For no less than …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/united-healthcare-compensation-and-benefit-costs-empire-plan-period-january-1-2008-throughNew York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members
… Objective To determine whether CVS Health paid pharmacy claims for Empire Plan members who were … 31, 2019. About the Program The New York State Health Insurance Program (NYSHIP) provides health insurance coverage …
https://www.osc.ny.gov/state-agencies/audits/2021/09/29/new-york-state-health-insurance-program-payments-cvs-health-pharmacy-services-ineligibleCost-Saving Ideas: Monitoring Health Insurance Premiums for Retirees
… and school districts, employees have the option to receive health insurance coverage after retirement. Among other … persons with the local government or school district’s own records. Verify Eligibility Using a Variety of Methods … governments and school districts that participate in the NYS Health Insurance Program (NYSHIP), coverage may be …
https://www.osc.ny.gov/local-government/publications/cost-saving-ideas-monitoring-health-insurance-premiums-retireesState Agencies Bulletin No. 1100
… domestic partner. Historically, marriages between same-sex couples were treated as domestic partnerships, and the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1100-new-imputed-income-earnings-codes-health-benefits-provided-marriedNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members
… with UnitedHealthcare Insurance Company of New York (United) to administer the medical/surgical portion of this plan. From January 1, 2014 through December 31, 2019, United processed and paid over $16.6 billion in … and Accounting System (NYBEAS). Civil Service sends United daily files of NYBEAS eligibility changes and United …
https://www.osc.ny.gov/state-agencies/audits/2021/09/29/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesUnited HealthCare – Empire Plan Drug Rebate Revenue
… remitted all drug rebate revenue to the Department of Civil Service (Department) as required by the contract … discounts, and other considerations and pass 100 percent of the value of the agreements on to the prescription drug program. For …
https://www.osc.ny.gov/state-agencies/audits/2016/11/01/united-healthcare-empire-plan-drug-rebate-revenueUnited HealthCare – Empire Plan Drug Rebate Revenue (Follow-Up)
… status of the recommendation made in our audit report, United HealthCare: Empire Plan Drug Rebate Revenue … Department of Civil Service (Department) contracted with United HealthCare (United) to administer the Empire Plan’s …
https://www.osc.ny.gov/state-agencies/audits/2017/05/15/united-healthcare-empire-plan-drug-rebate-revenue-followState Agencies Bulletin No. 1287
… imputed income for a non-employee same-sex spouse’s health coverage and of the potential tax impact for non-residents of … the value of a non-employee same-sex spouse's health coverage by New York State (NYS) to be taxable as imputed … the value of a non-employee same-sex spouse's health coverage by NYS to be taxable as imputed income for federal …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1287-changes-taxation-imputed-incomeUnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services
… of Civil Service (Civil Service) administers NYSHIP. In carrying out its responsibilities, Civil Service contracts … E/M services. Key Findings Improvements are needed in United’s method for monitoring out-of-network providers …
https://www.osc.ny.gov/state-agencies/audits/2018/12/31/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesDiNapoli: Former Pharmacist Charged In $232,000 Medical Claims Fraud
… The former owner of a Long Island pharmacy was arrested Thursday for allegedly defrauding the … William Davis, 62, the former owner of Davis Ethical Pharmacy in Rockville Centre, was charged with grand larceny … Division of Investigations, 14th Floor, 110 State St., Albany, NY 12236. Review prior cases at …
https://www.osc.ny.gov/press/releases/2015/09/dinapoli-former-pharmacist-charged-232000-medical-claims-fraudSelected Payments for Special Items Made to St. Francis Hospital of Poughkeepsie from January 1, 2011 through March 31, 2011
… New York State Health Insurance Program: Payments Made to Stony Brook University Medical Center (2009-S-27) New York State …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-st-francis-hospital-poughkeepsie-january-1-2011Retiree Annual Statement
… and a breakdown of credits, deductions and taxes. It also gives you an explanation of the pension payment option … your Statement is available. Use Retirement Online to Get Your Statement To view, save or print your Statement: … Notification When Your Statement is Available Online You can get your Statement online sooner than printed copies are …
https://www.osc.ny.gov/retirement/retirees/retiree-annual-statementUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… the NYSHIP program and contracts with UnitedHealthcare (United) to process and pay medical and surgical claims for services provided to Empire Plan members. United’s payments to medical providers are based, in part, on procedure codes billed on claims that indicate …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59CUNY Bulletin No. CU-478
… same-sex spouse’s health coverage and of the potential tax impact for non-residents of New York State. Affected … health coverage to be taxable as imputed income for NYS tax purposes, regardless of whether the taxpayer was … of a non-employee same-sex spouse's health coverage by NYS to be taxable as imputed income for federal tax purposes, …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-478-changes-taxation-imputed-incomeSelected Payments for Special Items Made to St. Mary's Hospital from January 1, 2011 through March 31, 2011
… New York State Health Insurance Program: Payments Made to Stony Brook University Medical Center (2009-S-27) New York State …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-st-marys-hospital-january-1-2011-through-march-31-2011Empire BlueCross BlueShield Special Items Made to Englewood Hospital and Medical Center from January 1, 2011 through March 31, 2011
… New York State Health Insurance Program: Payments Made to Stony Brook University Medical Center (2009-S-27) New York State …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-special-items-made-englewood-hospital-and-medical-centerEmpire BlueCross BlueShield – Selected Payments for Special Items Made to Saratoga Hospital From January 1, 2011 Through March 31, 2011
… of the Plan. Empire processes Plan claims for hospital services in accordance with agreements they negotiate with …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-selected-payments-special-items-made-saratoga-hospital-januarySelected Payments for Special Items Made to Mary Imogene Bassett Hospital from January 1, 2011 through March 31, 2011
… of the Plan. Empire processes Plan claims for hospital services in accordance with agreements they negotiate with …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-mary-imogene-bassett-hospital-january-1-2011-through