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An Analysis of Reasonable and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in the New York State Health Insurance Program

… The New York State Health Insurance Program (NYSHIP), administered by the State … is one of the nation’s largest public sector health insurance programs. NYSHIP covers over 1.2 million active and … Empire Plan provides its members with four types of health insurance coverage: medical/surgical, hospital, prescription …

https://www.osc.ny.gov/state-agencies/audits/2020/04/01/analysis-reasonable-and-customary-out-network-reimbursement-rates-medicalsurgical-services

Program Oversight and Monitoring of the Maximus Contract for the New York State of Health (Insurance Marketplace) Customer Service Center

… known as the New York State of Health, to help New Yorkers shop for and enroll in health insurance coverage. Since 2010, … and Bureau officials had already taken actions to address the matters we identified to help ensure Maximus’ …

https://www.osc.ny.gov/state-agencies/audits/2016/06/16/program-oversight-and-monitoring-maximus-contract-new-york-state-health-insurance

Improper Payments for Services Related to Ordering, Prescribing, Referring, or Attending Providers No Longer Participating in the Medicaid Program (Follow-Up)

… State Medicaid agencies require all ordering and referring physicians and other professionals providing services through … January 1, 2014, New York’s Medicaid program required that physicians and other health care professionals who order, … $965 million in payments for 2.3 million OPRA services by physicians and professionals who were no longer actively …

https://www.osc.ny.gov/state-agencies/audits/2024/01/03/improper-payments-services-related-ordering-prescribing-referring-or-attending-providers-no

Medicaid Program – Improper Payments for Sexual and Erectile Dysfunction Drugs, Procedures, and Supplies Provided to Medicaid Recipients, Including Sex Offenders

… To determine whether Medicaid recipients, including sex offenders, inappropriately received Medicaid-funded … as ED) for all Medicaid recipients, including registered sex offenders. In addition, Medicaid must not pay for ED … of procedures and supplies to treat ED for registered sex offenders. Key Findings Medicaid made improper payments …

https://www.osc.ny.gov/state-agencies/audits/2019/06/03/medicaid-program-improper-payments-sexual-and-erectile-dysfunction-drugs-procedures-and

DiNapoli Commends Legislature for Passing Bill to Modernize Banking Development District Program and Expand Access to Capital in Underserved Communities

… Anderson, would help more community and minority owned banks access state deposits by reducing barriers to … is meant to uplift underserved communities, it can only do so as long as it remains easy to participate in," said … of bank and credit union branches across the state where there is a demonstrated need for banking services and …

https://www.osc.ny.gov/press/releases/2026/06/dinapoli-commends-legislature-passing-bill-modernize-banking-development-district-program-and-expand

New York City Restaurant, Retail and Recreation Sectors Still Face Uphill Recovery

This report examines the damage the pandemic has inflicted on the RRR sectors, and considers the distribution of federal funds for businesses in the City, particularly for businesses in low- and moderate-income communities and in historically underutilized business zones.

https://www.osc.ny.gov/files/reports/osdc/pdf/report-17-2022.pdf

State Agencies Bulletin No. 1205

… Deduction Code 851 SEFA of New York City Online enrollment established by the authorized federated … following deduction codes: Deduction Code 851 – SEFA of NYC (http://www.sefanyc.org/) Deduction Code 865 – SEFA of … who choose not to use the online enrollment process, paper forms are available at the agency payroll office. Online …

https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1205-2013-sefa-state-employees-federated-appeal-campaign

State Agencies Bulletin No. 1099

… Fund (SEFA) Deduction Code exists , click on the + sign to add a new row in the Deduction Details page, insert a … the Federated Fund (SEFA) Deduction Code, click on the + sign to add a new row in the General Deduction page, insert a … for 2012, the Goal Amount and Goal Balance will roll up on the newly inserted row unless the Goal Amount and Goal …

https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1099-2012-sefa-state-employees-federated-appeal-campaign

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