Search

Request for Retirement Allowance Data for Firefighters Paid Pursuant to Section 207-a of the General Municipal Law (PF6302)

To obtain information concerning the Accidental and Performance of Duty Disability Retirement Benefits as a basis to adjust the salary being paid to a firefighter pursuant to Section 207-a of the General Municipal Law, NYSLRS employers use form PF6302.

Contract Amendments Eligibility Determination

Provides guidance for State authorities to identify contract amendments that must be submitted to OSC for filing or for prior approval.

New Contracts Eligibility Determination

Provides guidance for State authorities to identify new contracts that must be submitted to OSC for filing or for prior approval.

West Corners Fire Company – Accounting for Cash Receipts and Disbursements (2014M-215)

… disbursements for the period January 1, 2013 through May 16, 2014. Background The West Corners Fire Company is a … as the Company’s chief fiscal officer. For the 2013 fiscal year, the Company reported approximately $20,000 in revenues …

DiNapoli: State Pays Drug Treatment Center Nearly $4 Million for Ineligible Expenses

… treatment provider was able to collect $3.9 million in ineligible payments due to the processing of invalid … $47.6 million contract with Phoenix House New York (PHNY) in 2009 to provide outpatient, inpatient, and residential … alcohol addiction treatment services at several facilities in the New York metropolitan area. The state’s contract with …

Medicaid Program – Opioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program

… are receiving opioids while also in a Treatment Program for opioid use disorder. This audit covered the period … in the 1990s with the over-prescribing of opioid drugs for pain-related conditions. Opioid treatment programs … coupled with counseling and behavioral therapies for people diagnosed with an opioid use disorder. New York …

Medicaid Program – Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY

… Many of the State’s Medicaid recipients are also eligible for Medicare, the federal health insurance program for people age 65 or older and people under 65 with certain … Part B provides supplementary medical insurance coverage for a range of outpatient medical services, physician …

School for Language and Communication Development – Compliance With the Reimbursable Cost Manual

… covered the expenses reported on SLCD’s CFR for the fiscal year ended June 30, 2015, and certain expenses reported on …

UnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers

… through December 31, 2016. Background The New York State Health Insurance Program (NYSHIP), administered by the State … Department of Civil Service (Civil Service), provides health insurance coverage to active and retired State, … well as their dependents. The Empire Plan is the primary health benefits plan for NYSHIP. The Empire Plan provides its …

Children’s Unit for Treatment and Evaluation – Compliance With the Reimbursable Cost Manual

… expenses reported on CUTE’s CFR for the fiscal year ended June 30, 2016 and certain costs reported on its CFRs for the two fiscal years ended June 30, 2015. About the Program CUTE, an SED-approved … the RCM requirements. For the three fiscal years ended June 30, 2016, CUTE reported approximately $1.8 million in …

Educators for Children, Youth and Families, Inc. – Use of Contract Funds (Follow-Up)

… Background Our initial audit report, which was issued on August 20, 2010, examined whether Educators for Children, … issuance of the follow-up review to provide information on any actions that are planned to address the unresolved …

Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 3, 4, 5 and 6 Members – Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 3, 4, 5 and 6 Members

Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 1 and 2 Members – Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 1 and 2 Members

Medicaid Program – Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance

… Purpose To determine whether the Department of Health (Department) made Medicaid mainstream managed care premium payments on behalf … million people were enrolled in mainstream managed care plans – about 2.5 million were enrolled through New York …

UnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59 (Follow-Up)

… (NYSHIP) provides health insurance coverage to active and retired State, participating local government, and school district employees, and their dependents. The Empire Plan is the primary health …

Changes in Federal Policies Pose Significant Risks for New York City's Budget

… Projected budget gaps for New York City in the coming years appear manageable, but tax … growth has come primarily in the business services, health care, and leisure and hospitality sectors, which have …

Medicaid Program – Medicaid Payments for Pharmacy Claims: Joia Pharmacy and a Related Prescriber

… the Department paid Joia more than $7.7 million for 50,060 claims on behalf of 706 recipients. The Doctor was listed as the prescriber on 31,351 (63 percent) of the 50,060 claims. Key Findings Based on a statistical projection of our … Department overpaid Joia $1,485,121 for improper pharmacy claims. Disallowances included: Claims billed for excess …

Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)

… Purpose To determine the extent of implementation of the three recommendations included in our initial audit report, Payments for Fraudulent and … 10, 2015, William Davis pleaded guilty to Grand Larceny in the Second Degree in Nassau County District Court. He was …

Medicaid Program – Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care

… for pharmacy services covered by recipients’ managed care plans. The audit covered the period October 1, 2011 … care needs. In general, the Medicaid program pays medical providers through either the fee-for-service method or the …

DiNapoli Statement on Greenville Arrest for Alleged Theft of Taxpayer Funded Resources

… DiNapoli said. "Thanks to my ongoing partnership with the New York State Police, Mr. Williams' alleged acts …