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State Contract and Payment Actions in July
… Environmental Education and Resiliency Center at Hempstead Lake State Park in Nassau County. $2.3 million with Ben … State Park in Suffolk County. $1.1 million with Riverbank Restaurant LLC for a restaurant and catering concession at … Corp. for pedestrian safety improvements on Niagara Falls Boulevard in Erie County. $2.8 million with Hanson …
https://www.osc.ny.gov/press/releases/2020/08/state-contract-and-payment-actions-julyLong Island Association for AIDS Care
… Inc. (LIAAC). Based on information obtained subsequent to that report, we questioned the authenticity of the documents LIAAC submitted to support the reimbursement for employee health insurance … Long Island Network of Community Services (LINCS), which is self-insured for medical and dental insurance. The CEO of …
https://www.osc.ny.gov/state-agencies/audits/2017/11/10/long-island-association-aids-careOpinion 89-56
… care services billed but not provided) PUBLIC OFFICERS AND EMPLOYEES -- Compensation (payments to employees who … to the town but were not rendered. This is in reply to your letter concerning certain payments proposed to be made … a provision would not contravene Article VIII, §1 because benefits provided under a collective bargaining agreement are …
https://www.osc.ny.gov/legal-opinions/opinion-89-56State Contract and Payment Actions in April
… Education Department $1.8 billion in general aid to 417 school districts. Empire State Development Corporation $3.7 …
https://www.osc.ny.gov/press/releases/2024/06/state-contract-and-payment-actions-aprilDiNapoli: Medicaid Audits Find More Than $700 Million in Unnecessary Costs and Overpayments
… Department of Health audits Find out how your government money is spent at Open Book New York . Track municipal …
https://www.osc.ny.gov/press/releases/2020/09/dinapoli-medicaid-audits-find-more-700-million-unnecessary-costs-and-overpaymentsUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers (Follow-Up)
… 2017-S-35 ). About the Program The New York State Health Insurance Program (NYSHIP) covers over 1.2 million active and … district employees, and their dependents. NYSHIP’s primary health benefit plan is the Empire Plan. UnitedHealthcare …
https://www.osc.ny.gov/state-agencies/audits/2019/11/18/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryMedicaid Program – Medicaid Claims Processing Activity October 1, 2015 Through March 31, 2016
… Purpose To determine whether the Department of Health’s eMedNY system reasonably ensured that …
https://www.osc.ny.gov/state-agencies/audits/2016/11/30/medicaid-program-medicaid-claims-processing-activity-october-1-2015-through-march-31-2016Medicaid Program – Medicaid Claims Processing Activity October 1, 2014 Through March 31, 2015
… reasonably ensured that Medicaid claims were submitted by approved providers, were processed in accordance with … eMedNY computer system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible … for inpatient claims that were either billed at a higher level of care than what was actually provided or …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-program-medicaid-claims-processing-activity-october-1-2014-through-march-31-2015Medicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… Purpose To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … 2013 through March 31, 2014. Background The Department of Health (Department) administers the State’s Medicaid program. … with incorrect information pertaining to other health insurance coverage that recipients had; $112,981 in …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014Medicaid Program – Medicaid Claims Processing Activity April 1, 2011 Through September 30, 2011
… levels of care; Claims for a recipient who did not live in New York State; and Improper claims for certain …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-program-medicaid-claims-processing-activity-april-1-2011-through-september-30-2011Medicaid Program – Medicaid Claims Processing Activity October 1, 2012 Through March 31, 2013
… The Department of Health (Department) administers the State's Medicaid program. The Department's eMedNY computer … for claims for a dialysis drug billed at 10 times the number of units actually provided; and Claims with improper …
https://www.osc.ny.gov/state-agencies/audits/2014/05/22/medicaid-program-medicaid-claims-processing-activity-october-1-2012-through-march-31-2013Medicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services
… Purpose To determine if the Department of Health overpaid health care providers’ Medicaid claims for … Medicare Advantage plans) tailored to the specific needs of Medicare beneficiaries. Some Medicare Advantage plans … the reasons why to providers on the Explanation of Benefits (EOB) using Claim Adjustment Reason Codes …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-advantage-plan-servicesOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… enrolled in both Medicaid and Medicare, Medicare is generally the primary payer while Medicaid is a secondary payer. As a secondary payer, Medicaid pays the …
https://www.osc.ny.gov/state-agencies/audits/2015/06/26/overpayments-services-also-covered-medicare-part-b-followMedicaid Program – Medicaid Claims Processing Activity April 1, 2017 Through September 30, 2017
… Purpose To determine whether the Department of Health's eMedNY system reasonably ensured that Medicaid … 2017 through September 30, 2017. Background The Department of Health (Department) administers the State’s Medicaid … 193 million claims, resulting in payments to providers of more than $31 billion. The claims are processed and paid …
https://www.osc.ny.gov/state-agencies/audits/2018/08/03/medicaid-program-medicaid-claims-processing-activity-april-1-2017-through-september-30-2017Medicaid Program – Medicaid Claims Processing Activity April 1, 2016 Through September 30, 2016
… Purpose To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … through September 30, 2016. Background The Department of Health (Department) administers the State’s Medicaid program. … with incorrect information pertaining to other health insurance coverage that recipients had; $357,498 in improper …
https://www.osc.ny.gov/state-agencies/audits/2017/07/25/medicaid-program-medicaid-claims-processing-activity-april-1-2016-through-september-30-2016State Contract and Payment Actions in July
… In July, the Office of the State Comptroller approved 1,451 contracts for state … www.openbooknewyork.com . Major Contracts Approved Office of Children and Family Services $1.5 million to Aurora of Central New York, Inc. for a pre-college program to assist …
https://www.osc.ny.gov/press/releases/2018/08/state-contract-and-payment-actions-julyState Contract and Payment Actions in May
… Office of the State Comptroller approved 2,046 contracts for state agencies and public authorities valued at $2.2 … gaming revenue distributions for the Del Lago Resort and Casino, Rivers Casino and Resort, Tioga Downs Casino, and Resorts World …
https://www.osc.ny.gov/press/releases/2023/06/state-contract-and-payment-actions-mayState Contract and Payment Actions in June
… In June, the Office of the State Comptroller approved 1,487 … contracts and payments is available at www.openbooknewyork.com . The Governor’s Executive Order 202, which had suspended … Inc. for development and administration of tests in English Language Arts (ELA) and Mathematics. $10.1 million …
https://www.osc.ny.gov/press/releases/2021/07/state-contract-and-payment-actions-juneState Contract and Payment Actions in May
… In May, the Office of the State Comptroller approved 1,325 … to provide classrooms at Southport Correctional Facility in Chemung County. $14.5 million with Jersen Construction …
https://www.osc.ny.gov/press/releases/2021/07/state-contract-and-payment-actions-mayState Contract and Payment Actions in August
… or lack of documentation. Find out how your government money is spent at Open Book New York . Track municipal …
https://www.osc.ny.gov/press/releases/2018/10/state-contract-and-payment-actions-august