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State Agencies Bulletin No. 919
To describe changes that are required to apply the proper taxation for employees who are receiving a retroactive military stipend increase but are no longer rec
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/919-taxation-retroactive-raise-payments-employees-receiving-military-stipendDiNapoli: Former Medical Office Manager Arrested for Scheme to Defraud the New York State Health Insurance Plan
… with Ulster County District Attorney Clegg and the Federal Bureau of Investigation this health care fraud was … will be held accountable.” Gina Bradshaw, 50, of Maybrook, NY, worked as an office manager for multiple doctors in … the employee from NYSHIP. The employee must then pay the provider out of pocket either with their own funds or by …
https://www.osc.ny.gov/press/releases/2023/09/dinapoli-former-medical-office-manager-arrested-scheme-defraud-new-york-state-health-insurance-planCity of Amsterdam – Budget Review (B24-5-5)
The purpose of our budget review was to provide an independent evaluation of the Citys proposed budget for 202425
https://www.osc.ny.gov/local-government/audits/city/2024/05/13/city-amsterdam-budget-review-b24-5-5Reimbursement of Homeless Shelter Providers – Westhab Inc.’s Coachman Family Center (Follow-Up)
… the period January 2019 through December 2019 and select expenses from 2020. Overall, the audit found that OTDA was …
https://www.osc.ny.gov/state-agencies/audits/2024/08/08/reimbursement-homeless-shelter-providers-westhab-incs-coachman-family-center-followImproper Medicaid Payments to Hospitals for Outpatient Services Billed as Inpatient Services for Recipients Enrolled in Managed Care
… (DOH) administers the Medicaid program. Most of the State’s Medicaid recipients receive their medical services through … Services (CMS) defines outpatient care provided in a hospital as care that a patient receives, typically in the … or observation room, without being admitted to the hospital as an inpatient, even if the care takes place …
https://www.osc.ny.gov/state-agencies/audits/2024/08/28/improper-medicaid-payments-hospitals-outpatient-services-billed-inpatient-servicesWillsboro Central School District – Student State Aid (2023M-119)
… 2023, the District had not claimed $55,771 in State aid to which it was entitled, of which $52,640 would have already … a timely manner. The District also claimed $8,569 in aid to which it was not entitled. District officials also did not: Establish adequate procedures to ensure State aid was properly claimed for all special …
https://www.osc.ny.gov/local-government/audits/school-district/2024/02/02/willsboro-central-school-district-student-state-aid-2023m-119State Agencies Bulletin No. 1280
… fringe benefits such as the Certification, Licensure and Exam Fee Reimbursement are considered taxable income. … in the PEF or CSEA Certification, Licensure and Exam Fee Reimbursement Program Effective Date(s) Institution …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1280-certification-licensure-and-exam-fee-reimbursement-clefr-2013DiNapoli: New York State Gets 91 Cents for Every Dollar Sent to Washington
… sends to Washington D.C., it receives about 91 cents back in federal spending – compared to a national average of … Comptroller Thomas P. DiNapoli. New York ranked 46th in the nation in its balance of payments between the amount it generated in … sends to Washington DC it receives about 91 cents back in federal spending compared to a national average of nearly …
https://www.osc.ny.gov/press/releases/2015/10/dinapoli-new-york-state-gets-91-cents-every-dollar-sent-washingtonBenchmark Family Services, Inc. – Compliance With the Reimbursable Cost Manual
… (CFR) were properly calculated, adequately documented, and allowable under the State Education Department’s (SED) … Preschool Special Education Itinerant Teacher services and Preschool Integrated Special Class services to 94 … from school districts located in Jefferson, Lewis, Oswego, and St. Lawrence counties. The counties pay tuition to BFS …
https://www.osc.ny.gov/state-agencies/audits/2016/12/29/benchmark-family-services-inc-compliance-reimbursable-cost-manualRochester Childfirst Network – Compliance With the Reimbursable Cost Manual
… (CFR) were properly calculated, adequately documented, and allowable under the State Education Department’s (SED) … Special Education Itinerant Teacher (SEIT) services and Preschool Integrated Special Class services to 56 … costs included $7,042 in other than personal service costs and $6,159 in personal service costs. Key Recommendations To …
https://www.osc.ny.gov/state-agencies/audits/2016/11/17/rochester-childfirst-network-compliance-reimbursable-cost-manualEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period April 1, 2011 Through June 30, 2011 (Follow-Up)
… Through June 30, 2011 (2011-S-42). Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, participating local government and school district … Payments for hospital services are generally based on standard fee schedules. However, hospitals may be entitled …
https://www.osc.ny.gov/state-agencies/audits/2014/10/30/empire-bluecross-blueshield-selected-payments-special-items-period-april-1-2011-throughMedicaid Program – Improper Medicaid Payments During Permissible Overlapping Medicaid and Essential Plan Coverage
… periods of overlapping insurance coverage. Medicaid is the payer of last resort, which means recipients’ other … Plan coverage, the Essential Plan should be the primary payer and Medicaid, as secondary payer, should pay any remaining liabilities, such as …
https://www.osc.ny.gov/state-agencies/audits/2023/09/14/medicaid-program-improper-medicaid-payments-during-permissible-overlapping-medicaid-andMedicaid Program – Claims Processing Activity October 1, 2021 Through March 31, 2022
… payments, as follows: $11.5 million was paid for managed care premiums on behalf of Medicaid recipients who also had … was paid for clinic, practitioner, inpatient, managed care, and laboratory claims that did not comply with Medicaid … inpatient claims that should have been paid by managed care or that were also reimbursed by managed care; and …
https://www.osc.ny.gov/state-agencies/audits/2022/12/13/medicaid-program-claims-processing-activity-october-1-2021-through-march-31-2022Medicaid Program – Claims Processing Activity October 1, 2022 Through March 31, 2023
… were processed in accordance with Medicaid requirements, and resulted in correct payments to providers. The audit covered the period October 2022 through March 2023, and certain claims going back to June 2022. About the Program … for services rendered to Medicaid-eligible recipients and generates payments to reimburse the providers for their …
https://www.osc.ny.gov/state-agencies/audits/2023/10/25/medicaid-program-claims-processing-activity-october-1-2022-through-march-31-2023State Agencies Bulletin No. 2104
… Purpose: The purpose of this bulletin is to inform agencies of the updated IRS (Internal Revenue Service) tax withholding requirements … The purpose of this bulletin is to inform agencies of the updated IRS Internal Revenue …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2104-summary-tax-related-changes-2023DiNapoli: Middletown Chiropractor Sentenced to Nine Years for Insurance Fraud
… of fraud involving taxpayer money by calling the toll-free Fraud Hotline at 1-888-672-4555, by filing a complaint …
https://www.osc.ny.gov/press/releases/2021/04/dinapoli-middletown-chiropractor-sentenced-nine-years-insurance-fraudMedicaid Program – Excessive Payments for Durable Medical Equipment Rentals
… pays managed care organizations (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/medicaid-program-excessive-payments-durable-medical-equipment-rentalsOversight of Smart Schools Bond Act Funds
… Objective To determine whether the State Education Department (Department) is monitoring the use … The Smart Schools Bond Act (Act) was approved by New York State voters in November 2014, authorizing the issuance of up … technology and infrastructure for students throughout the State. Under the Act, school districts were allocated a …
https://www.osc.ny.gov/state-agencies/audits/2020/06/10/oversight-smart-schools-bond-act-fundsDrug and Alcohol Treatment Program – Provider Claiming of Depreciation Expenses
… Purpose To determine whether the Office of Alcoholism and Substance Abuse Services (OASAS) is … June 30, 2014. Background The New York State Office of Alcoholism and Substance Abuse Services (OASAS) oversees … OASAS enters into agreements with providers for delivery of specific alcohol- and drug-related services. OASAS …
https://www.osc.ny.gov/state-agencies/audits/2016/06/08/drug-and-alcohol-treatment-program-provider-claiming-depreciation-expensesIndian Lake Central School District – Medicaid Reimbursements (2021M-150)
Determine whether the Indian Lake Central School District District maximized Medicaid reimbursements by claiming all eligible Medicaid services provided
https://www.osc.ny.gov/local-government/audits/school-district/2021/12/10/indian-lake-central-school-district-medicaid-reimbursements-2021m-150