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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
… services. Civil Service contracts with UnitedHealthcare (United) to administer the medical/ surgical portion of the … home care services, and durable medical equipment. United processes and pays claims submitted by health care providers on behalf of Empire Plan members. United contracts with a large network of participating …
https://www.osc.ny.gov/state-agencies/audits/2020/04/01/analysis-reasonable-and-customary-out-network-reimbursement-rates-medicalsurgical-servicesNYSARC, Inc.– NYC Chapter: Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by NYSARC, Inc. – NYC Chapter (NYSARC), also known as AHRC NYC, on its … NYSARC operated full-day and half-day special education classes and a full-day Integrated Special Class. For the … June 30, 2015, NYSARC reported approximately $61.8 million in reimbursable costs for the SED cost-based programs. During …
https://www.osc.ny.gov/state-agencies/audits/2018/11/21/nysarc-inc-nyc-chapter-compliance-reimbursable-cost-manualMember Contributions
… Rates . Here's an example: SFY 2022–23: You hired John Smith, who joined NYSLRS with a date of membership of June 1, … You used this rate for 6/1/22–3/31/23. SFY 2023–24: John Smith does not have reported earnings for SFY 2021–22. John’s … You used this rate for 4/1/23–3/31/24. SFY 2024–25: John Smith has reported earnings for SFY 2022–23, but it’s not a …
https://www.osc.ny.gov/retirement/employers/member-contributionsTupper Lake Central School District – Records and Reports (2021M-14)
… for 2019-20 were recorded during each year. Properly account for and close completed capital projects. As a …
https://www.osc.ny.gov/local-government/audits/school-district/2021/06/25/tupper-lake-central-school-district-records-and-reports-2021m-14NYS Comptroller DiNapoli and the Fire and Police Pension Association of Colorado Statements on Proposed Settlement of Boeing Lawsuit
… work-related concerns, and adding an additional director with aviation, engineering, or product-safety oversight …
https://www.osc.ny.gov/press/releases/2021/11/nys-comptroller-dinapoli-and-fire-and-police-pension-association-colorado-statements-proposedCUNY Bulletin No. CU-674
… with a new Report of Check Exchange. Questions Questions about eligibility for Professional Staff Congress increases …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-674-2018-2020-professional-staff-congress-psc-retroactiveOther Bulletin No. 58
… listing should be submitted on the Correction Sheet. The form may be duplicated if additional copies are needed. Add … 428 Dependent Care 433 Total Unemployment Ins Owed 442 Pre-Tax Adoption 500 Medicare Deficiency 501 Social Security Deficiency 502 NYS SS/Medicare Deficiency 673 SUNY ORP Before Tax Arrears …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/suny-construction-fund/other-58-april-2021-state-university-construction-fund-scfAudit Advisory Committee
… Financial Report. Jennifer Mulligan, Chairperson Director of Business and Finance East Greenbush Central School …
https://www.osc.ny.gov/common-retirement-fund/resources/audit-advisory-committeeOther Bulletin No. 57
… listing should be submitted on the Correction Sheet. The form may be duplicated if additional copies are needed. Add … 428 Dependent Care 433 Total Unemployment Ins Owed 442 Pre-Tax Adoption 500 Medicare Deficiency 501 Social Security Deficiency 502 NYS SS/Medicare Deficiency 673 SUNY ORP Before Tax Arrears …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/suny-construction-fund/other-57-april-2020-state-university-construction-fund-scfMedicaid Program – Ambulatory Patient Groups Payments for Duplicate Claims and Services in Excess of Medicaid Service Limits (Follow-Up)
… ensure exemptions from official State Medicaid policies are based on appropriate rationales, are properly documented, and include formal repayment plans … the time of our follow-up. Key Recommendation Officials are given 30 days after the issuance of the follow-up report …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/medicaid-program-ambulatory-patient-groups-payments-duplicate-claims-and-services-excessMedicaid Program – Overpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns
… the fee-for-service and managed care payment methods. Under fee-for-service, Medicaid pays providers (such as hospitals) directly for Medicaid-eligible services. Under managed care, Medicaid pays managed care organizations … for Service Payments for Managed Care Recipients (2007-S-100) Department of Health: Inappropriate Medicaid Claims for …
https://www.osc.ny.gov/state-agencies/audits/2014/10/02/medicaid-program-overpayments-managed-care-organizations-and-hospitals-low-birth-weightReport on Estimated Receipts and Disbursements State Fiscal Years 2011-12 through 2013-14 - Mid-Year Update, November 2011
The following tables summarize the Office of the State Comptroller’s estimates compared to the estimates of the Division of the Budget.
https://www.osc.ny.gov/files/reports/budget/pdf/budget-receipts-disbursements-addendum-2011-14.pdfDiNapoli: Former West Carthage Housing Authority Executive Director and Mother Pled Guilty for Over $48,000 Theft
… and preparing checks for payment. Pais not only knew about Hoffman’s continuous theft and failed to report it to …
https://www.osc.ny.gov/press/releases/2024/06/dinapoli-former-west-carthage-housing-authority-executive-director-and-mother-pled-guilty-over-48000Inappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… (OMIG), and it recovered about $7.4 million from the Plans by the end of the audit. We also found the New York City …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andState Agencies Bulletin No. 2230.1
… agencies with information and procedures regarding the new promotion method of calculating affected employees’ … salary: Office of Court Administration City University of New York (CUNY) Thruway Authority Teachers’ Retirement System Dormitory Authority State University of New York (Grade 980s only) Legislative Payrolls Judicial …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/22301-new-promotion-method-calculating-salaries-employees-upon-movementState Agencies Bulletin No. 2230
… agencies with information and procedures regarding the new promotion method of calculating affected employees’ … salary: Office of Court Administration City University of New York (CUNY) Thruway Authority Teachers’ Retirement System Dormitory Authority State University of New York (Grade 980s only) Legislative Payrolls Judicial …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2230-new-promotion-method-calculating-salaries-employees-upon-movement-civilFormer Chief of Briarcliff Manor Fire Department Sentenced to 12 Months in Prison for Embezzling More Than $120,000
… Manor Fire Department ("BMFD"), was sentenced today by U.S. District Judge Cathy Seibel to 12 months in prison for … made him an officer of the Briarcliff Manor Fire Council, which oversees the Briarcliff Manor Fire Department. Garcia …
https://www.osc.ny.gov/press/releases/2018/12/former-chief-briarcliff-manor-fire-department-sentenced-12-months-prison-embezzling-more-120000DiNapoli: Get Your Money Back!
… New York State Comptroller Thomas P. DiNapoli’s Office of Unclaimed Funds (OUF) now returns, on average, over $2 million in lost …
https://www.osc.ny.gov/press/releases/2025/06/dinapoli-get-your-money-backState Agencies Bulletin No. 2207
… inform agencies of OSC’s automatic processing of the April 2022 Retroactive 2.00% Lifeguard Salary Increase and the … Chapter 189 of the Laws of 2023, which implemented the 2022-2026 Agreement between the State of New York and UUP, … 410 Health Care Spending Account 416 Deferred Comp 420 NY Dependent Care Contribution 425 Repay State Loans/Debt 428 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2207-april-2022-retroactive-200-salary-increase-and-april-2023-retroactiveImproper Payments for Sexual and Erectile Dysfunction Drugs, Procedures, and Supplies Provided to Medicaid Recipients, Including Sex Offenders (Follow-Up)
… Recipients, Including Sex Offenders (Report 2018-S-16 ). About the Program The Department of Health (Department) …
https://www.osc.ny.gov/state-agencies/audits/2021/02/08/improper-payments-sexual-and-erectile-dysfunction-drugs-procedures-and-supplies-provided