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UnitedHealthcare – Reasonable and Customary Reimbursement Rates for Delayed Claims
… The Empire Plan is the primary health benefits plan for NYSHIP, covering nearly 1.1 million members. Civil … from out-of-network providers. United’s reimbursement for certain out-of-network claims is 80 percent of the R&C rate for the service. R&C rates are updated every six months. From …
https://www.osc.ny.gov/state-agencies/audits/2019/12/12/unitedhealthcare-reasonable-and-customary-reimbursement-rates-delayed-claimsImplementation of the Dignity for All Students Act (Follow-Up)
… July 1, 2012, included curriculum and annual reporting requirements in 12 bias-related categories (e.g., race, … effective July 1, 2013 defined cyberbullying and added requirements for investigating and reporting alleged … guidance to assist school districts in complying with DASA requirements. For the school year ended June 30, 2018, school …
https://www.osc.ny.gov/state-agencies/audits/2019/11/21/implementation-dignity-all-students-act-followMaximizing Drug Rebates for Health and Recovery Plans (Follow-Up)
… in our initial audit report, Maximizing Drug Rebates for Health and Recovery Plans (Report 2017-S-61 ). About … appropriate steps to collect all available drug rebates for HARPs. The audit covered the period October 1, 2015 … We determined the Department failed to collect rebates for HARP-related drugs since the program’s inception. We …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/maximizing-drug-rebates-health-and-recovery-plans-followDiNapoli Releases Fiscal Stress Scores for Villages and Cities
… from the COVID-19 pandemic. “The financial landscape for many local governments has improved with the infusion of … planning, that help improve their financial outlook for years down the road.” The latest round of fiscal scores … fiscal year ending on May 31, based on self-reported data for 2021. The scores also cover the 17 cities with …
https://www.osc.ny.gov/press/releases/2022/04/dinapoli-releases-fiscal-stress-scores-villages-and-citiesImproper Medicaid Payments for Recipients in Hospice Care (Follow-Up)
… in our initial audit report, Improper Medicaid Payments for Recipients in Hospice Care ( 2017-S-76 ). About the … elect hospice care, they waive their right to use Medicaid for curative services and a hospice organization assumes responsibility for all medical care related to the terminal illness. …
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/improper-medicaid-payments-recipients-hospice-care-followUse of Federal Funding for Election Technology and Security
… to enhance the security of the State’s election technology and infrastructure. The audit covered the period from May 1, … Board of Elections (BOE) is responsible for administering and enforcing election laws in the State. To fulfill these … County Boards are moving forward with the needed security measures. … To determine whether the Board of Elections BOE …
https://www.osc.ny.gov/state-agencies/audits/2021/09/17/use-federal-funding-election-technology-and-securityBenefits Advisement Services for Individuals With Disabilities Seeking Employment
… so individuals with disabilities could better assess how work would impact their benefits, and developing a life …
https://www.osc.ny.gov/state-agencies/audits/2021/07/20/benefits-advisement-services-individuals-disabilities-seeking-employmentDiNapoli: Westchester Sisters Sentenced for Stealing Deceased Mother's Pension
… to a three-year conditional discharge and ordered to pay full restitution of $22,000. “Annette Bigelow and Mary …
https://www.osc.ny.gov/press/releases/2021/02/dinapoli-westchester-sisters-sentenced-stealing-deceased-mothers-pensionRegulation for Scheduling, Adjourning and Conduct of Administrative Hearings
… (5) the consequences of the applicant's failure to appear at a scheduled hearing. (c) Notices shall be mailed to the … shall be furnished to all parties and the hearing officer at the expense of the retirement system. (d) All costs … or party. (e) Motions may be made to the hearing officer at any time during the proceeding. (Return to Top) §317.4 …
https://www.osc.ny.gov/retirement/members/regulation-for-hearingsMedicaid Program - Medicaid Overpayments for Certain Medicare Part C Claims
… identify Medicaid overpayments made to medical providers for services rendered to recipients enrolled in UnitedHealthcare’s Medicare Advantage plan: … of participating providers they reimburse directly for services provided to enrollees. For dual-eligibles, plan …
https://www.osc.ny.gov/state-agencies/audits/2015/01/16/medicaid-program-medicaid-overpayments-certain-medicare-part-c-claimsDiNapoli Report Finds Medicaid Costs for Treating Asthma Rising
… at more than twice the rate of other kids in the city. I commend Comptroller DiNapoli's effort to highlight this … communities I represent in the South Bronx and East Harlem have unfortunately been facing a full-blown asthma epidemic … report demonstrates that we still have a lot of work to do to reduce the burden of asthma across the state." For a …
https://www.osc.ny.gov/press/releases/2014/04/dinapoli-report-finds-medicaid-costs-treating-asthma-risingDiNapoli Announces State Contract & Payment Actions For March 2014
… 2,379 contracts valued at $2.9 billion and approved more than 2.7 million payments worth more than $18.9 billion in … improprieties. The Comptroller’s office averages 11 to 13 days for contract reviews and two days to audit payments. … tax refunds, and more than $117.6 million for nearly 15,600 corporate and other refunds. Moreland Commission Paid …
https://www.osc.ny.gov/press/releases/2014/04/dinapoli-announces-state-contract-payment-actions-march-2014DiNapoli: Bombay Clerk Sentenced for Pocketing Justice Court Fees
… P. Carriero for his persistent efforts to safeguard public funds." Fleury, who was supposed to collect fine money for …
https://www.osc.ny.gov/press/releases/2017/05/dinapoli-bombay-clerk-sentenced-pocketing-justice-court-feesXI.10 Third Party Contracting - Contracting "for" the State – XI. Procurement and Contract Management
… A Third Party Contract is one in which a state agency enters into a … acts as a procurement conduit and enter into contract(s) “for” the state agency. In such situations, the third-party contract(s) entered into between the State Contractor and the Third …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi10-third-party-contracting-contracting-stateDiNapoli & NYC Make it Easier to Save for College
… students, offering the SAT free of charge during the school day, and investing in a college-going culture at … to make college more accessible and achievable for all NYC public school students, starting with all kindergartners in … the initiative, and every kindergarten student enrolled in public school in District 30 will be automatically enrolled …
https://www.osc.ny.gov/press/releases/2017/09/dinapoli-nyc-make-it-easier-save-collegeDiNapoli: NYC Health + Hospitals Struggles With Temporary Staffing Costs
… February 2020 and September 2022, temporary staffing at H+H grew by 83% to offset the loss of staff nurses while … office anticipates will remain elevated through at least FY 2024. “For many NYC residents, NYC Health + … of registered nurses (RNs) and licensed practical nurses at H+H facilities declined by 6% and 31%, respectively, from …
https://www.osc.ny.gov/press/releases/2023/05/dinapoli-nyc-health-hospitals-struggles-temporary-staffing-costsWaiting for Special Education - June 2008
Each year in New York City, more than 100,000 public and private school children between the ages of 5 and 21 are referred to the NYC Department of Education.
https://www.osc.ny.gov/files/reports/osdc/pdf/report-3-2009.pdfLong Island Association for AIDS Care
On September 30, 2014, we issued report 2012-0063, entitled the Long Island Association for AIDS Care, Inc. (LIAAC).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/bse-2017-11-10.pdfNYSLRS Members – Register for Retirement Online
new york state and local retirement system, nyslrs, employees retirement system, ers, police and fire retirement system, pfrs, members, Retirement Online, account, register, sign up
https://www.osc.ny.gov/files/retirement/members/pdf/register-for-retirement-online.pdfJCR Enrollment Instructions for Online Services
JCR Enrollment Instructions for Online Services
https://www.osc.ny.gov/files/local-government/required-reporting/pdf/jcr-enrollment-instructions-for-online-services.pdf