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Medicaid Program - Excessive Medicaid Payments to Federally Qualified Health Centers for Group Therapy Services (2013-S-51), 90-Day Response
To determine if Medicaid reimbursement rates for group therapy services provided by Federally Qualified Health Centers were correctly applied
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-13s51-response.pdfMedicaid Program - Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician (2012-S-35), 90-Day Response
To determine if Dr. Riaz Ahmad complied with Medicaid policies and whether Dr. Ahmad’s medical records support the services he billed and the prescriptions he w
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-12s35-response.pdfMaintenance and Tuition Payments to The Lake Grove School and Mountain Lake Children’s Residence (2009-S-90), 90-Day Response
To determine whether costs reported by the Lake Grove School (Lake Grove) and Mountain Lake Children’s Residence (Mountain Lake) to the State Education Departme
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2013-09s90-response.pdfSummit Fire District – Internal Controls Over Financial Operations (2013M-264)
… Purpose of Audit The purpose of our audit was to determine whether District controls are adequate to ensure that financial activity is properly … and reported and that District moneys are safeguarded for the period January 1, 2012, to July 26, 2013. Background The …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/11/22/summit-fire-district-internal-controls-over-financial-operations-2013m-264State Agencies Bulletin No. 1213
… Purpose To provide calendar year-end procedures for taxable travel reimbursements in order to comply with IRS … by receipts. The 2012 maximum rate allowed by IRS for PCM is 55.5 cents per mile effective from January 1, 2012 … December 31, 2012. Current maximum Federal per diems for the continental U.S. can be found in the Guide to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1213-year-end-procedure-taxable-employee-expense-reimbursementsUpdate Your Contact Information
… Also, USPS will only forward mail to your new address for a limited time—generally, 12 months. To ensure you … home without interruption. Select or enter the effective date in the Change As Of field. Get Email Notifications for Important Documents You can also use Retirement Online to …
https://www.osc.ny.gov/retirement/update-your-contact-informationState Agencies Bulletin No. 1197
To inform agencies of changes to the payroll processing calendar due to the SSN Decoupling conversion in PayServ
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1197-payroll-processing-calendar-schedule-ssn-decouplingState Comptroller DiNapoli Releases State Audits
… to designating at least 20 percent of a development's units to low-income households. Based on the rents charged … Department of Civil Service from Jan. 1, 2011 through Dec. 31, 2013. In a follow-up report, auditors found UHC … as it was required to do during from Jan, 1, 2010 through Dec. 31, 2013. In a follow-up, auditors found UHC officials …
https://www.osc.ny.gov/press/releases/2017/06/state-comptroller-dinapoli-releases-state-auditsState Comptroller DiNapoli Releases State Audits
… to designating at least 20 percent of a development's units to low-income households. Based on the rents charged … Department of Civil Service from Jan. 1, 2011 through Dec. 31, 2013. In a follow-up report, auditors found UHC … as it was required to do during from Jan, 1, 2010 through Dec. 31, 2013. In a follow-up, auditors found UHC officials …
https://www.osc.ny.gov/press/releases/2017/06/state-comptroller-dinapoli-releases-state-audits-0Homeless Housing and Assistance Program – Project Selection and Maintenance
… on June 8, 1990 to administer HHAP and is staffed by 17 Office of Temporary and Disability Assistance employees. … projects and 20 in the pre-construction or construction phase; all but one were operational or in the … is not always reliable and, in some instances, query results are not accurate. Officials are seeking solutions to …
https://www.osc.ny.gov/state-agencies/audits/2019/01/10/homeless-housing-and-assistance-program-project-selection-and-maintenanceState Agencies Bulletin No. 1718
… is defined as parking provided to an employee on or near the business premises of the employer or on or near a location from which the employee commutes to work. It does not include parking at or near the employee’s home. Parking is provided by an employer …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1718-qualified-parking-benefitsState Agencies Bulletin No. 1299
… Purpose To inform State agencies of the new procedure that must be communicated to certain … To inform State agencies of the new procedure that must be communicated to certain …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1299-new-procedure-receive-service-credit-members-new-york-state-and-localOpinion 2001-13
… of (authority of a town to install a tollbooth and charge a fee to certain users of town highways) LOCAL LAWS -- … -- Powers and Duties (authority to install a tollbooth and charge a fee to certain users of public highways) STREETS AND HIGHWAYS -- Improvements (authority of a town to charge a fee to certain users of town highway to be used to …
https://www.osc.ny.gov/legal-opinions/opinion-2001-13Medicaid Program – Improper Medicaid Payments for Recipients Diagnosed With Severe Malnutrition
… the appropriate International Classification of Diseases (ICD) code on its claim to reflect the diagnosis. Generally, … to a hospital will increase. Medicaid will only pay for medical care and services that are medically necessary, … and that meet existing standards of professional practice. For the five-year period ended December 31, 2017, Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2019/04/08/medicaid-program-improper-medicaid-payments-recipients-diagnosed-severe-malnutritionTravel FAQs
… from business related receipts? If I return my rental car late at night, my receipt will be time-stamped the … related travel. (Return to Top) If I return my rental car late at night, my receipt will be time-stamped the … receive the receipted meal per diem. Example 2: During an upcoming trip I want to stay with my family on night one …
https://www.osc.ny.gov/state-agencies/travel/travel-faqsMedicaid Program – Inappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus
… Purpose To determine whether the Department of Health (Department) made inappropriate premium payments to … recipients who were no longer enrolled. Our audit covered the period October 1, 2010 through September 30, 2016. … To determine whether the Department of Health made inappropriate premium payments …
https://www.osc.ny.gov/state-agencies/audits/2017/07/11/medicaid-program-inappropriate-premium-payments-recipients-no-longer-enrolled-mainstreamMedicaid Program – Improper Payments for Certain Third-Party Cost-Sharing Claims
… to providers who reported claims with a PR 45 cost-sharing amount. The audit covered the period from December 2020 … the reason for any adjustments made to the claim amount. Claim Adjustment Reason Codes (CARCs) and group codes … to providers who reported claims with a PR 45 costsharing amount …
https://www.osc.ny.gov/state-agencies/audits/2025/11/05/medicaid-program-improper-payments-certain-third-party-cost-sharing-claimsMedicaid Program – Maximizing Drug Rebates for Health and Recovery Plans
… created the Medicaid Drug Rebate Program to reduce state and federal expenditures for Medicaid prescription drug … program began requesting rebates from drug manufacturers. On a quarterly basis, the Department of Health (Department) … managed care organizations (MCOs). As a result of New York State’s restructuring of the Medicaid program, the Department …
https://www.osc.ny.gov/state-agencies/audits/2018/06/22/medicaid-program-maximizing-drug-rebates-health-and-recovery-plans2014 Year End Report
… payments to claimants and medical providers (claims) by the Workers’ Compensation Board’s (Board) sole custody … However, the majority of these claims are processed by a third-party administrator, Triad Group, LLC (Triad) … C-140311. Claims from the Second Injury Fund are processed by the Special Funds Conservation Committee (SFCC), a private …
https://www.osc.ny.gov/state-agencies/audits/2015/03/30/2014-year-end-reportMedicaid Program - Medicaid Overpayments for Certain Medicare Part C Claims
… enrolled in UnitedHealthcare Dual Complete, we identified 5,571 claims (totaling $657,308) that contained either … totaling $38,337 ($61,711 - $23,374). Formally assess the 5,446 higher risk claims totaling $506,239 that we did not …
https://www.osc.ny.gov/state-agencies/audits/2015/01/16/medicaid-program-medicaid-overpayments-certain-medicare-part-c-claims