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Overpayments of Certain Medicare Crossover Claims
… are also eligible for Medicare, the federal health insurance program available to people 65 or more years-old, … individual's Medicare deductibles and coinsurance for the medical services rendered. On December 3, 2009, the … claim crossover system. Under the system, providers submit medical claims for dual eligible individuals to Medicare. …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/overpayments-certain-medicare-crossover-claimsState Health Department Unnecessarily Paid over $1 Billion for Patients Covered by Private Insurance
… The state Department of Health (DOH) paid $1.28 billion in unnecessary Medicaid managed care premiums over a nearly … today by State Comptroller Thomas P. DiNapoli. "Glitches in the state Department of Health's payment system and other problems led to over a billion dollars in unnecessary spending," DiNapoli said. "The department …
https://www.osc.ny.gov/press/releases/2018/06/state-health-department-unnecessarily-paid-over-1-billion-patients-covered-private-insuranceDiNapoli: New York May Be Paying Medicaid Premiums for People Living Out-of-State
… An audit released today by State Comptroller Thomas P. DiNapoli found multiple issues with how the state identified out-of-state Medicaid members, and found … An audit released today by State Comptroller Thomas P DiNapoli found multiple issues …
https://www.osc.ny.gov/press/releases/2025/09/dinapoli-new-york-may-be-paying-medicaid-premiums-people-living-out-stateDiNapoli: Audit Finds More Than $16 Million in Medicaid Cost Savings
… whose expenses could have been covered by the federal Medicare program, according to an audit released today by … stay alive. Medicaid recipients with ESRD are eligible for Medicare coverage if they receive regular dialysis treatments … When Medicaid recipients with ESRD are also enrolled in Medicare, Medicare becomes the primary insurer. As a …
https://www.osc.ny.gov/press/releases/2017/07/dinapoli-audit-finds-more-16-million-medicaid-cost-savingsDiNapoli: Audits Find More Than $1 Million of Waste in New York's Medicaid Program
… claims totaling $657,308 that either had unreasonably high patient cost-sharing amounts or indicated … the amounts billed. If the overpayment rates for the 5,446 high risk claims that were not reviewed in detail were …
https://www.osc.ny.gov/press/releases/2015/01/dinapoli-audits-find-more-1-million-waste-new-yorks-medicaid-programImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up) (2022-F-37)
To assess the extent of implementation of the five recommendations included in our initial audit report, Improper Payments of Medicare Buy-In Premiums for Ineligible Recipients (Report 2020-S-35).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22f37.pdfManaged Care Premium Payments for Recipients With Comprehensive Third-Party Insurance (Follow-Up)
… percent) was not recoverable per the Medicaid Managed Care Model Contract (Model Contract) because the managed care organization and … with comprehensive TPHI from managed care; and amend the Model Contract to allow the Department to recover premiums …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/managed-care-premium-payments-recipients-comprehensive-third-party-insurance-followInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… Enrolled in Mainstream Managed Care and Family Health Plus (Report 2015-S-47 ). About the Program Most Medicaid … coverage. During the initial audit period, Family Health Plus (FHP) was a publicly funded managed care program for …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andCost Saving Opportunities on Payments of Medicare Part C Claims (Follow-Up)
… audit report, Cost Saving Opportunities on Payments of Medicare Part C Claims (Report 2020-S-65 ). About the Program … of the State’s Medicaid recipients are also enrolled in Medicare and are referred to as “dual-eligibles.” Medicare Part A provides hospital insurance and Part B …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/cost-saving-opportunities-payments-medicare-part-c-claims-followState Agencies Bulletin No. 2170
… allowed by IRS for PCM is 65.5 cents per mile effective from January 1, 2023, through December 31, 2023. See Guide to … to report and withhold income and employment taxes from meal allowances for non-overnight travel (day trips). … and withhold income and employment taxes if employment away from home at a single location is realistically expected …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2170-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 1769
… rate allowed by IRS for PCM is 58 cents per mile effective from January 1, 2019 through December 31, 2019. Current … to report and withhold income and employment taxes from meal allowances for non-overnight travel (day trips). … and withhold income and employment taxes if employment away from home at a single location is realistically expected …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1769-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 2079
… allowed by IRS for PCM is 58.5 cents per mile effective from January 1, 2022 through June 30, 2022 and 62.5 cents per mile effective from July 1, 2022 through December 31, 2022 Chapter XIII … and withhold income and employment taxes if employment away from home at a single location is realistically expected …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2079-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 2283
… allowed by IRS for PCM is 67.0 cents per mile effective from January 1, 2024, through December 31, 2024. Chapter … to report and withhold income and employment taxes from meal allowances for non-overnight travel (day trips). … and withhold income and employment taxes if employment away from home at a single location is realistically expected …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2283-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 2384
… allowed by IRS for PCM is 70.0 cents per mile effective from January 1, 2025, through December 31, 2025. Chapter … to report and withhold income and employment taxes from meal allowances for non-overnight travel (day trips). … and withhold income and employment taxes if employment away from home at a single location is realistically expected …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2384-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 1863
… allowed by IRS for PCM is 57.5 cents per mile effective from January 1, 2020 through December 31, 2020 . Current … to report and withhold income and employment taxes from meal allowances for non-overnight travel (day trips). … and withhold income and employment taxes if employment away from home at a single location is realistically expected …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1863-year-end-procedure-taxable-employee-expense-reimbursementsDiNapoli: NYC Health + Hospitals Confront Tough Fiscal Outlook as Washington Moves to Cut Health Care Spending
… see pressure on key sources of revenue as Medicaid and lowincome patients that rely on federal support lose health …
https://www.osc.ny.gov/press/releases/2025/12/dinapoli-nyc-health-hospitals-confront-tough-fiscal-outlook-washington-moves-cut-health-care-spendingMedicaid Program – Improper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers
To determine if improper Medicaid payments were made on behalf of recipients with multiple Client Identification Numbers CINs where at least one CIN was enrolled in feeforservice The audit covered the period from January 1 2014 to March 31 2019
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-improper-medicaid-payments-involving-fee-service-claims-recipientsState Agencies Bulletin No. 868
… for Form W-2, employers are required to furnish each employee with a Form W-2 Wage and Tax Statement by February … 12/24/08 An employee who has worked for more than one (1) State agency during the year will receive one (1) Form W-2. … contributions for employees with Domestic Partner Health Insurance. WCX Workers’ Compensation excluded amount. This is …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/868-form-w-2-calendar-year-2008State Agencies Bulletin No. 1282
… Purpose To provide agencies with the 2013 calendar year-end procedures for taxable travel … Meal Allowances Employee Payments Taxable Under the IRS One-Year Rule Excess PCM and Per Diem Amounts: IRS … reporting on any excess amounts paid. “Excess amount” is the portion that is greater than the applicable Federal rate …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1282-year-end-procedures-taxable-employee-expense-reimbursementsState Comptroller DiNapoli Releases Audits
… for DME rentals that exceeded established monthly caps. In addition, noting that Medicare imposes a 36-month cap on … SUVs, trailers, trucks, and vans – used by 26 departments in their day-to-day operations. It also maintains 43 pieces … TPHI was liable instead, identifying more $37.4 million in improper Medicaid payments that had not been pursued for …
https://www.osc.ny.gov/press/releases/2023/05/state-comptroller-dinapoli-releases-audits