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State Health Department Unnecessarily Paid over $1 Billion for Patients Covered by Private Insurance
… paid $1.28 billion in unnecessary Medicaid managed care premiums over a nearly six-year period for enrollees who … provide medical services. As of August 2017, 4.4 million people were enrolled in mainstream managed care plans – about … and the third-party provider are the same, the state can remove the recipients from managed care retroactively and …
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
… members, and found close to $1.2 billion in managed care premiums that were paid for members who may have resided … to recover improper premium payments made on behalf of people living out-of-state where appropriate. While all … match, not all of them participate every quarter, which can impact the effectiveness of the identification of …
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
… New York state's Medicaid system could have saved up to $13.6 million it spent on patients with severe kidney … whose expenses could have been covered by the federal Medicare program, according to an audit released today by … Thomas P. DiNapoli. Auditors also found another $3 million in cost savings. About $1.8 million of the overpayments were …
https://www.osc.ny.gov/press/releases/2017/07/dinapoli-audit-finds-more-16-million-medicaid-cost-savingsState Agencies Bulletin No. 1031
… To update calendar year-end procedures relating to taxable travel reimbursements in order for the State to comply with IRS reporting requirements. This … Personal Car Mileage (PCM) Reimbursements; Excess Per Diem Payments; Non-Overnight Meal Allowances; and Employee …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1031-year-end-procedure-taxable-travel-reimbursementState Agencies Bulletin No. 1093
… To update calendar year-end procedures relating to taxable travel reimbursements in order for the State to comply with IRS reporting requirements. This … Personal Car Mileage (PCM) Reimbursements Excess Per Diem Payments Non-Overnight Meal Allowances Employee Payments …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1093-year-end-procedure-taxable-travel-reimbursementsState Agencies Bulletin No. 933
… To update calendar year-end procedures relating to taxable travel reimbursements in order for the State to comply with IRS reporting requirements. This … Personal Car Mileage (PCM) Reimbursements Excess Per Diem Payments Non-Overnight Meal Allowances Employee Payments …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/933-year-end-procedure-taxable-travel-reimbursementsDiNapoli: Audits Find More Than $1 Million of Waste in New York's Medicaid Program
… claims worth nearly $1 million over a 27-month period for thousands of Medicaid recipients whose benefits were already covered by managed care plans, according to an audit released today by State Comptroller Thomas P. … had approximately 6.5 million enrollees and Medicaid claim costs totaled about $50.5 billion. DOH generally uses …
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)
… Objective To determine the extent of implementation of the seven recommendations made in our initial audit report, Managed Care Premium Payments for Recipients With Comprehensive …
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)
… totaling $122.4 million ($103.9 million in improper premiums and $18.5 million in questionable premiums) for 171,936 recipients who were retroactively … misinterpreted guidelines, leaving many improper premiums uncollected. We recommended the Department review …
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)
… in our initial audit report, Cost Saving Opportunities on Payments of Medicare Part C Claims (Report 2020-S-65 ). … pays 85% of dual-eligibles’ copayment or coinsurance on Medicare Part C outpatient claims, except for ambulance … audit found that New York’s current Medicaid payment rules for Medicare Part C cost-sharing liabilities compared …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/cost-saving-opportunities-payments-medicare-part-c-claims-followState Agencies Bulletin No. 2170
… to employee business expense reimbursements require withholding and Form W-2 reporting on any excess amounts … be added to the employee’s taxable gross wages for tax withholding purposes, and are subject to employment and … income taxes. Federal, State and New York City income tax withholding will be calculated using the Aggregate method. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2170-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 1769
… Purpose The purpose of this bulletin is to provide agencies with the 2019 calendar year-end procedures for taxable travel … advice or pay stub as a “Taxable Expense” (Earnings code TXE). The final transfer of taxable travel …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1769-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 2079
… purpose of this bulletin is to provide agencies with the 2022 calendar year-end procedures for taxable travel … Excess Personal Car Mileage (PCM) Reimbursements Excess Per Diem Payments Non-Overnight Meal Allowances Employee … Taxable Under the IRS One-Year Rule Excess PCM and Per Diem Amounts: IRS rules relating to employee business …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2079-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 2283
… purpose of this bulletin is to provide agencies with the 2024 calendar year-end procedures for taxable travel … will include all reimbursements paid by SFS from November 22, 2024 through December 12, 2024. The reimbursements will … 12, 2024. Questions: Questions regarding this bulletin may be directed to the Tax and Compliance mailbox. All …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2283-year-end-procedure-taxable-employee-expense-reimbursementsMedicaid Program – Improper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers
… period from January 1, 2014 to March 31, 2019. About the Program The Department of Health (Department) uses two … of Health (NYSOH, the State’s online health insurance marketplace). Local Districts use the State’s downstate …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-improper-medicaid-payments-involving-fee-service-claims-recipientsState Agencies Bulletin No. 1863
… to employee business expense reimbursements require withholding and Form W-2 reporting on any excess amounts … be added to the employee’s taxable gross wages, for tax withholding purposes, and are subject to employment and … income taxes. Federal, State and New York City income tax withholding will be calculated using the Aggregate method. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1863-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 868
… Tax Statement by February 2, 2009. As the employer, OSC is responsible for furnishing the Form W-2 to employees with … Compensation The amount in this box is the Federal taxable gross wages. Box 2 Federal Income Tax Withheld The amount in … agencies with content information for the 2008 Form W2 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/868-form-w-2-calendar-year-2008State Comptroller DiNapoli Releases Audits
… of Health – Medicaid Program – Excessive Payments for Durable Medical Equipment Rentals (2021-S-36) Medicaid recipients receive necessary durable medical … trucks, and vans – used by 26 departments in their day-to-day operations. It also maintains 43 pieces of on-rail …
https://www.osc.ny.gov/press/releases/2023/05/state-comptroller-dinapoli-releases-auditsState Agencies Bulletin No. 1282
… agencies with the 2013 calendar year-end procedures for taxable travel reimbursements. Background Taxable travel … XIII, Section 4.E . OSC Actions Each month, taxable travel reimbursement data is transferred from Statewide Financial … in box 1 on the employee’s 2013 Form W-2. Social Security/Medicare tax deficiency deductions will be initiated for any …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1282-year-end-procedures-taxable-employee-expense-reimbursements