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Medicaid – Federal Funding and New York

… Number 93778 is a health insurance entitlement program for lowincome adults and children …

Comptroller DiNapoli Releases State Audits

… referees did not always properly report and account for foreclosure funds. A review of 10 of 35 …

New York’s Economy and Finances in the COVID-19 Era (June 24, 2021)

… Growth of telehealth utilization in New York followed the national trend: CMS reported a 2,745 percent increase in … changes that included enhanced flexibility under Health Insurance Portability and Accountability Act (HIPAA) privacy … patient benefits and provider productivity, but does not find decreases in the cost of care. The extent to which …

Audit of the Tuition Reimbursement Account for the Five Fiscal Years Ended March 31, 2018

… Financial Statements of the Tuition Reimbursement Account for the five fiscal years ended March 31, 2018. About the Program Students are eligible for a tuition refund when they are enrolled in a … in operation – students who drop out are also eligible for a tuition refund. Students in such schools are also …

State Comptroller DiNapoli Releases Audits

… increasing the risk of a shortened useful life or the need for more repairs. Also, there was no inventory system to … a not-for-profit special education provider serving students from Erie, Genesee and Niagara counties, is … which benefited about 785 senior citizen housing repair projects. A July 2021 audit found that HCR needed to exercise …

Medicaid Program – Overpayments for Medicare Part C Claims

… To determine whether Medicaid made improper payments on Medicare Part C claims for recipients covered by Medicare Advantage Plans. The audit covered the period from … To determine whether Medicaid made improper payments on Medicare Part C claims for recipients covered by Medicare …

Medicaid Program – Improper Payments of Medicare Buy-in Premiums for Ineligible Recipients

… premium payments on behalf of recipients enrolled in the Medicare buy-in program. The audit covered Medicaid payments for individuals enrolled in the Medicare buy-in program for the period from January 1, … premium payments on behalf of recipients enrolled in the Medicare buyin program …

Medicaid Program – Reducing Medicaid Costs for Recipients With End Stage Renal Disease

… renal disease who were eligible for, but not enrolled in, Medicare. The audit covered the period January 1, 2010 … with ESRD. 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 (payer) and …

Medicaid Program – Reducing Medicaid Costs for Recipients Who Are Eligible for Medicare

… Objective To determine whether the Department of Health (Department) took sufficient steps to control the Medicaid costs of recipients who were eligible for … To determine whether the Department of Health Department took sufficient steps to control the …

Reducing Medicaid Costs for Recipients Who Are Eligible for Medicare (Follow-Up)

… audit report, Medicaid Program – Reducing Medicaid Costs for Recipients Who Are Eligible for Medicare (Report 2021-S-16 ). About the Program DOH … audit report Medicaid Program Reducing Medicaid Costs for Recipients Who Are Eligible for Medicare Report 2021S16 …

DiNapoli: State Missing Out on Millions in Medicare Payments for Kidney Patients

… initiative to defray Medicaid program costs." Medicaid is a federal, state, and locally funded medical program that … Medicaid recipients with ESRD and helps guide them on how to apply for and enroll in Medicare. In response to the … enrollment of Medicaid recipients diagnosed with ESRD, as long as they met ESRD Medicare requirements. This could allow …

Medicaid 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: UnitedHealthcare Dual Complete. The … of participating providers they reimburse directly for services provided to enrollees. For dual-eligibles, plan …

Four Individuals Charged in Widespread Scheme to Defraud Medicare and Other Health Insurance Providers Through Fraudulent Medical Corporations and False Billing Resulting in Tens of Millions of Dollars in Losses

… State Comptroller Thomas P. DiNapoli, Geoffrey S. Berman, the United States Attorney for the Southern District of New York, William F. Sweeney, Jr., the Assistant Director-in-Charge of the New York Office of the Federal Bureau of … State Comptroller Thomas P DiNapoli announced the unsealing today of an indictment charging JAMES SPINA …

Medicaid Program – Medicaid Payments to Medicare Advantage Plan Providers

… Purpose To determine whether Medicaid inappropriately paid for recipients’ Medicare Part C … January 1, 2012 through December 31, 2016. Background Many Medicaid recipients are also enrolled in Medicare. Such … for services provided to enrollees. For dual-eligibles, Medicaid reimburses the plan providers for the enrollee’s …

Forms for State Agencies and Employees

… State Finance Law §§139-j and 139-k Fillable PDF AC 3357 Online Services Bureau of Contracts Applications Account Maintenance Fillable PDF AC 3358 Online Services Government Account Authorization Fillable PDF …

XIII. Employee Expense Reimbursement – XIII. Employee Expense Reimbursement

Medicaid Overpayments for Certain Medicare Part C Claims (Follow-Up)

… initial audit report, Medicaid Overpayments for Certain Medicare Part C Claims (Report 2013-S-35). Background … of the State’s Medicaid recipients are also enrolled in Medicare, the federal health insurance program for the elderly and disabled. Under Medicare Part C, also known as Medicare managed care or …

Reducing Medicaid Costs for Recipients With End Stage Renal Disease (Follow-Up)

… disease (ESRD) who were eligible for, but not enrolled in Medicare. Medicaid recipients with ESRD may be eligible for Medicare coverage if they meet certain conditions. When Medicaid recipients are enrolled in Medicare, Medicare becomes the primary insurer (payer) and …

Overpayments for Services Also Covered by Medicare Part B (Follow-Up)

… audit report, Overpayments for Services Also Covered by Medicare Part B (2010-S-50). Background Many of the State's Medicaid recipients are also eligible for Medicare Part B, which provides supplementary medical … supplies. Individuals enrolled in both Medicaid and Medicare are commonly referred to as "dual eligible." …

Medicaid Program – Improper Payments to a Physical Therapist

… Amir, a physical therapist participating in New York’s Medicaid program, billed Medicaid in accordance with its policies and guidelines and whether Medicaid made improper payments. The audit covers the period … Mark Amir a physical therapist participating in New Yorks Medicaid program billed Medicaid in accordance with its …