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State Health Department Unnecessarily Paid over $1 Billion for Patients Covered by Private Insurance
… (DOH) paid $1.28 billion in unnecessary Medicaid managed care premiums over a nearly six-year period for enrollees who already had private insurance, according to an audit released today by State … program managed by DOH, provides a wide range of health care services to those who are economically disadvantaged or …
https://www.osc.ny.gov/press/releases/2018/06/state-health-department-unnecessarily-paid-over-1-billion-patients-covered-private-insuranceDiNapoli: Audit Finds More Than $16 Million in Medicaid Cost Savings
… provides a wide range of medical services to those who are economically disadvantaged or have special health care … transplant to stay alive. Medicaid recipients with ESRD are eligible for Medicare coverage if they receive regular … certain requirements. When Medicaid recipients with ESRD are also enrolled in Medicare, Medicare becomes the primary …
https://www.osc.ny.gov/press/releases/2017/07/dinapoli-audit-finds-more-16-million-medicaid-cost-savingsImproper 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.pdfDiNapoli: Audits Find More Than $1 Million of Waste in New York's Medicaid Program
… A second audit released today found another $61,711 in overpayments to providers because of incorrect Medicare … appropriate treatments. Taxpayers have invested heavily in the Medicaid system and have a right to expect that health … 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-programDiNapoli: New York May Be Paying Medicaid Premiums for People Living Out-of-State
… federal Public Assistance Reporting Information System (PARIS), which matches enrollment data of public assistance … NYSOH started. DOH did not start reviews of the NYSOH PARIS match results until two years later, in October 2019. … outside of New York according to data sources other than PARIS, such as the U.S. Postal Service’s National Change of …
https://www.osc.ny.gov/press/releases/2025/09/dinapoli-new-york-may-be-paying-medicaid-premiums-people-living-out-stateCost 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 Many of the … in Medicare and are referred to as “dual-eligibles.” Medicare Part A provides hospital insurance and Part B … audit report Cost Saving Opportunities on Payments of Medicare Part C Claims Report 2020S65 …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/cost-saving-opportunities-payments-medicare-part-c-claims-followState Agencies Bulletin No. 2283
… Employee Payments Taxable Under the IRS One-Year Rule Excess PCM and Per Diem Amounts: IRS rules relating to … allowances for non-overnight travel (day trips). One-Year Rule: The IRS requires employers to report travel … Any taxable travel reimbursement paid by SFS from December 13, 2024 through December 31, 2024 will be handled …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2283-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 2384
… expense reimbursements require withholding and Form W-2 reporting on any excess amounts paid. “Excess amount” is … Institution and Administration paychecks dated December 24, 2025 and December 31, 2025 , respectively. OSC Actions … tax deficiency deductions will be initiated in early 2026 for any “Taxable Expense” that did not have taxes …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2384-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 2170
… on any excess amounts paid. “Excess amount” is the portion that is greater than the applicable Federal rate and not … and employment taxes if employment away from home at a single location is realistically expected to last for more … and are subject to employment and income taxes. Federal, State and New York City income tax withholding will be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2170-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 … 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 … purpose of this bulletin is to provide agencies with the 2022 calendar yearend procedures for taxable travel …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2079-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 1769
The purpose of this bulletin is to provide agencies with the 2019 calendar yearend procedures for taxable travel reimbursement
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1769-year-end-procedure-taxable-employee-expense-reimbursementsManaged 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 … benefits. Medicaid recipients may have additional sources of health care coverage (i.e., third-party health insurance, … To determine the extent of implementation of the seven recommendations made in our …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/managed-care-premium-payments-recipients-comprehensive-third-party-insurance-followState Agencies Bulletin No. 1863
… bulletin is to provide agencies with the 2020 calendar year-end procedures for taxable travel reimbursement. … Allowances Employee Payments Taxable Under the IRS One-Year Rule Excess PCM and Per Diem Amounts: IRS rules relating … meal allowances for non-overnight travel (day trips). One-Year Rule: The IRS requires employers to report travel …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1863-year-end-procedure-taxable-employee-expense-reimbursementsInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… Managed Care and Family Health Plus (Report 2015-S-47 ). About the Program Most Medicaid recipients are enrolled …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andDiNapoli: NYC Health + Hospitals Confront Tough Fiscal Outlook as Washington Moves to Cut Health Care Spending
… New York City Health + Hospitals (H+H) will see pressure on key sources of … and low-income patients that rely on federal support lose health insurance, while reimbursement rates for health care … New York City Health + Hospitals H+H will see pressure on key sources of …
https://www.osc.ny.gov/press/releases/2025/12/dinapoli-nyc-health-hospitals-confront-tough-fiscal-outlook-washington-moves-cut-health-care-spendingState Agencies Bulletin No. 868
… Purpose To provide agencies with content information for the 2008 Form W-2 Background … wage, income and benefit information. 2008 Form W-2 Content 2008 Form W-2s will include earnings paid in … To provide 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-2008Medicaid Program – Improper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers
… concurrently enrolled in FFS under different CINs (in each case, one of the concurrent enrollments was improper; the …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-improper-medicaid-payments-involving-fee-service-claims-recipientsState Comptroller DiNapoli Releases Audits
… not being used efficiently and effectively and, in the case of open recalls, posed safety risks. The follow-up found …
https://www.osc.ny.gov/press/releases/2023/05/state-comptroller-dinapoli-releases-auditsAccounting for TAN and RAN Premiums
Accounting for TAN and RAN Premiums
https://www.osc.ny.gov/files/local-government/publications/pdf/tan_ran_premiums.pdfState Agencies Bulletin No. 1213
… Purpose To provide calendar year-end procedures for taxable travel reimbursements in … Allowances Employee Payments Taxable Under the IRS One-Year Rule Excess PCM and Per Diem Amounts: IRS rules relating … taxable travel reimbursement paid by the SFS from December 8, 2012 through December 31, 2012 will be handled differently …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1213-year-end-procedure-taxable-employee-expense-reimbursements