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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 already had private insurance, according to an audit released today by State … managed care retroactively and recover the unnecessary premiums paid to the MCO, according to rules in the Medicaid …
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
… more than one state at the same time, both states may end up paying premiums to his or her managed care plans. … through October 2024. The audit found that DOH did not start submitting NYSOH’s member data for matching in the … to recover improper premium payments made on behalf of people living out-of-state where appropriate. While all …
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 State Comptroller Thomas P. … stay alive. Medicaid recipients with ESRD are eligible for Medicare coverage if they receive regular dialysis treatments …
https://www.osc.ny.gov/press/releases/2017/07/dinapoli-audit-finds-more-16-million-medicaid-cost-savingsState Agencies Bulletin No. 1031
… from 12/11/10 through 12/31/10. Example: The CAS issues Jane Doe a travel reimbursement check on 12/22/10, and $99.00 of the payment is taxable. Jane's pay stub for 12/22/10 shows year-to-date gross wages … The 12/31/10 VOU943 will show an IRS amount of $99.00 for Jane Doe. Jane's Form W-2 will show gross wages of $63,099. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1031-year-end-procedure-taxable-travel-reimbursementState Agencies Bulletin No. 1093
… Purpose To update calendar year-end procedures relating to taxable travel reimbursements in order for the State to comply with IRS reporting requirements. This bulletin … To update calendar yearend procedures relating to taxable …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1093-year-end-procedure-taxable-travel-reimbursementsState Agencies Bulletin No. 933
… Purpose To update calendar year-end procedures relating to taxable travel reimbursements in order for the State to comply with IRS reporting requirements. This … To update calendar yearend procedures relating to taxable …
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
… The state Department of Health (DOH) inappropriately paid more than 29,000 … claims worth nearly $1 million over a 27-month period for thousands of Medicaid recipients whose benefits were already covered by … The state Department of Health inappropriately paid more than 29000 pharmacy …
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)
… Payments for Recipients With Comprehensive Third-Party Insurance (Report 2016-S-60 ). About the Program … to avoid the expense of monthly managed care premiums (for instance, under fee-for-service, after the … September 1, 2017. Our audit identified $1.28 billion in premiums that were paid on behalf of recipients who had …
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)
… Objective To assess the extent of implementation of the recommendation included in our initial audit report, Cost Saving Opportunities on Payments of Medicare Part C Claims (Report 2020-S-65 ). About the … To assess the extent of implementation of the recommendation included in our …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/cost-saving-opportunities-payments-medicare-part-c-claims-followState Agencies Bulletin No. 2170
… the 2023 calendar year-end procedures for taxable travel reimbursement. Background: Taxable travel reimbursements … Per Diem Rates . OSC Actions: Each month, taxable travel reimbursement data is transferred from the Statewide … , respectively. OSC Actions (Year-End): Any taxable travel reimbursement paid by SFS from December 8, 2023, through …
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 reimbursement. Background Taxable travel … The purpose of this bulletin is to provide agencies with the 2019 calendar yearend …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1769-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 2079
… Purpose The purpose of this bulletin is to provide agencies with the 2022 calendar year-end procedures for taxable travel reimbursement. Background Taxable travel … The purpose of this bulletin is to provide agencies with the 2022 calendar yearend …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2079-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 2283
… The purpose of this bulletin is to provide agencies with the 2024 calendar year-end procedures for taxable travel … tax deficiencies in 2025, Payroll Officers should work with their employees to accelerate the submission of Expense … The purpose of this bulletin is to provide agencies with the 2024 calendar yearend procedures for taxable travel …
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
… Numbers (CINs) where at least one CIN was enrolled in fee-for-service. The audit covered the period from January … have more than one CIN assigned during the time they are in receipt of benefits, such as one CIN under FFS enrollment … payments. Individuals have several options for enrolling in Medicaid, including through Local Departments of Social …
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
… the 2020 calendar year-end procedures for taxable travel reimbursement. Background Taxable travel reimbursements … the IRS One-Year Rule Excess PCM and Per Diem Amounts: IRS rules relating to employee business expense reimbursements … on the employee’s 2020 Form W-2. Social Security/Medicare tax deficiency deductions will be initiated in early 2021 for …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1863-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 868
… Purpose To provide agencies with content information for the 2008 Form W-2 Background According to IRS Publication 15, Circular E for 2008, and the Instructions for Form W-2, employers are required to furnish each employee … 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-2008State Comptroller DiNapoli Releases Audits
… Medicaid Program – Excessive Payments for Durable Medical Equipment Rentals (2021-S-36) Medicaid recipients receive … Pharmacy Payments for Recipients With Third-Party Health Insurance (2021-S-20) Where Medicaid recipients have other … maintains a fleet of 4,086 registered State-owned and 668 leased vehicles. In addition to its 10 regional repair shops …
https://www.osc.ny.gov/press/releases/2023/05/state-comptroller-dinapoli-releases-auditsState Agencies Bulletin No. 1282
… allowed by IRS for PCM is 56.5 cents per mile effective from January 1, 2013 through December 31, 2013. Current … income and employment taxes if employment away from home at a single location is realistically expected to last … Medicare tax deficiencies in 2014, Payroll Officers should work with their employees to accelerate the submission of …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1282-year-end-procedures-taxable-employee-expense-reimbursements