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Managed 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)
… Objective To determine the extent of implementation of the five recommendations made in our initial audit report, … was eliminated effective January 1, 2015 and the majority of FHP enrollees transitioned to the Medicaid program. … To determine the extent of implementation of the five recommendations made in our …
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 … and psychology services. We issued our initial report on September 21, 2021. Our objective was to determine whether …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/cost-saving-opportunities-payments-medicare-part-c-claims-followState Agencies Bulletin No. 2170
… Meal Allowances Employee Payments Taxable Under the IRS One-Year Rule Excess PCM and Per Diem Amounts: IRS rules relating to employee business expense … by receipts. The 2023 maximum rate allowed by IRS for PCM is 65.5 cents per mile effective from January 1, …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2170-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 2384
… reimbursements include: Excess Personal Car Mileage (PCM) Reimbursements Excess Per Diem Payments Non-Overnight … Payments Taxable Under the IRS One-Year Rule Excess PCM and Per Diem Amounts: IRS rules relating to employee … by receipts. The 2025 maximum rate allowed by IRS for PCM is 70.0 cents per mile effective from January 1, 2025, …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2384-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 2283
… reimbursements include: Excess Personal Car Mileage (PCM) Reimbursements Excess Per Diem Payments Non-Overnight … Payments Taxable Under the IRS One-Year Rule Excess PCM and Per Diem Amounts: IRS rules relating to employee … by receipts. The 2024 maximum rate allowed by IRS for PCM is 67.0 cents per mile effective from January 1, 2024, …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2283-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-reimbursementsDiNapoli: 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 revenue as Medicaid and low-income patients … insurance, while reimbursement rates for health care programs are cut by Washington, making it harder for the … New York City Health + Hospitals H+H will see pressure on key sources of revenue as Medicaid and …
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
… 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 with a Form W-2 Wage and Tax Statement by February 2, 2009. As the …
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
… if improper Medicaid payments were made on behalf of recipients with multiple Client Identification Numbers … 2014 to March 31, 2019. About the Program The Department of Health (Department) uses two methods to pay for Medicaid … monthly premiums and the MCOs arrange for the provision of health care services for Medicaid recipients and reimburse …
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-auditsState Agencies Bulletin No. 1213
… taxable travel reimbursements in order to comply with IRS reporting requirements. This bulletin replaces Bulletin … expense reimbursements require withholding and Form W-2 reporting on any excess amounts paid. “Excess amount” is the … taxable travel reimbursements in order to comply with IRS reporting requirements This bulletin replaces Bulletin A …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1213-year-end-procedure-taxable-employee-expense-reimbursementsAccounting for TAN and RAN Premiums
Accounting for TAN and RAN Premiums
https://www.osc.ny.gov/files/local-government/publications/pdf/tan_ran_premiums.pdfImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up) (2022-F-37) 30-Day Response
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-response.pdfArgyle Central School District – Medicaid Reimbursements (2020M-171)
… maximized Medicaid reimbursements by submitting claims for all eligible Medicaid services provided. Key Findings The … not maximize Medicaid reimbursements by submitting claims for all eligible Medicaid services provided. The District … were submitted and reimbursed. Claims were not submitted for 1,251 eligible services totaling $26,637. Had these …
https://www.osc.ny.gov/local-government/audits/school-district/2021/06/18/argyle-central-school-district-medicaid-reimbursements-2020m-171Town of Ridgeway – Health Insurance Benefits (2025M-95)
… (Town) Town Board (Board) authorize and monitor health insurance benefits for current and former officials? Audit … audit period back to January 2018 to verify total health insurance costs paid by the Town for officials. Understanding … Audit Area As a general rule, a town may provide health insurance benefits to current and former town officials in …
https://www.osc.ny.gov/local-government/audits/town/2026/03/13/town-ridgeway-health-insurance-benefits-2025m-95Risk Management Planning Group
… of our examination were to determine if the New York State Insurance Fund (NYSIF): (i) effectively addressed the risk of … Planning Group (RMPG) serving in conflicting roles of insurance broker and Third Party Administrator (TPA) for … provides a guaranteed source of workers’ compensation insurance for employers within New York State. In 2001, NYSIF …
https://www.osc.ny.gov/state-agencies/audits/2017/01/24/risk-management-planning-groupComptroller DiNapoli Releases State Audits
… York State Comptroller Thomas P. DiNapoli announced today the following audits have been issued: Department of Health (DOH): Improper Payments Related to the Medicare Buy-In Program (Follow-Up) (2014-F-12) An … (totaling about $26.8 million) for people enrolled in the Medicare buy-in program. In a follow-up, auditors found …
https://www.osc.ny.gov/press/releases/2014/12/comptroller-dinapoli-releases-state-auditsState Agencies Bulletin No. 1960
… Taxable Travel Reimbursements Excess Personal Car Mileage (PCM) Reimbursements Excess Per Diem Payments Non-Overnight … Payments Taxable Under the IRS One-Year Rule Excess PCM and Per Diem Amounts IRS rules relating to employee … by receipts. The 2021 maximum rate allowed by IRS for PCM is 56.0 cents per mile effective from January 1, 2021 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1960-year-end-procedure-taxable-employee-expense-reimbursementsDiNapoli: Former Village of Chatham Clerk-Treasurer Arrested for Stealing Funds From the Village
… York State Police today announced the arrest of Barbara Henry, the Village of Chatham’s former Clerk-Treasurer, … a village official stemming from the joint investigation. “Henry was entrusted to protect the village’s funds, instead … said DiNapoli. “This behavior is unacceptable and now Henry is being held accountable for her actions. I thank …
https://www.osc.ny.gov/press/releases/2021/03/dinapoli-former-village-chatham-clerk-treasurer-arrested-stealing-funds-village