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New York State Health Insurance Program - Payments by CVS Health for Pharmacy Services for Ineligible Members (Follow-Up) (2022-F-29)

To assess the extent of implementation of the six recommendations included in our initial audit report, Payments by CVS Health for Pharmacy Services for Ineligible Members (Report 2020-S-17).

New York State Health Insurance Program – Payments by Empire BlueCross for Hospital Services for Ineligible Members (Follow-Up) (2021-F-17)

To assess the extent of implementation of the five recommendations included in our initial audit report, Payments by Empire BlueCross for Hospital Services for Ineligible Members (Report 2019-S-32).

Contract Amendments Eligibility Determination

Provides guidance for State authorities to identify contract amendments that must be submitted to OSC for filing or for prior approval.

New Contracts Eligibility Determination

Provides guidance for State authorities to identify new contracts that must be submitted to OSC for filing or for prior approval.

State Agencies Bulletin No. 2269

… which implemented the 2023-2026 Agreement between the State of New York and PEF, provides for payment of … No. 1786  – Non-Negotiated and/or Undeliverable New York State Payroll Checks. Checks issued to eligible employees who …

State Agencies Bulletin No. 1090

… to the meaning and usage of some of the data elements in PayServ related to the implementation of the Statewide … service Account Codes in SFS are as follows: Position Pool Base Salary Holiday Overtime Uniform Standby Extra Service Lump …

State Agencies Bulletin No. 844

… any personal use must be authorized by the Federal, State, county, or local governmental agency or department that owns …

West Corners Fire Company – Accounting for Cash Receipts and Disbursements (2014M-215)

… Fire Company is a volunteer organization that is located in, and provides fire protection services for, the Town of Union in Broome County. The Company’s Officers consist of four … Obtain and review canceled check images to ensure that all disbursements are proper. … Warsaw Fire Department …

DiNapoli: State Pays Drug Treatment Center Nearly $4 Million for Ineligible Expenses

… is included in the final report. The audit can be found online at …

DiNapoli Audit Highlights Need for Better Compliance with School Violence Reporting Law

… determined it should have reported 769, including two sex offenses that involved inappropriate sexual contact and …

Monitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance (Follow-Up)

To determine the extent of implementation of the four recommendations included in our initial audit report Monitoring of NotforProfit Cemeteries for Fiscal Stability and Adequate Facility Maintenance 2016S79

Medicaid Program – Opioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program

… Medicaid recipients who are receiving opioids while also in a Treatment Program for opioid use disorder. This audit … prescribed to their patients were medically warranted. We identified 18,786 Medicaid recipients who received 208,198 … Further, we did not find that I-STOP was checked prior to every instance that a medication-assisted opioid was …

Medicaid Program – Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY

… Purpose To determine whether Medicaid made improper payments to … for the Part B coinsurance on services Medicaid did not cover. Overpayments totaling $1.1 million to providers … advise providers to report accurate claim information when billing Medicaid for Part B deductibles and coinsurance …

School for Language and Communication Development – Compliance With the Reimbursable Cost Manual

… whether the costs reported by the School for Language and Communication Development (SLCD) on its Consolidated … (CFR) were properly calculated, adequately documented, and allowable under the State Education Department’s (SED) … on SLCD’s CFR for the fiscal year ended June 30, 2015, and certain expenses reported on SLCD’s CFRs for the two …

UnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers

… through December 31, 2016. Background The New York State Health Insurance Program (NYSHIP), administered by the State … Department of Civil Service (Civil Service), provides health insurance coverage to active and retired State, … medical/surgical, hospital, prescription drugs, and mental health and substance abuse. Civil Service contracts …

Children’s Unit for Treatment and Evaluation – Compliance With the Reimbursable Cost Manual

… the costs reported by Children’s Unit for Treatment and Evaluation (CUTE) on its Consolidated Fiscal Reports … (CFR) were properly calculated, adequately documented, and allowable under the State Education Department’s (SED) … on CUTE’s CFR for the fiscal year ended June 30, 2016 and certain costs reported on its CFRs for the two fiscal …

Educators for Children, Youth and Families, Inc. – Use of Contract Funds (Follow-Up)

… in our initial audit report, Educators for Children, Youth and Families, Inc. - Use of Contract Funds (Report … 20, 2010, examined whether Educators for Children, Youth and Families, Inc. (Educators) appropriately used State funds received from the State Education Department (SED) and the Office of Children and Family Services (OCFS) under …

Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 3, 4, 5 and 6 Members – Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 3, 4, 5 and 6 Members

Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 1 and 2 Members – Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 1 and 2 Members

Medicaid Program – Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance

… through New York State of Health (NYSOH), New York’s online health insurance marketplace, and the remainder were …