Search
Medicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
… enrolled recipient, and in turn, the MCOs are required to pay for the Medicaid services their recipients require, which …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/medicaid-program-recovering-managed-care-overpayments-pharmacy-services-behalf-recipientsSelected Payments for Special Items Made to St. Peter's Hospital from January 1, 2011 through March 31, 2011
… BlueCross BlueShield's (Empire's) payments to St. Peter's Hospital (St. Peter's) for special items were made according … Empire and St. Peter's. Background The New York State Health Insurance Program (NYSHIP) provides health insurance …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-st-peters-hospital-january-1-2011-through-march-31Selected Payments for Special Items Made to Mount Sinai Hospital from January 1, 2011 through March 31, 2011
… Purpose To determine if BlueCross BlueShield's (Empire's) payments to Mount Sinai Hospital (Mount Sinai) … to the provisions of the agreement between Empire and Mount Sinai. Background The New York State Health … (NYSHIP) provides health insurance coverage to active and retired State, participating local government and school …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-mount-sinai-hospital-january-1-2011-through-march-31Selected Payments for Special Items Made to Albany Medical Center from January 1, 2011 through March 31, 2011
… if BlueCross BlueShield’s (Empire’s) payments to Albany Medical Center (AMC) for special items were made according to the …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-albany-medical-center-january-1-2011-through-march-31Identifying, Reporting, and Providing Services for Youth at Risk of Sexual Human Trafficking in New York City
… Objective To determine if the New York City Administration for Children’s Services and the New … of the NYC Council documenting the number of youth in contact with DYCD and ACS who are referred as, who …
https://www.osc.ny.gov/state-agencies/audits/2022/06/06/identifying-reporting-and-providing-services-youth-risk-sexual-human-trafficking-new-yorkSelected Payments for Special Items Made to Arden Hill Hospital From January 1, 2011 Through March 31, 2011
… Purpose To determine if BlueCross BlueShield’s (Empire’s) payments to Arden Hill Hospital (Arden Hill) for … to the provisions of the agreement between Empire and Arden Hill. Background The New York State Health … (NYSHIP) provides health insurance coverage to active and retired State, participating local government and school …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-arden-hill-hospital-january-1-2011-through-march-31Medicaid Program – Improper Medicaid Payments for Claims Not in Compliance With Ordering, Prescribing, Referring, and Attending Requirements
… Objective To determine whether the Department of Health (Department) paid for claims in violation of federal and State regulations that require an appropriate … The New York State Medicaid program provides a wide range of medical services to those who are economically …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/medicaid-program-improper-medicaid-payments-claims-not-compliance-ordering-prescribingDiNapoli: Former Tax Collector Accused of Pocketing $88,000 for Car Loans, Amazon Purchases, Food and Other Expenses
… allegedly used taxpayer dollars to fund her own personal online shopping,” Comptroller DiNapoli said. “Taxpayers … on March 21st. Colucci allegedly used public money to shop online at Amazon, Stitch Fix, and Chewy.com, and order … Fraud Hotline at 1-888-672-4555, by filing a complaint online at [email protected] , or by mailing a …
https://www.osc.ny.gov/press/releases/2021/03/dinapoli-former-tax-collector-accused-pocketing-88000-car-loans-amazon-purchases-food-and-otherSelected Aspects of Leasing Practices for Real Estate Department, Aviation, World Trade Center, and Leasing of Properties
… the period January 1, 2014 through November 21, 2019. About the Program PANYNJ was created to promote and protect …
https://www.osc.ny.gov/state-agencies/audits/2021/05/04/selected-aspects-leasing-practices-real-estate-department-aviation-world-trade-center-andInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… (OMIG), and it recovered about $7.4 million from the Plans by the end of the audit. We also found the New York City …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andDiNapoli Op-Ed in the NY Daily News Cautions NYC Leaders to Prepare for Challenging Fiscal Times Ahead
… challenges we know. City leaders can hope for the best but must prepare for the worst. A year ago, the city …
https://www.osc.ny.gov/press/releases/2021/09/dinapoli-op-ed-ny-daily-news-cautions-nyc-leaders-prepare-challenging-fiscal-times-aheadExcessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans (Follow-Up)
… Care and Health and Recovery Plans (Report 2021-S-37 ). About the Program DOH administers New York’s Medicaid … are requested, but not required, to provide information about any actions planned to address the unresolved issues …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/excessive-premium-payments-dual-eligible-recipients-enrolled-mainstream-managed-care-andNew York City Department of Homeless Services – Oversight of Contract Expenditures of Institute for Community Living, Inc.
… abuse disorders at their 200-bed Tillary Street Women’s Shelter (Tillary) for the period from December 2013 to … was renewed twice and amended twice for a total of $35.6 million during the 2015-16 to 2019-20 fiscal years to an …
https://www.osc.ny.gov/state-agencies/audits/2022/09/16/new-york-city-department-homeless-services-oversight-contract-expenditures-instituteMedicaid Program – Recovering Managed Care Payments for Inpatient Services on Behalf of Recipients With Third-Party Health Insurance
… (MCOs) a monthly premium for each enrolled recipient. In turn, the MCOs are required to pay for the services their … recipients have other third-party health insurance (TPHI) in addition to Medicaid (e.g., employer-based coverage or … provider reviews for the recovery of $52.2 million in inpatient claims where MCOs paid as the primary insurance …
https://www.osc.ny.gov/state-agencies/audits/2023/09/27/medicaid-program-recovering-managed-care-payments-inpatient-services-behalf-recipientsIX.12.Q Annual ALN (Assistance Listing Number) Confirmation for Schedule of Expenditures of Federal and Non-Cash Awards – IX. Federal Grants
… received from this confirmation process will be reviewed by the State’s auditor/consultant engaged to conduct the …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix12q-annual-cfda-confirmation-schedule-expenditures-federal-and-non-cash-awardsIFB #0001 – Disaster Recovery Services for the Printing, Sorting and Mailing of Payroll Checks and Tax Forms
… Word format Cost Proposa l, in MS Excel format Responses to Questions Note: the solicitation has been posted in … reader, available through this link: https://get.adobe.com/reader/ … The Office of the State Comptroller OSC is …
https://www.osc.ny.gov/procurement/ifb0001Opinion 89-25
… to capital reserve fund) SEWERS AND SEWER SYSTEMS -- Contracts (for use of excess capacity of sewage treatment …
https://www.osc.ny.gov/legal-opinions/opinion-89-25CUNY Bulletin No. CU-708
… Fine 416 Deferred Comp 425 Repay State Loans/Debt 432 SED Tax Deferred Annuity 433 Total Unemployment Ins Owed 500 Medicare Deficiency 501 Social Security Deficiency 502 NYS SS/Medicare Deficiency 678 CUNY Before Tax Arrears 679 … employee’s taxable gross and reported on the employee’s Form W-2. The adjustments (AJR, ARC, ARO and Retro (RXX)) are …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-708-cuny-retroactive-pay-rate-increases-high-pressure-plantSUNY Bulletin No. SU-269.1
… identify employees who have received approval to use the NY Paid Family Leave benefit. LOA/PFL- Leave of Absence/Paid … PFL if they will not meet the service requirements for the NY Paid Family Leave program AND Verify any waivers received … waiver will be revoked. The PayServ implementation of the NY Paid Family Leave program has resulted in a new procedure …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-2691-new-york-state-paid-family-leave-program-unitedReport on the State Fiscal Year 2021-22 Executive Budget
The COVID-19 pandemic has had a severe fiscal impact on New York State, and the Executive Budget for State Fiscal Year (SFY) 2021-22 demonstrates the need for additional federal assistance.
https://www.osc.ny.gov/files/reports/budget/pdf/executive-budget-report-2021-22.pdf