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Medicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
… (MCOs) a monthly premium for each enrolled recipient, and in turn, the MCOs are required to pay for the Medicaid … recipients have other third-party health insurance (TPHI) in addition to Medicaid (e.g., employer-based coverage or … bill TPHI carriers for the recovery of about $292 million in pharmacy claims that MCOs paid as the primary insurance …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/medicaid-program-recovering-managed-care-overpayments-pharmacy-services-behalf-recipientsXIII.2 Overview – XIII. Employee Expense Reimbursement
… SECTION OVERVIEW AND POLICY Agencies are responsible for ensuring employees adhere to all employee expense policies outlined in this guide, as well as all relevant … identification number through the payroll system. Requests for reimbursement by non-employees, such as non-paid …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiii/xiii2-overviewTown of Sullivan – Internal Controls Over Selected Financial Operations (2013M-267)
… up with their bonding company and/or recoup the lost tax payment from the Receiver of Taxes. Perform bank …
https://www.osc.ny.gov/local-government/audits/town/2013/12/27/town-sullivan-internal-controls-over-selected-financial-operations-2013m-267XIV.4.A Agency Bank Accounts Overview – XIV. Special Procedures
… A bank account may need to be opened and maintained by an agency for revenue collections, cash advances, or other authorized agency sole custody purposes. Pursuant to Section 106 of the … account balances under the administrative control of the agency. Section 107 of the State Finance Law requires the …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiv/xiv4a-agency-bank-accounts-overviewXIX.1.D Project Costing Terminology – XIX. Project Costing (PCIP)
… Project is group of activities that has a start and end date … or covers a period of time (e.g., grant period) designed to produce a unique product, service or result. In the SFS, a project is used to collect and track costs related to those … Project is group of activities that has a start and end date …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xix/xix1d-project-costing-terminologyState Comptroller DiNapoli Releases Municipal Audits
… to the St. Lawrence County Industrial Development Agency without a written agreement detailing the services to be …
https://www.osc.ny.gov/press/releases/2022/01/state-comptroller-dinapoli-releases-municipal-audits-0Collection and Use of the Motor Vehicle Law Enforcement Fee
… Purpose To determine whether the Department of Financial Services (Department) has collected, accounted for and … all Fee revenue due to the State and whether the Division of Criminal Justice Services (Division) and the Division of … To determine whether the Department of Financial Services Department has collected accounted for …
https://www.osc.ny.gov/state-agencies/audits/2013/07/12/collection-and-use-motor-vehicle-law-enforcement-feeComptroller DiNapoli Releases Municipal Audits
… Community Library , Rockland County and Town of Saugerties . “In today’s fiscal climate, budget transparency and accountability for our local communities is a top … priority,” said DiNapoli. “By auditing municipal finances and operations, my office continues to provide taxpayers the …
https://www.osc.ny.gov/press/releases/2015/06/comptroller-dinapoli-releases-municipal-auditsAn Analysis of Reasonable and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in the New York State Health Insurance Program
… The New York State Health Insurance Program (NYSHIP), administered by the State Department of Civil Service (Civil Service), is one of the nation’s largest public sector health insurance … The New York State Health Insurance Program NYSHIP administered by the State Department …
https://www.osc.ny.gov/state-agencies/audits/2020/04/01/analysis-reasonable-and-customary-out-network-reimbursement-rates-medicalsurgical-servicesMedicaid Program – Improper Supplemental Maternity Capitation Payments to Managed Care Organizations
… SMCPs to MCOs, as follows: $29.1 million was paid without the required supporting encounter data; $23.4 million …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-supplemental-maternity-capitation-payments-managed-careWestchester County Chapter NYSARC, Inc. – Compliance With the Reimbursable Cost Manual
… NYSARC, Inc. (WARC) on its Consolidated Fiscal Report (CFR) were properly calculated, adequately documented, and … including costs, that WARC reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must … approximately $5.3 million in reimbursable costs on its CFR for the Preschool Special Class – over 2.5 hours per day …
https://www.osc.ny.gov/state-agencies/audits/2021/09/29/westchester-county-chapter-nysarc-inc-compliance-reimbursable-cost-manualState Agencies Bulletin No. 261
… file. PR50 information will only be shown if the employee is being paid from an underfilled (PR50) position. New Field … Field Begin 601, End 608 changed to Anniversary Date and is updated from JOB. NY_ANNIVERSARY_DT. Paygroup, Field Begin 4055, End 4057 changed to Equated To Grade and is updated from POSITION_DATA. NY_EQUATED_GRADE. Shift, Field …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/261-changes-master-fileDiNapoli Releases April State Cash Report
… of $10.9 billion, which was $28.7 million higher than the latest projection and $549.1 million higher than last April …
https://www.osc.ny.gov/press/releases/2016/05/dinapoli-releases-april-state-cash-reportState Comptroller DiNapoli Releases State Audits
… York State Comptroller Thomas P. DiNapoli announced today the following audits have been issued: Metropolitan … that between 2008 and 2012 the overall demand for AAR service increased, but the portion of the service provided by traditional … An initial report determined that between 2008 and 2012 the overall demand for AAR service increased but the portion …
https://www.osc.ny.gov/press/releases/2016/05/state-comptroller-dinapoli-releases-state-audits-0Medicaid Program – Improper Payments for Drugs Without a Federal Drug Rebate Agreement
… Department of Health and Human Services in exchange for state Medicaid coverage of most of the manufacturer’s drugs. …
https://www.osc.ny.gov/state-agencies/audits/2024/02/23/medicaid-program-improper-payments-drugs-without-federal-drug-rebate-agreementArchived: Legislative Session 2023–2024
… procedures for state agencies and public authorities. NYS 529 Program, Scholarships and Grants – S.9700 (Stavisky) … not made any such contributions. Signed by the Governor NYS 529 Program, Qualified Withdrawals – Signed as Chapter … of Certain Contracts – Vetoed by the Governor, Veto Memo 89, A.10281/S.9171 (Solages/Cooney) – Requires a public …
https://www.osc.ny.gov/legislation/archived-legislative-session-2023-2024State Comptroller DiNapoli Releases Municipal and School Audits
… audited prior to payment. Although the board paid a CPA $6,750 to conduct the 2019 and 2020 audits, the CPA did not complete the 2020 audit and has possession of the …
https://www.osc.ny.gov/press/releases/2025/02/state-comptroller-dinapoli-releases-municipal-and-school-auditsMedicaid Program – Improper Payments for Certain Third-Party Cost-Sharing Claims
… the charge exceeds the maximum allowable fee. Providers can submit claims for unpaid cost-sharing, such as …
https://www.osc.ny.gov/state-agencies/audits/2025/11/05/medicaid-program-improper-payments-certain-third-party-cost-sharing-claimsMedicaid Program – Improper Medicaid Payments for Childhood Vaccines
… free vaccines to eligible children younger than 19 years of age whose parents or guardians may not be able to afford … their recommended vaccines and are protected from a number of diseases. The Centers for Disease Control and Prevention … enrolled in Medicaid, the Medicaid program pays the vaccine administration fee. Key Findings Auditors identified …
https://www.osc.ny.gov/state-agencies/audits/2018/12/06/medicaid-program-improper-medicaid-payments-childhood-vaccinesThe Domestic Relations Order – Divorce and Your Benefits
… The State Court of Appeals determined that NYSLRS benefits … a NYSLRS member is divorced, a court may determine that the member’s ex-spouse is entitled to share in the member’s benefit. Therefore, we will honor a properly … when a marriage ends Guide to Domestic Relations Orders The Domestic Relations Order …
https://www.osc.ny.gov/retirement/members/divorce/domestic-relations-order