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Accounting for TAN and RAN Premiums
Accounting for TAN and RAN Premiums
https://www.osc.ny.gov/files/local-government/publications/pdf/tan_ran_premiums.pdfState Agencies Bulletin No. 1213
… reporting requirements. This bulletin replaces Bulletin A-629/P-1093 . Background Taxable travel reimbursements include: Excess Personal Car Mileage (PCM) Reimbursements Excess Per Diem Payments … and employment taxes if employment away from home at a single location is realistically expected to last for more …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1213-year-end-procedure-taxable-employee-expense-reimbursementsRisk Management Planning Group
… of insurance broker and Third Party Administrator (TPA) for North Shore Hospital (North Shore) and King Kullen … industry practices when calculating premiums and providing discounts to North Shore and King Kullen. Background NYSIF … for insurance premiums, including whether to provide any discounts. In evaluating whether to provide a discount, NYSIF …
https://www.osc.ny.gov/state-agencies/audits/2017/01/24/risk-management-planning-groupArgyle 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-171Improper 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.pdfDiNapoli: Former Village of Chatham Clerk-Treasurer Arrested for Stealing Funds From the Village
… New York State Comptroller Thomas P. DiNapoli, Columbia County District Attorney Paul Czajka, and the New York State Police today announced the arrest of Barbara Henry, the … Columbia County District Attorney Paul Czajka and the New York State Police today announced the arrest of Barbara …
https://www.osc.ny.gov/press/releases/2021/03/dinapoli-former-village-chatham-clerk-treasurer-arrested-stealing-funds-villageState Agencies Bulletin No. 1960
… the 2021 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 2021 Form W-2. Social Security/Medicare tax deficiency deductions will be initiated in early 2022 for …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1960-year-end-procedure-taxable-employee-expense-reimbursementsComptroller DiNapoli Releases State Audits
… (DOH): Improper Payments Related to the Medicare Buy-In Program (Follow-Up) (2014-F-12) An initial audit report issued in October 2012 determined … 260,000 improper payments (totaling about $26.8 million) for people enrolled in the Medicare buy-in program. In a …
https://www.osc.ny.gov/press/releases/2014/12/comptroller-dinapoli-releases-state-auditsMedicaid Program – Improper Supplemental Maternity Capitation Payments to Managed Care Organizations
… the Department pays managed care organizations (MCOs) a monthly premium for each enrolled recipient and, in turn, … In addition to the monthly premiums, MCOs can receive a one-time Supplemental Maternity Capitation Payment (SMCP) for the prenatal and postpartum physician care and hospital or …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-supplemental-maternity-capitation-payments-managed-careAusable Valley Central School District - Medicaid Reimbursements (2018M-189)
… the District claimed all Medicaid reimbursements to which it was entitled for services provided to eligible special … the District claimed all Medicaid reimbursements to which it was entitled for services provided to eligible special …
https://www.osc.ny.gov/local-government/audits/school-district/2019/01/25/ausable-valley-central-school-district-medicaid-reimbursements-2018m-189Whitehall Central School District - Medicaid Reimbursements (2019M-42)
… all Medicaid reimbursements to which it was entitled for services provided to eligible special education students. … to ensure Medicaid claims were submitted and reimbursed for all eligible services provided. Claims were not submitted and reimbursed for 628 eligible services totaling $24,179. Had these …
https://www.osc.ny.gov/local-government/audits/school-district/2019/06/21/whitehall-central-school-district-medicaid-reimbursements-2019m-42Moriah Central School District - Medicaid Reimbursements (2019M-64)
… the District claimed all Medicaid reimbursements to which it was entitled for services provided to eligible special … the District claimed all Medicaid reimbursements to which it was entitled for services provided to eligible special …
https://www.osc.ny.gov/local-government/audits/school-district/2019/06/14/moriah-central-school-district-medicaid-reimbursements-2019m-64Medicaid Program – Overpayments for Medicare Part C Claims
… To determine whether Medicaid made improper payments on Medicare Part C claims for recipients covered by Medicare … from May 2018 through April 2023. About the Program Under Medicare Part C, private insurance companies administer … To determine whether Medicaid made improper payments on Medicare Part C claims for recipients covered by Medicare …
https://www.osc.ny.gov/state-agencies/audits/2024/12/04/medicaid-program-overpayments-medicare-part-c-claimsCost Saving Opportunities on Payments of Medicare Part C Claims (2020-S-65)
To determine whether Medicaid cost savings can be achieved by modifying the reimbursement methodology for Medicare Part C cost-sharing claims in accordance with federal requirements.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20s65.pdfForms for State Agencies and Employees
… Find forms related to accounting contracts payroll purchasing and …
https://www.osc.ny.gov/state-agencies/formsState Agencies Bulletin No. 937
… and Exam Fee Reimbursement Program Effective Date(s) Administration paychecks dated November 25, 2009 Institution … to the employee. CFR is subject to Federal, State, Local, Social Security and Medicare Taxes. “CFR” and the amount will appear …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/937-certification-licensure-and-exam-fee-reimbursement-clefr-2009Medicaid Program – Improper Premium Payments Made on Behalf of Managed Care Members Residing Outside the State
… of Health (DOH) improperly paid Medicaid managed care premiums on behalf of members who resided outside of New … be disenrolled from their plan and the plan must return premiums paid for periods when the member was not a resident. … Medicaid paid almost $1.2 billion in managed care premiums for Medicaid members who may have resided outside of …
https://www.osc.ny.gov/state-agencies/audits/2025/09/09/medicaid-program-improper-premium-payments-made-behalf-managed-care-members-residingState Agencies Bulletin No. 1035
… To remind agencies that earnings code CFR (CLEFR) should be used for the taxable fringe benefit CLEFR and how it will be applied to certain employee’s taxable income & … To remind agencies that earnings code CFR CLEFR should be used for the taxable fringe benefit CLEFR and how it will …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1035-certification-licensure-and-exam-fee-reimbursement-clefr-2010Medicaid Program – Inappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus
… Medicaid mainstream managed care plans and Family Health Plus managed care plans (Plans) for recipients who were no … managed care, during the audit period, Family Health Plus (FHP) was a publicly funded managed care program for … Medicaid mainstream managed care plans and Family Health Plus …
https://www.osc.ny.gov/state-agencies/audits/2017/07/11/medicaid-program-inappropriate-premium-payments-recipients-no-longer-enrolled-mainstreamExamination of Outstanding Premiums
… Purpose The objectives of our examination were to determine (i) the extent to which the New York State Insurance Fund (NYSIF) participates in the Statewide Offset Program (SWOP), and (ii) the amount of outstanding premiums NYSIF may have been able to recover …
https://www.osc.ny.gov/state-agencies/audits/2016/08/19/examination-outstanding-premiums