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An Analysis of Reasonable and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in 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 … and mental health and substance abuse services. Civil Service contracts with UnitedHealthcare (United) to … NYSHIP administered by the State Department of Civil Service Civil Service is one of the nations largest publ …
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
… and questionable SMCPs to MCOs, as follows: $29.1 million was paid without the required supporting encounter data; $23.4 million was paid where the encounter data or other evidence indicated … case ended in termination or miscarriage; and $2.4 million was paid when the SMCP date of service preceded the birth by …
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
… covered expenses reported on WARC’s 2015 and 2016 CFRs for the fiscal year ended June 30, 2016 and certain expenses for the fiscal year ended June 30, 2015. About the Program … who are 3 and 4 years of age. WARC is reimbursed for these services through rates set by SED. The …
https://www.osc.ny.gov/state-agencies/audits/2021/09/29/westchester-county-chapter-nysarc-inc-compliance-reimbursable-cost-manualState Agencies Bulletin No. 261
… Purpose To notify agencies of changes to the Master File and to provide the Master File layout. Affected Employees Payroll and systems staff in agencies that use the PaySR Master File. Payment Date(s) Paychecks dated June 14, 2001 … To notify agencies of changes to the Master File and to provide the Master File layout …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/261-changes-master-fileDiNapoli Releases April State Cash Report
… New York state collected $8.2 billion in taxes during the first month of the 2016-17 fiscal year, a … as a result of weaker financial market performance in 2015 than in 2014. "April tax receipts were in line with more … New York state collected $82 billion in taxes during the first month of the 201617 fiscal year a …
https://www.osc.ny.gov/press/releases/2016/05/dinapoli-releases-april-state-cash-reportState Comptroller DiNapoli Releases State Audits
… by traditional carriers decreased with reliance on black car services and taxis increasing. Auditors found AAR and the … was an unquantified liability risk associated with black car services and taxis that was expanding and was not being … by traditional carriers decreased with reliance on black car services and taxis increasing …
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
… To determine whether Medicaid inappropriately paid for drugs from manufacturers that did not enter into a … the Department of Health and Human Services in exchange for state Medicaid coverage of most of the manufacturer’s … Manufacturers then pay states rebates on those drugs for which Medicaid payments were made. Covered outpatient …
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 …
https://www.osc.ny.gov/legislation/archived-legislative-session-2023-2024State Comptroller DiNapoli Releases Municipal and School Audits
… possession of the district’s financial records. The board was unaware the audit was not completed and took no action. Town of Clifton Park – …
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
… Reason Codes (CARCs) and group codes are standard codes on ERAs that detail the reason an adjustment was made to a … overpayments to providers who misapplied CARC PR 45 on claims. During the audit period, we identified 69,166 … PR 45. We sampled 58 claims and identified billing issues on each claim that resulted in Medicaid overpayments of …
https://www.osc.ny.gov/state-agencies/audits/2025/11/05/medicaid-program-improper-payments-certain-third-party-cost-sharing-claimsComptroller DiNapoli Releases School District Audits
… audits have been issued. The Academy Charter School – Credit Card Expenditures (Nassau County) School officials did … avoided or reduced. Niskayuna Central School District – Capital Improvement Fund (Schenectady County) District officials properly established the capital project budget for the eight school buildings and …
https://www.osc.ny.gov/press/releases/2019/09/comptroller-dinapoli-releases-school-district-auditsState Police Bulletin No. SP-169
… to the employee’s Job Data record only if the employee was subsequently returned to the payroll in an eligible … The report identifies the employee’s last salary that was automatically increased in an eligible bargaining unit. … which identifies the reason(s) the employee’s salary was not updated. Position and Job do not match – if the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-police/sp-169-april-2014-april-2015-and-april-2016-retroactive-salary-and-otherSUNY Bulletin No. SU-186
… Class: 4 Benefit Program: 08U Newly Appointed/Casual Services For a newly appointed employee working a Summer Session casual service position, the agency must submit the … health insurance effective 6/7/12. Agencies must cancel tax sheltered annuities, federated funds, maintenance …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-186-procedures-processing-suny-2012-summer-session-paymentsState Agencies Bulletin No. 998
… Purpose To notify agencies of the procedure for processing Summer Session payments … who are working Summer Session Effective Date(s) Beginning of Summer Session as determined by the facility Employee … Status Contracts for 21P teachers will end on the last day of the academic year as reported in the employee’s Contract …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/998-procedures-processing-2010-summer-session-payments-institution-teachersState Agencies Bulletin No. 910
… Purpose To notify agencies of the procedure for processing Summer Session payments. … who are working Summer Session Effective Date(s) Beginning of Summer Session as determined by the facility Employee … Status Contracts for 21P teachers will end on the last day of the academic year as reported in the employee’s Contract …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/910-procedures-processing-2009-summer-session-payments-institution-teachersState Agencies Bulletin No. 821
… Purpose To notify agencies of the procedure for processing Summer Session payments. Affected Employees … All Institution teachers are paid on an hourly basis for their Summer Session work. Employee Status Contracts for 21P teachers will end on the last day of the academic …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/821-procedures-processing-2008-institution-teachers-summer-session-paymentsState Agencies Bulletin No. 1996.3
… Code OTO or Earnings Code CVO If an eligible employee was previously paid overtime for the period identified above … and original Earnings End Date. If an eligible employee was previously paid overtime for the period identified above … Earnings Codes Listed Above If an eligible employee was previously paid overtime for the period identified above …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/19963-pilot-program-establishing-temporary-overtime-rate-employees-certainState Comptroller DiNapoli Releases State Audits
… has taken several steps to update its procedures to address problems with contractor cost claims that were … has taken several steps to update its procedures to address problems with contractor cost claims that were …
https://www.osc.ny.gov/press/releases/2017/06/state-comptroller-dinapoli-releases-state-audits-0State Agencies Bulletin No. 1996
… Code OTO or Earnings Code CVO If an eligible employee was previously paid overtime for the period identified above … and original Earnings End Date. If an eligible employee was previously paid overtime for the period identified above … Earnings Codes Listed Above If an eligible employee was previously paid overtime for the period identified above …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1996-pilot-program-establishing-temporary-overtime-rate-employees-certainState Police Bulletin No. SP-205
… Purpose The purpose of this bulletin is to inform the Division of State Police of OSC’s automatic processing and provide instructions for payments not processed automatically. Affected Employees … State and the Police Benevolent Association and provides for increases to Location and Supplemental Location Pay …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-police/sp-205-april-2020-increase-location-pay-and-supplemental-location-pay-state