Search
State Agencies Bulletin No. 261
… 4 characters. There are eight occurrences: Earnings Acct Cd Bud Year 1, Field Begin 4558, End 4561. Earnings Acct Cd Bud Year 2, Field Begin 4562, End 4565. Earnings Acct Cd Bud Year 3, Field Begin 4566, End 4569. Earnings Acct Cd …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/261-changes-master-fileComptroller DiNapoli Releases Municipal Audits
… however, includes revenue related to the sale of real property and federal aid which may not be realized. In … city council. The city’s proposed budget complies with the property tax levy limit. Oneida Public Library – Cash Disbursements …
https://www.osc.ny.gov/press/releases/2015/05/comptroller-dinapoli-releases-municipal-audits-0DiNapoli: Buffalo Woman Pleads Guilty to Stealing Her Deceased Grandmother's State Pension Payments
… and the system did not learn she was deceased until July 2022, at which time it stopped payments. The investigation of … Stenclik, asking why she had not received her July 2022 pension payment. The call came from a phone number that …
https://www.osc.ny.gov/press/releases/2023/11/dinapoli-buffalo-woman-pleads-guilty-stealing-her-deceased-grandmothers-state-pension-paymentsComptroller DiNapoli Releases Municipal Audits
… of Nissequogue , City of Poughkeepsie and the Sir William Johnson Volunteer Fire Company . “In today’s fiscal climate, … comprehensive plan to reduce outstanding debt. Sir William Johnson Volunteer Fire Company – Controls Over Financial … of Nissequogue City of Poughkeepsie and the Sir William Johnson Volunteer Fire Company …
https://www.osc.ny.gov/press/releases/2015/05/comptroller-dinapoli-releases-municipal-auditsXIII.2 Overview – XIII. Employee Expense Reimbursement
… Agencies are responsible for ensuring employees adhere to all employee expense policies outlined in this guide, as … certain mandatory fields are not completed. Please refer to Section 2.A – Expense Report Mandatory Header Fields of … report for reimbursement if the employee owes money to the State as a result of previous expense reports (i.e., …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiii/xiii2-overviewTown of Sullivan – Internal Controls Over Selected Financial Operations (2013M-267)
… not perform bank reconciliations for the tax collection account. As a result, in 2011 the Clerk had $4,500 of …
https://www.osc.ny.gov/local-government/audits/town/2013/12/27/town-sullivan-internal-controls-over-selected-financial-operations-2013m-267An Analysis of Reasonable and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in the New York State Health Insurance Program
… non-participating (out-of-network) providers. United bases payment for most services provided by out-of-network …
https://www.osc.ny.gov/state-agencies/audits/2020/04/01/analysis-reasonable-and-customary-out-network-reimbursement-rates-medicalsurgical-servicesArchived: Legislative Session 2023–2024
… A.10209/S.9701 (McDonald/Stavisky) – Provides that the payment of principal and interest on a qualified education …
https://www.osc.ny.gov/legislation/archived-legislative-session-2023-2024Medicaid Program – Improper Payments for Certain Third-Party Cost-Sharing Claims
… eMedNY, DOH’s automated Medicaid claims processing and payment system. Claims with a CARC PR 45 are currently …
https://www.osc.ny.gov/state-agencies/audits/2025/11/05/medicaid-program-improper-payments-certain-third-party-cost-sharing-claimsAnthem Blue Cross – Effectiveness of the Recovery Process
… where Anthem initially identified that a portion of the payment had been made incorrectly. Key Recommendations Review …
https://www.osc.ny.gov/state-agencies/audits/2026/01/06/anthem-blue-cross-effectiveness-recovery-processImproper Payments Related to the Center of Excellence for Cancer Program
… in payments still require a review to determine which payment (Anthem’s or United’s) should be remitted to Civil …
https://www.osc.ny.gov/state-agencies/audits/2026/01/27/improper-payments-related-center-excellence-cancer-programImproper Payments to a Physical Therapist (Follow-Up)
… Purpose To determine the extent of implementation of the two … included in our initial audit report, Improper Payments to a Physical Therapist ( Report 2013-S-15 ). Background The … To determine the extent of implementation of the two …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/improper-payments-physical-therapist-followImproper Payments for Controlled Substances That Exceed Allowed Dispensing Limits (Follow-Up)
… report. This included implementing controls to prevent the payment of pharmacy claims for quantities of controlled …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-payments-controlled-substances-exceed-allowed-dispensing-limits-followOverpayments of Certain Medicare Crossover Claims (Follow-Up)
… Purpose To determine the extent of implementation of the five recommendations made in our audit report, Overpayments of Certain Medicare … Individuals enrolled in both programs are referred to as “dual-eligibles.” Generally, Medicare is the primary … To determine the extent of implementation of the five …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/overpayments-certain-medicare-crossover-claims-followMedicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
… Objective To determine whether Medicaid overpayments for pharmacy services on behalf of managed care recipients who … Medicaid services their recipients require, which includes pharmacy services. Many recipients have other third-party … audit period, HMS’ third-party liability recoveries on MCO pharmacy payments totaled about $118 million. Key Findings We …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/medicaid-program-recovering-managed-care-overpayments-pharmacy-services-behalf-recipientsWestchester County Chapter NYSARC, Inc. – Compliance With the Reimbursable Cost Manual
… in personal service costs, consisting of $1,723 in bonus payment to the Executive Director and $4,693 in duplicated …
https://www.osc.ny.gov/state-agencies/audits/2021/09/29/westchester-county-chapter-nysarc-inc-compliance-reimbursable-cost-manualMedicaid Program – Improper Supplemental Maternity Capitation Payments to Managed Care Organizations
… To determine whether Medicaid made improper Supplemental Maternity Capitation Payments to managed care organizations. … monthly premiums, MCOs can receive a one-time Supplemental Maternity Capitation Payment (SMCP) for the prenatal and … or birthing center delivery costs associated with the maternity care of a recipient. However, MCOs are not eligible …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-supplemental-maternity-capitation-payments-managed-careEmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits
… (secondary payer). This is necessary to prevent duplicate payment of services by the primary and secondary payers. In …
https://www.osc.ny.gov/state-agencies/audits/2024/01/08/emblemhealth-plan-inc-overpayments-services-requiring-coordination-benefitsMedicaid Program – Improper Payments for Drugs Without a Federal Drug Rebate Agreement
… managed care organizations (MCOs) a monthly capitation payment for each Medicaid recipient enrolled in their plans. …
https://www.osc.ny.gov/state-agencies/audits/2024/02/23/medicaid-program-improper-payments-drugs-without-federal-drug-rebate-agreementMedicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims
… codes, and each service provided could trigger a separate payment. Outpatient services are generally less expensive …
https://www.osc.ny.gov/state-agencies/audits/2023/08/30/medicaid-program-improper-medicaid-payments-outpatient-services-billed-inpatient-claims