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Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 1 and 2 Members – Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 1 and 2 Members

Medicaid Program – Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance

… Purpose To determine whether the Department of Health (Department) … coverage. The audit covered the period January 1, 2012 to September 1, 2017. Background The Medicaid program is a …

Special 25-Year Plan for Institutional Safety Officers (Sections 89-t and 604(q))

… and Local Retirement System  (Return to Top) … Information for members about special 25 year retirement plan providing an alternative retirement benefit for institutional safety officers and safety and secur …

United HealthCare – Overpayments for Services Provided by Eastern Orange Ambulatory Surgery Center

… employees and their dependents. The Empire Plan is the primary health benefits plan for NYSHIP, covering a range of services from inpatient hospital care to outpatient surgical procedures and physician office visits. The New York State Department of …

Medicaid Program – Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits

… Purpose To determine whether the Department of Health paid pharmacy providers for controlled substances in … Medicaid program, which provides a wide range of health care services, including prescription drugs, to individuals …

Special Plan for Suffolk County Park Police Officers (Sections 89-r and 603(n))

… and Local Retirement System (Return to Top) … Information for members about Special Plan for Suffolk County Park Police Officers Sections 89r and 603n …

Medicaid Program – Reducing Medicaid Costs for Recipients With End Stage Renal Disease

… ESRD recipients about Medicare benefits and Medicaid’s payment of Medicare outof- pocket costs, and to actively …

Lifeline Center for Child Development, Inc. – Compliance With the Reimbursable Cost Manual

… Purpose To determine whether the costs reported by Lifeline Center … (CFRs) were reasonable, necessary, directly related to the special education program, and sufficiently documented …

Brookville Center for Children’s Services, Inc. – Compliance With the Reimbursable Cost Manual

… Purpose To determine whether the costs reported by Brookville Center … (CFRs) were reasonable, necessary, directly related to the special education program, and sufficiently documented pursuant to the State Education Department’s (SED) Reimbursable Cost …

DiNapoli Statement on Greenville Arrest for Alleged Theft of Taxpayer Funded Resources

… the following statement regarding the arrest of Terry Williams for alleged theft of fuel from the Town of … by DiNapoli’s office and the New York State Police. "Mr. Williams allegedly abused his position by taking, for his own … my ongoing partnership with the New York State Police, Mr. Williams' alleged acts have been brought to light and he will …

DiNapoli Announces Interim CIO for the New York State Common Retirement Fund

… New York State Comptroller Thomas P. DiNapoli today announced his … as Interim Chief Investment Officer of the New York State Common Retirement Fund. The Fund’s current CIO Vicki … and alternative instruments. Find out how your government money is spent at Open Book New York . Track municipal …

Medicaid Program – Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care

… manner, in some cases taking more than six months to enter new enrollee eligibility data. Key Recommendations Review the …

United HealthCare – Overpayments for Services Provided by Orthopedic Associates of Long Island

… employees and their dependents. The Empire Plan is the primary health benefits plan for NYSHIP, covering a range of services from inpatient hospital care to outpatient surgical procedures and physician office visits. The New York State Department of …

Medicaid Program – Improper Payments for Ancillary Services Provided During Hospital Inpatient Admissions

… most medical care provided during a hospital admission. As such, claims for ancillary services provided during a … edits to detect any improper claim for ancillary services. Such edit enhancements should also provide for the prevention …

State Pension Fund Adds $30 Million for Investments in New York Companies

… Retirement Fund has committed an additional $30 million to Primary Venture Partners to invest in state-based companies, New York State … In-State Private Equity Investment Program, designed to make profitable investments in companies located in New …

Medicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims

… whether Medicaid made improper payments to hospitals for outpatient services that were erroneously billed as … (Department). The Medicaid program reimburses hospitals for inpatient and outpatient services. A recipient’s status … versus outpatient – affects Medicaid’s reimbursement for services provided. Inpatient care generally requires …

Medicaid Program – Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance

… Objective To determine if Medicaid made inappropriate fee-for-service … billed to TPHI carriers that did not result in a recovery (due to carrier denials), and ensure all necessary follow-up …

DiNapoli: School District Tax Levy Cap Below 2 Percent for Second Straight Year

… Property tax levy growth for school districts will be capped at 1.23 percent, down … a levy growth rate of 1.23 percent and below 2 percent for the second year in a row, means they must examine their … The 1.23 percent cap affects the tax cap calculations for 676 school districts and 10 cities with fiscal years …

Medicaid Program – Improper Fee-for-Service Payments for Services Covered by Long-Term Care Plans

… Objective The objective of this audit was to determine whether the Department of Health (Department) … care, nursing home care, and durable medical equipment, to people who are chronically ill or disabled. Medicaid pays … Enrollment information is ultimately communicated to eMedNY, the Medicaid claims processing and payment system. …

Medicaid Program – Overpayments for Therapy Services and Prescription Drugs Covered by Medicare

… therapy services and prescription drugs that are covered by Medicare. The audit covered the period January 1, 2012 to … 2017 for therapy services. About the Program Many of the State’s Medicaid recipients are also enrolled in Medicare. … to the automated claim information, should have been paid by Medicare, as follows: $18.6 million was paid for physical, …