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Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 3, 4, 5 and 6 Members – Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 3, 4, 5 and 6 Members

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

… The Department administers the State’s Medicaid program. For the State fiscal year ended March 31, 2017, New York’s … pays managed care organizations (MCOs) a monthly premium for each enrolled Medicaid recipient, and the MCOs arrange for the provision of services their members require. As of …

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

… The Empire Plan is the primary health benefits plan for NYSHIP, covering a range of services from inpatient … process and pay medical claims from health care providers for services provided to Empire Plan members. United … pay a nominal co-payment to the participating provider for the services rendered. Members may also choose to receive …

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

… whether the Department of Health paid pharmacy providers for controlled substances in compliance with the New York … risk of drugs ordered in this manner being diverted for inappropriate or unauthorized use. The supply limits that … Medicaid program paid pharmacy providers through the fee-for-service method and the managed care method. Under …

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

… diagnosed with end stage renal disease who were eligible for, but not enrolled in, Medicare. The audit covered the … requires dialysis or a kidney transplant to stay alive. For the six-year period ended December 31, 2015, Medicaid paid $909 million for medical services (including inpatient, clinic, …

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

… To determine whether the costs reported by Lifeline Center for Child Development, Inc. (Lifeline) on its Consolidated … focused primarily on expenses claimed on Lifeline’s CFR for the fiscal year ended June 30, 2015, and included certain expenses claimed on Lifeline’s CFRs for the two fiscal years ended June 30, 2014. Background …

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

… determine whether the costs reported by Brookville Center for Children’s Services, Inc. (Brookville) on its … The audit included expenses claimed on Brookville’s CFR for the fiscal year ended June 30, 2014, and certain expenses claimed on its CFRs for the two fiscal years ended June 30, 2013. Background …

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

… following statement regarding the arrest of Terry Williams for alleged theft of fuel from the Town of Greenville Highway … "Mr. Williams allegedly abused his position by taking, for his own personal use, fuel that was meant for official public business and paid for by taxpayers," …

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

… beneficiaries." "My gratitude goes to Comptroller DiNapoli for his trust and support. We have worked diligently to grow … opportunity to advance the great work we have performed for the Fund in recent years," Titarchuk said. "I look … staff." Titarchuk, who has worked in the financial sector for two decades, joined the Fund in 2011. DiNapoli appointed …

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

… Purpose To determine whether Medicaid made improper fee-for-service claim payments for pharmacy services covered by recipients’ managed care … and updated in a timely manner. Other Related Audit/Report of Interest Department of Health: Medicaid Fee for …

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

… The Empire Plan is the primary health benefits plan for NYSHIP, covering a range of services from inpatient … process and pay medical claims from health care providers for services provided to Empire Plan members. United … pay a nominal co-payment to the participating provider for the services rendered. Members may also choose to receive …

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

… of Health's eMedNY system processes Medicaid claims for ancillary services in accordance with Medicaid … categories: diagnostic, therapeutic, and custodial. For example, laboratory, physical therapy, and home health … care are typical ancillary services. Medicaid claims for ancillary services are processed by eMedNY, the …

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

… Partners. "This new commitment to Primary Venture Partners for state-based investments will help grow the pension fund … to seeking out profitable investment opportunities for the Retirement System’s members, retirees and … pension fund made previous commitments to the firm in 2010 for $15 million and in 2003 for $27 million through the …

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 payments to pharmacies on behalf of recipients … administers New York’s Medicaid program. Under the fee-for-service (FFS) payment method, the Department makes Medicaid payments directly to health care providers for services rendered to Medicaid recipients. Many recipients …

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

… the Department of Health (Department) made improper fee-for-service (FFS) payments for certain services covered by managed long-term care (MLTC) … managed care premiums and, in return, MLTC plans pay for all MLTC covered services. The Medicaid program should …