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Medicaid Program – Recovering Managed Care Payments for Inpatient Services on Behalf of Recipients With Third-Party Health Insurance
… premium for each enrolled recipient. In turn, the MCOs are required to pay for the services their recipients … is considered the payer of last resort, and, as such, MCOs are required to coordinate benefits with the recipient’s TPHI … with TPHI inpatient coverage and ensure overpayments are appropriately recovered. Assess the $41.4 million ($39.3 …
https://www.osc.ny.gov/state-agencies/audits/2023/09/27/medicaid-program-recovering-managed-care-payments-inpatient-services-behalf-recipientsMedicaid Program – Medicaid Claims Processing Activity April 1, 2018 Through September 30, 2018
… to the providers. The audit covered the period April 1, 2018 through September 30, 2018. About the Program The … weekly cycles, which averaged over 5.9 million claims and $1.4 billion in payments to providers. Key Findings The audit … comprehensive third-party health insurance (TPHI); $6.1 million was paid for an inpatient claim that contained an …
https://www.osc.ny.gov/state-agencies/audits/2019/07/10/medicaid-program-medicaid-claims-processing-activity-april-1-2018-through-september-30-2018Early Childhood Learning Center of Greene County – Compliance With the Reimbursable Cost Manual
… is an SED-approved, not-for-profit private school located in Greene County that provides preschool special education … fiscal year ended June 30, 2015, ECLC reported $547,761 in reimbursable costs on its CFR for the rate-based preschool … the fiscal year ended June 30, 2015, we identified $12,843 in reported non-personal service costs that did not comply …
https://www.osc.ny.gov/state-agencies/audits/2019/07/29/early-childhood-learning-center-greene-county-compliance-reimbursable-cost-manualOversight of Weights and Measures Programs (Follow-Up)
… them perform their duties more effectively. Furthermore, site visits to seven municipalities found most of them did …
https://www.osc.ny.gov/state-agencies/audits/2019/07/29/oversight-weights-and-measures-programs-followAccountability and Surplussing of Vehicles
… State business only, and each use must be recorded in a vehicle log, along with trip details such as date and time of … Key Findings OPWDD lacks sufficient controls over fleet vehicle management at the four DDSOs to ensure that all … had a significant number of missing and/or incomplete vehicle logs, including logs for vehicles used by some …
https://www.osc.ny.gov/state-agencies/audits/2019/08/15/accountability-and-surplussing-vehiclesNorthside Center for Child Development – Compliance With the Reimbursable Cost Manual
… determine whether the costs reported by Northside Center for Child Development (Northside) on its Consolidated Fiscal Report (CFR) were reasonable, necessary, directly related to the special … To determine whether the costs reported by Northside Center for Child Development Northside on its Consolidated Fiscal …
https://www.osc.ny.gov/state-agencies/audits/2019/01/11/northside-center-child-development-compliance-reimbursable-cost-manualVolunteers of America – Greater New York, Inc.: Compliance With the Reimbursable Cost Manual
… the costs reported by Volunteers of America – Greater New York, Inc. (VOA-GNY) on its Consolidated Fiscal Reports … fiscal years ended June 30, 2014. Background VOA-GNY is a New York City-based not-for-profit organization authorized by … students in its cost-based programs each year. The New York City Department of Education (DoE) refers students …
https://www.osc.ny.gov/state-agencies/audits/2018/12/10/volunteers-america-greater-new-york-inc-compliance-reimbursable-cost-manualProtection of Child Performers (Follow-Up)
… total annual renewal, new annual, and temporary child performer permits as well as approximately 400 employer …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/protection-child-performers-followKinderwise Learning Associates, LLC – Compliance With the Reimbursable Cost Manual
… The audit covered expenses reported on Kinderwise’s CFR for the fiscal year ended June 30, 2015. Background Kinderwise is an SED-approved, for-profit special education provider located in North Salem, … three and four years of age. Kinderwise is reimbursed for preschool special education services through rates set by …
https://www.osc.ny.gov/state-agencies/audits/2018/10/23/kinderwise-learning-associates-llc-compliance-reimbursable-cost-manualControls Over Unclaimed Bottle Deposits (Follow-Up)
… included in our initial audit report, Controls Over Unclaimed Bottle Deposits (Report 2016-S-96 ). Background The … register with the Department and remit 80 percent of any unclaimed bottle deposits to the Department on a quarterly … Department collected $117.7 million and $112.9 million in unclaimed bottle deposits in the State fiscal years ended …
https://www.osc.ny.gov/state-agencies/audits/2019/10/15/controls-over-unclaimed-bottle-deposits-followAssessable Expenses of Administering the Motor Vehicle Financial Security Act and Motor Vehicle Safety Responsibility Act for the Four State Fiscal Years Ended March 31, 2018
… or whose property they might damage as a result of an accident. According to Vehicle and Traffic Law, the … of administering the Acts, and assessing these expenses on insurance carriers that issue policies or contracts of … Acts for the four State Fiscal Years ended March 31, 2018. On average, the Department incurred $20.4 million in expenses …
https://www.osc.ny.gov/state-agencies/audits/2019/09/11/assessable-expenses-administering-motor-vehicle-financial-security-act-and-motor-vehicleCongregate Meal Services for the Elderly (Follow-Up)
… included in our initial audit report, Congregate Meal Services for the Elderly (Report 2016-N-5 ). About the … included in our initial audit report Congregate Meal Services for the Elderly …
https://www.osc.ny.gov/state-agencies/audits/2019/11/19/congregate-meal-services-elderly-followHomeless Outreach Services in the New York City Subway System
… whether the Metropolitan Transportation Authority (MTA) and the New York City Department of Homeless Services … 1, 2015 through June 6, 2019. About the Program Within the MTA, New York City Transit operates the New York City subway … for homeless individuals – and a growing concern for the MTA on behalf of its customers and staff. In 2013, the MTA …
https://www.osc.ny.gov/state-agencies/audits/2020/01/16/homeless-outreach-services-new-york-city-subway-systemState Agencies Bulletin No. 2383
… on the SEFA Pledge and Payroll Deduction Authorization card, must be used as the Deduction Code. Authorization cards … must be returned to the employee for completion of a new card. Please visit www.sefanys.org to obtain a copy of the … SEFA Campaigns. Checks made out to SEFA will be accepted. Online Enrollment: Online enrollment can be utilized for …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2383-state-employees-federated-appeal-sefa-campaignState Agencies Bulletin No. 2346
… All agencies with appropriations due to lapse on June 30, 2025 are affected. Background: Appropriations allocated to … Effective Dates: Administration paychecks dated July 2, 2025 and Institution paychecks dated July 10, 2025 OSC … Beg Date Current 06/26/2025 Current 06/19/2025 Lag 06/12/2025 Lag 06/05/2025 X-Lag 06/05/2025 X-Lag 05/29/2025 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2346-updating-payserv-chartfield-strings-june-lapsing-eventsState Agencies Bulletin No. 2082
… must be used to process the adjustment. Please refer to Payroll Bulletin No. 1893 Reporting Adjustments to Overtime … Indicator box is checked for rehired retirees. Please see Payroll Bulletin No. 1728 for further details on the New York Retiree Indicator box. Payroll Register and Employee’s Paycheck/Advice: Earnings …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2082-2021-2022-public-employees-federation-pef-firearms-training-and-safetyState Agencies Bulletin No. 2131
… for processing the 2022-2023 Firearms Training and Safety Incentive Program Payment Affected Employees: Employees in the Professional, Scientific and Technical Services Unit – BU05 who meet the eligibility … in the 2019-2023 Agreement between the State of New York and PEF, employees with peace officer status shall be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2131-2022-2023-public-employees-federation-pef-firearms-training-and-safetyState Agencies Bulletin No. 2218
… must be used to process the adjustment. Please refer to Payroll Bulletin No. 1893 Reporting Adjustments to Overtime … Indicator box is checked for rehired retirees. Please see Payroll Bulletin No. 1728 for further details on the New York Retiree Indicator box. Payroll Register and Employee’s Paycheck/Advice: Earnings …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2218-2023-2024-public-employees-federation-pef-firearms-training-and-safetyOther Bulletin No. 71
… the 2021-2026 Memorandum of Agreement between SCF and CSEA which provides for payment of the 2023 Longevity Payment in October 2023 as a one-time, lump sum payment in the amount of $1,500, $3,000, … Goal Balance: Same as Annual Addl Earnings (to prevent making another payment) Retirement and Deduction Information: …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/suny-construction-fund/other-71-october-2023-state-university-construction-fund-scf-civilSUNY Bulletin No. SU-345
… Salary Calculation. Affected Employees: SUNY employees in salary Grade 980 with a Comp Rate Code of CAL and CYP . Background: In any fiscal year in which February 29 th falls, the biweekly salary …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-345-leap-year-salary-calculation-fiscal-year-2023-2024-suny