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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 (2018-D-2)
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...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-18d2.pdfImproper Payments for Recipients No Longer Enrolled in Managed Long Term Care Partial Capitation Plans (Follow-Up)
… recipients who have both Medicaid and Medicare, are age 21 or older, and who need community-based long term care …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/improper-payments-recipients-no-longer-enrolled-managed-long-term-care-partial-capitationDiNapoli: Audit Identifies $800,000 in Ineligible Costs Submitted by NYC Special Education Provider
… American Express charges with no invoices to support the billing statements; $149,815 in unsupported or inappropriate … Milestone charged their full salaries to the state even though the employees were also working for other service … a teacher’s assistant. Milestone charged the state $9,240 even though it only paid her $6,770. Milestone’s response, in …
https://www.osc.ny.gov/press/releases/2015/07/dinapoli-audit-identifies-800000-ineligible-costs-submitted-nyc-special-education-providerComptroller DiNapoli Releases Special Education Audits
… by every program provider of special education services for preschool children with disabilities at least once by … Compliance with the Reimbursable Cost Manual (2014-S-40) For the three fiscal years ended June 30, 2013, auditors … Compliance with the Reimbursable Cost Manual (2014-S-63) For the three fiscal years ended June 30, 2013, auditors …
https://www.osc.ny.gov/press/releases/2016/01/comptroller-dinapoli-releases-special-education-auditsDiNapoli & Schneiderman Announce Sentencing of Former MET Council Insurance Broker
… Laundering in the Third Degree (a class D felony) and Criminal Tax Fraud in the Third Degree (a class D felony). As … Matthew Croghan, Supervising Analyst Paul Strocko of the Criminal Enforcement and Financial Crimes Bureau, and Legal … case is being prosecuted by Gary T. Fishman, Chief of the Criminal Enforcement and Financial Crimes Bureau, with …
https://www.osc.ny.gov/press/releases/2015/03/dinapoli-schneiderman-announce-sentencing-former-met-council-insurance-brokerOpinion 90-47
… or an attorney retained by the town board. Section (2)(a) of the local law provides as follows: Upon compliance … of two contrasting allegations in the complaint, i.e., (1) an allegation that act or omission of employee occurred … the local law, then they might consider Town Law, §65(1). With respect to authorization for reimbursement under …
https://www.osc.ny.gov/legal-opinions/opinion-90-47Oversight of Contract Expenditures of Bowery Residents’ Committee
… services for eligible homeless families and individuals in the City and for providing fiscal oversight of the homeless shelters. In February 2011, DHS contracted with BRC, a City-based … years ended June 30, 2019, BRC claimed $23.6 million in reimbursable expenses for the contract. DHS is responsible …
https://www.osc.ny.gov/state-agencies/audits/2021/12/30/oversight-contract-expenditures-bowery-residents-committeeLaSalle School – Compliance With the Reimbursable Cost Manual
… Reimbursable Cost Manual (RCM) and the Consolidated Fiscal Report Manual (CFR Manual). The audit included the three … staff conferences. LaSalle's Board of Trustees failed to report less-than-arm's-length business arrangements on its … Compliance With the Reimbursable Cost Manual (2011-S-40) Kids & the Training Institute, Inc.: Compliance With the …
https://www.osc.ny.gov/state-agencies/audits/2014/05/19/lasalle-school-compliance-reimbursable-cost-manualState Agencies Bulletin No. 2291
… employees as follows: Employee Reimbursement Distribution Method If an employee provides work-related clothing purchase … Budget Reference OER01 1120220 24114 10050 54001 2024-25 Direct Employee Allowance Distribution Method To pay the 2024 … paid will appear on the employee’s paycheck stub or direct deposit advice. Undeliverable Checks: When a valid payroll …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2291-2024-work-related-clothing-allowance-osu-employees-represented-civilState Agencies Bulletin No. 2289
… to eligible employees as follows: Employee Reimbursement Method If an employee provides work-related clothing purchase … Reference OER01 1120220 24250 10050 54001 2024-2025 Direct Employee Allowance Distribution Method To pay the 2024 … paid will appear on the employee’s paycheck stub or direct deposit advice. Undeliverable Checks: When a valid payroll …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2289-2024-csea-work-related-clothing-allowance-asu-employees-representedState Agencies Bulletin No. 2389
… is to provide agency instructions for processing the 2025 CSEA OSU Work-Related Clothing Allowance. Affected … Office of Employee Relations (OER) memorandum dated 10/15/2025 provides for a Work-Related Clothing Allowance. Effective Dates: The 2025 CSEA OSU Work-Related Clothing Allowance may be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2389-2025-work-related-clothing-allowance-osu-employees-represented-civilState Agencies Bulletin No. 2387
… Clothing Allowance. Affected Employees: All employees in the Administrative Services Unit (ASU) – BU02 represented … Work-Related Clothing Allowance may be processed beginning in Institution Pay Period 17L paychecks dated 12/11/2025, or … dated 12/17/2025. Eligibility Criteria: Employees in Bargaining Unit 02 on 10/01/2025 are eligible to receive …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2387-2025-csea-work-related-clothing-allowance-asu-employees-representedMedicaid Program – Overpayments of Ambulatory Patient Group Claims
… Patient Groups (APG) claims because of deficiencies in the claims processing and payment system. The audit … was adopted by the Department of Health (Department) in an effort to more accurately pay providers for services … the previous payment methodology. The Department phased in APGs beginning with hospital outpatient departments and …
https://www.osc.ny.gov/state-agencies/audits/2013/08/20/medicaid-program-overpayments-ambulatory-patient-group-claimsUnified Court System Bulletin No. UCS-292
… by Communication Workers of America (CWA), Local 1180 in bargaining unit SD will be affected. Employees represented by District Council 37 in bargaining unit SK who reside within the zip codes … Benefit for the 2020 calendar year for employees who were in a status of Active or Paid Leave and received salary from …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-292-prepaid-legal-service-benefit-unified-court-system-ucsImproper Medicaid Managed Care Payments for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies on Behalf of Recipients in Nursing Homes (Follow-Up)
… for medical use such as gauze and wipes. Medicaid nursing home reimbursement rates generally include the cost of most DMEPOS, and separate … responsibility to verify with the recipient’s nursing home whether the DMEPOS is included in the facility’s …
https://www.osc.ny.gov/state-agencies/audits/2023/06/21/improper-medicaid-managed-care-payments-durable-medical-equipment-prosthetics-orthotics-andState Comptroller DiNapoli Releases School District Audits
… P. DiNapoli today announced the following school district audits were issued. Granville Central School District – … P DiNapoli today announced the following school district audits were issued …
https://www.osc.ny.gov/press/releases/2021/09/state-comptroller-dinapoli-releases-school-district-auditsTravel FAQs
… can I use a prepaid mass transit card which would result in a receipt only for the initial purchase? Can I remove … a part time employee – am I entitled to an extra meal when in travel status? Can I charge expenses for other employees … lots with no receipt machine, honor system parking lots). Train/bus fare when used from a personal, prepaid mass …
https://www.osc.ny.gov/state-agencies/travel/travel-faqsNew York Continues to Send More Federal Tax Dollars to Washington Than It Gets in Return
… New York paid $26.6 billion more in taxes to the federal government in federal fiscal year (FFY) 2018 than it got back in federal spending, ranking it last among the states, according … New York paid $266 billion more in taxes to the federal government in federal fiscal year FFY 2018 than it …
https://www.osc.ny.gov/press/releases/2020/01/new-york-continues-send-more-federal-tax-dollars-washington-it-gets-returnSodus Center Fire District – Board Oversight (2017M-108)
… submitted the required annual financial reports and tax levy limit calculations to OSC. Key Recommendations Take … Prepare and submit accurate annual financial reports and tax levy calculations to OSC in a timely manner. …
https://www.osc.ny.gov/local-government/audits/fire-district/2020/05/22/sodus-center-fire-district-board-oversight-2017m-108Travel/Conference Claim Requirements – Travel and Conference Expense Management
… must be submitted for audit. The claim should be submitted in a timely manner and include sufficient information for the … traveler is exceeding the general maximum rates set forth in the travel policy, authorization to do so). An original, … claimed. This includes lodging; conference fees; air, train or bus travel; rental cars; meals (unless a meal …
https://www.osc.ny.gov/local-government/publications/travel-conference-expense/travelconference-claim-requirements