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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.pdfDiNapoli & Schneiderman Announce Sentencing of Former MET Council Insurance Broker
… (“Met Council”), has been sentenced to 18 months in jail. Ross also paid $534,000 in restitution to Met Council … that provide them with vital services, you will face jail time. That applies to all New Yorkers, including the … Friedman was convicted and sentenced to four months in jail, and ordered to pay $775,000 in restitution to Met …
https://www.osc.ny.gov/press/releases/2015/03/dinapoli-schneiderman-announce-sentencing-former-met-council-insurance-brokerDiNapoli: Audit Identifies $800,000 in Ineligible Costs Submitted by NYC Special Education Provider
… that claimed $800,000 in costs that were not eligible for reimbursement. “The State Education Department instructs … forwarded our findings to the State Education Department for review and to recover the ineligible reimbursements.” The Milestone School for Child Development is a for-profit preschool that offers …
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
… the expenses reported to SED by every program provider of special education services for preschool children with … service costs. State Education Department: Words ‘N Motion Special Education Programs, Compliance with the Reimbursable … in ineligible costs for its six rate-based preschool special education programs, including $149,768 in personal …
https://www.osc.ny.gov/press/releases/2016/01/comptroller-dinapoli-releases-special-education-auditsImproper Payments for Recipients No Longer Enrolled in Managed Long Term Care Partial Capitation Plans (Follow-Up)
… Purpose To determine the implementation status of the four recommendations made in our initial audit report, Improper Payments for Recipients … who is enrolled in a Plan can be disenrolled retroactive to the effective date the recipient lost eligibility. … To determine the implementation status of four …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/improper-payments-recipients-no-longer-enrolled-managed-long-term-care-partial-capitationOpinion 90-47
… or statutory amendments that bear on the issues discussed in the opinion. PUBLIC OFFICERS AND EMPLOYEES -- Legal … superintendent of highways for legal expenses incurred in defending a lawsuit brought against the town and the superintendent in both his individual and official capacities. The …
https://www.osc.ny.gov/legal-opinions/opinion-90-47Oversight of Contract Expenditures of Bowery Residents’ Committee
… and chemically addicted homeless adults at their 200-bed Jack Ryan Residence (JRR) for the period from September 2010 …
https://www.osc.ny.gov/state-agencies/audits/2021/12/30/oversight-contract-expenditures-bowery-residents-committeeLaSalle School – Compliance With the Reimbursable Cost Manual
… in ineligible costs for staff conferences. LaSalle's Board of Trustees failed to report less-than-arm's-length business … with RCM requirements pertaining to the documentation of cost allocation methodologies and preparation and maintenance of employee time and attendance sheets. Key Recommendations …
https://www.osc.ny.gov/state-agencies/audits/2014/05/19/lasalle-school-compliance-reimbursable-cost-manualMedicaid Program – Overpayments of Ambulatory Patient Group Claims
… For example, Medicaid paid a provider $149 for a clinic visit that was billed under one particular rate code. … Department of Health: Medicaid Payments for Excessive Dental Services (2009-S-46) …
https://www.osc.ny.gov/state-agencies/audits/2013/08/20/medicaid-program-overpayments-ambulatory-patient-group-claimsState Agencies Bulletin No. 2291
… is to provide agency instructions for processing the 2024 CSEA OSU Work-Related Clothing Allowance. Affected … Office of Employee Relations (OER) memorandum dated 10/11/2024 provides for a Work-Related Clothing Allowance. Effective Dates: The 2024 CSEA OSU Work-Related Clothing Allowance may be …
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
… dated 04/01/2024 through 03/31/2025, the allowance (up to $70.00) is paid by separate check as explained in the …
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
… Purpose: The purpose of this bulletin is to provide agency instructions for … criteria are affected. Background: Article 49.1 of the 2021-2026 OSU Agreement between the State of New York and the Civil Service Employees Association … The purpose of this bulletin is to provide agency instructions for …
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
… Purpose: The purpose of this bulletin is to provide agency instructions for … eligibility criteria are affected. Background: Article 49 of the 2021-2026 ASU Agreement between the State of New York and the Civil Service Employees Association and … The purpose of this bulletin is to provide agency instructions for …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2387-2025-csea-work-related-clothing-allowance-asu-employees-representedImproper Medicaid Managed Care Payments for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies on Behalf of Recipients in Nursing Homes (Follow-Up)
… Improper Medicaid Managed Care Payments for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies on … of health care services, including necessary durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). Durable medical equipment encompasses devices and equipment that can …
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
… New York State Comptroller Thomas P. DiNapoli today announced the following school district audits were … New York State Comptroller Thomas P DiNapoli today announced the following school district audits were …
https://www.osc.ny.gov/press/releases/2021/09/state-comptroller-dinapoli-releases-school-district-auditsUnified Court System Bulletin No. UCS-292
… Employees represented by Communication Workers of America (CWA), Local 1180 in bargaining unit SD will be affected. … Value Earnings Code District Council 37 SK $107.00 PL3 CWA, Local 1180 SD $96.27 PL5 District Council 37 has …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-292-prepaid-legal-service-benefit-unified-court-system-ucsTravel FAQs
… beyond the minimum required by the Comptroller’s Office.If you have questions that are not addressed below, please speak … required for receipted per diem amounts? What should I do if I cannot provide a receipt because a receipt is not …
https://www.osc.ny.gov/state-agencies/travel/travel-faqsSodus Center Fire District – Board Oversight (2017M-108)
… of Audit The purpose of our audit was to examine the Board’s oversight of financial operations for the period … separate from the Town, governed by an elected five-member Board of Fire Commissioners. District expenditures for 2016 … totaled $108,631. Key Findings The Board maintained a lax control environment and did not carry out its responsibility …
https://www.osc.ny.gov/local-government/audits/fire-district/2020/05/22/sodus-center-fire-district-board-oversight-2017m-108New York Continues to Send More Federal Tax Dollars to Washington Than It Gets in Return
… positive balances of payments were in the southern or southwestern parts of the country. New Mexico had the top … – Federal Fiscal Year 2018 or go to: https://osc.state.ny.us/reports/budget/2020/federal-budget-fiscal-year-2018.pdf … View Interactive state-by-state comparison : or go to: …
https://www.osc.ny.gov/press/releases/2020/01/new-york-continues-send-more-federal-tax-dollars-washington-it-gets-returnTravel/Conference Claim Requirements – Travel and Conference Expense Management
… be submitted for audit. The claim should be submitted in a timely manner and include sufficient information for the auditing body or official to determine whether it represents a lawful and proper … by the employee. The same audit requirements apply to vouchers submitted by all travelers, including members of …
https://www.osc.ny.gov/local-government/publications/travel-conference-expense/travelconference-claim-requirements