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United HealthCare – Overpayments for Services Provided by Dr. John Gomes
… Purpose To determine whether the practice of Dr. John Gomes routinely waived Empire Plan members’ … City, an obstetrics and gynecology practice operated by Dr. John Gomes, located on Franklin Avenue in Garden City, New York. With respect to the Empire Plan, Dr. Gomes’ practice is a non-participating provider. During …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-dr-john-gomesControls Over Cash Advance Accounts (Follow-Up)
… which was issued on December 22, 2014, determined whether Parks needs their advance accounts and whether the money is properly accounted for and used for … implemented. Key Recommendation Officials are given 30 days after the issuance of the follow-up review to provide …
https://www.osc.ny.gov/state-agencies/audits/2016/06/03/controls-over-cash-advance-accounts-followImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial audit report, Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed … To determine the extent of implementation of the three recommendations included in …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… The Plan covers many health care services, including prescription drugs. The State Department of Civil Service … with United HealthCare (United) to administer the Plan’s prescription drug program between January 1, 2008 and … 31, 2013. United subcontracted key functions of the prescription drug program to Medco Health Solutions, Inc. …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Report 2013-S-28). Background The New York State Health … the payments for special items. For the period July 1, 2012 through December 31, 2012, Empire paid over $63 million …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughInspecting Highway Bridges and Repairing Defects (Follow-Up)
… Department of Transportation (Department) requirements for classifying, reporting and repairing bridge defects. … did not always comply with the Department’s requirement for an annual interim inspection if the repairs are not … 10 of the 17 Safety Conditions sampled were not repaired for more than two years, including three which were open for …
https://www.osc.ny.gov/state-agencies/audits/2016/06/30/inspecting-highway-bridges-and-repairing-defects-followNewmeadow, Inc. – Compliance With the Reimbursable Cost Manual
… whether the costs reported by Newmeadow Inc. (Newmeadow) on its Consolidated Fiscal Report (CFR) were properly … rates set by SED. These reimbursement rates are based on financial information, including costs, that Newmeadow reports to SED on its annual CFR. To be eligible for reimbursement, reported …
https://www.osc.ny.gov/state-agencies/audits/2015/12/29/newmeadow-inc-compliance-reimbursable-cost-manualSummit Educational Resources – Compliance With the Reimbursable Cost Manual
… Fiscal Report CFR were properly calculated adequately do …
https://www.osc.ny.gov/state-agencies/audits/2015/07/22/summit-educational-resources-compliance-reimbursable-cost-manualSelected Aspects of the Migrant Education Program
… Purpose To determine whether the State Education Department (Department) properly oversees the Migrant Education Program (Program) to ensure that it … requirements and achieves its program goals. Background The Migrant Education Program (Program) is a federal grant …
https://www.osc.ny.gov/state-agencies/audits/2015/05/15/selected-aspects-migrant-education-programMotor Vehicle Financial Security and Safety Responsibility Acts – Assessable Expenses for the Two Fiscal Years Ended March 31, 2013
… the administration of Article VI and Article VII of the Vehicle and Traffic Law. We performed our audit pursuant to … 31, 2013. Background The Department administers the Motor Vehicle Financial Security Act (Security Act) and the Motor … or whose property they might damage as a result of an accident. According to Article VI, Section 317 and Article …
https://www.osc.ny.gov/state-agencies/audits/2015/03/19/motor-vehicle-financial-security-and-safety-responsibility-acts-assessable-expenses-twoState Agencies Bulletin No. 835
… reported during the last year will be considered to have a break in service of one (1) or more years. Credit for service prior to the break will not be counted. The number of creditable hours …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/835-revised-method-calculating-salaries-employees-upon-movement-civilEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period April 1, 2011 Through June 30, 2011 (Follow-Up)
… June 30, 2011 (2011-S-42). Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, participating local government and school … portion of the Plan. Empire processes and pays claims for hospital services in accordance with agreements Empire …
https://www.osc.ny.gov/state-agencies/audits/2014/10/30/empire-bluecross-blueshield-selected-payments-special-items-period-april-1-2011-throughState Agencies Bulletin No. 1663
… Purpose To inform agencies of OSC’s automatic processing of the September 2018 PEF Performance Advances and provide instructions for payments not processed automatically Affected Employees … To inform agencies of OSCs automatic processing of the September 2018 PEF …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1663-september-2018-public-employees-federation-pef-performance-advances-andState Agencies Bulletin No. 1662
… Corrections and Community Services Office of Mental Health School for the Blind School for the Deaf Office of Children and Family Services … Agreement, teachers who have elected to be paid over the school year will be paid based on the actual number of days …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1662-restoration-contract-pay-and-additional-pay-21p-institution-teachersUnified Court System Bulletin No. UCS-227
… April 2016 UCS Longevity Bonuses and provide instructions for payments not processed automatically. Affected Employees … Bonus Background The following Chapter Laws provide for payment of longevity bonuses for eligible employees in the UCS. Chapter 276 of the Laws of …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-227-april-2016-state-new-york-unified-court-system-ucs-longevityState Agencies Bulletin No. 1651
… Hiring Rate Increment Code Missing Increment Code Invalid Inc Code Req Review Sal Below Hiring Rate Sal At or Above Job …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1651-april-2018-managementconfidential-mc-performance-advancesState Agencies Bulletin No. 1648
… receive the April 2018 PEF 2% Salary Increase: *Employees with a Pay Basis Code of HRY (Grade 600 or 800) Employees with a Pay Basis Code of ANN, 21P or CAL who are in a traineeship (Grade 800) Employees with a Pay Basis Code of ANN, 21P or CAL who are in an NS …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1648-april-2018-public-employees-federation-pef-2-salary-increaseState Agencies Bulletin No. 1647
… receive the April 2018 CSEA 2% Salary Increase: Employees with a Pay Basis Code of HRY (Grade 600 or 800) Employees with a Pay Basis Code of ANN who are in a traineeship (Grade 800) Employees with a Pay Basis Code of ANN who are in an NS position (Grade …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1647-april-2018-civil-service-employees-association-csea-2-salary-increaseUnified Court System Bulletin No. UCS-246
… Purpose To provide agencies with processing instructions for the Uniform Maintenance (Uniform Blazer) Lump Sum Payment … and the Civil Service Employees Association (CSEA) provide for a uniform maintenance allowance to all eligible members … and December of each year. The Agreement also provides for a one-time lump sum payment that represents the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-246-uniform-maintenance-uniform-blazer-lump-sum-payment-and-juneUnified Court System Bulletin No. UCS-239
… April 2017 UCS Longevity Bonus and provide instructions for payments not processed automatically. Affected Employees … Bonus. Background The following Chapter Laws provide for payment of longevity bonuses for eligible employees in the UCS. Chapter 276 of the Laws of …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-239-april-2017-state-new-york-unified-court-system-ucs-longevity