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Medicaid Program – Improper Fee-for-Service Payments for Services Covered by Long-Term Care Plans
… Many of the State’s Medicaid recipients are enrolled in MLTC plans. MLTC plans provide long-term care services, … pays MLTC plans monthly managed care premiums and, in return, MLTC plans pay for all MLTC covered services. The Medicaid program should not pay claims on a FFS basis for services covered by MLTC plans. Individuals …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/medicaid-program-improper-fee-service-payments-services-covered-long-term-care-plansMedicaid Program – Improper Medicaid Payments for Terminated Drugs
… whether the Medicaid program made improper payments for drugs dispensed after their drug termination date. The … and is overseen at the federal level by the Centers for Medicare & Medicaid Services (CMS). The Medicaid program … Drugs may be removed from the market (i.e., terminated) for safety or commercial reasons. To ensure terminated drugs …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-improper-medicaid-payments-terminated-drugsOversight of Managed Long-Term Care Member Eligibility (Follow-Up)
… Objective To assess the extent of implementation of the four recommendations included in our initial audit … Care Member Eligibility (Report 2020-S-52 ). About the Program The Department of Health (Department) administers … To assess the extent of implementation of the four recommendations …
https://www.osc.ny.gov/state-agencies/audits/2024/03/13/oversight-managed-long-term-care-member-eligibility-followReporting of Community-Based Services Under the Transformation Reinvestment Plan (Follow-Up)
… is to promote the mental health of all New Yorkers, with a particular focus on providing hope and recovery for adults with serious mental illness and children with serious emotional disturbances. OMH operates psychiatric …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/reporting-community-based-services-under-transformation-reinvestment-plan-followPrivacy and Security of Student Data (Follow-Up)
… of Student Data (Report 2021-S-29 ). About the Program The State Education Department (SED) is part of the University of the State of New York, one of the most complete, interconnected … programs and services to schools throughout the State and host various schools’ student information systems …
https://www.osc.ny.gov/state-agencies/audits/2024/09/26/privacy-and-security-student-data-followNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Payments by UnitedHealthcare for … Civil Service and United have made significant progress in addressing the issues identified in the initial audit. United recovered about $500,000 of the …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesCompliance With Special Education Regulations for the Provision of Services (Follow-Up)
… in the initial audit report, Compliance With Special Education Regulations for the Provision of Services (Report … About the Program In New York State, the Commissioner of Education (Regulations) has promulgated regulations regarding the education of children with disabilities (Regulations). …
https://www.osc.ny.gov/state-agencies/audits/2023/03/15/compliance-special-education-regulations-provision-services-followImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up)
… by the Centers for Medicare & Medicaid Services (CMS), Medicaid pays Medicare premiums for individuals who … and process enrollment in the Buy-in Program. In addition, CMS automatically enrolls certain individuals. Medicaid … who were automatically added to the Buy-in Program by CMS with coverage beginning more than 2 years retroactively, …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/improper-payments-medicare-buy-premiums-ineligible-recipients-followUse of Federal Funding for Election Technology and Security (Follow-Up)
… Objective To determine the extent of implementation of the one … administering and enforcing election laws in the State. To fulfill these responsibilities, the BOE offers assistance to the 57 County Boards of Elections and the New York City … To determine the extent of implementation of the one …
https://www.osc.ny.gov/state-agencies/audits/2023/06/22/use-federal-funding-election-technology-and-security-followOversight of Certified Homeless Shelter Food Services
… Purpose To determine whether the Office of Temporary and Disability … May 10, 2018. Background Shelter operators are required to provide meals that are balanced, nutritious, and adequate in amount to meet the dietary needs of residents. Such meals should be … To determine whether the Office of Temporary and Disability …
https://www.osc.ny.gov/state-agencies/audits/2018/10/29/oversight-certified-homeless-shelter-food-servicesCriminal History Background Checks of Unlicensed Health Care Employees (Follow-Up)
… included in our initial audit report, Criminal History Background Checks of Unlicensed Health Care Employees … safeguard patients through requests for required criminal history background checks when hiring unlicensed persons in … Audit/Report of Interest Department of Health: Criminal History Background Checks of Unlicensed Health Care Employees …
https://www.osc.ny.gov/state-agencies/audits/2018/11/20/criminal-history-background-checks-unlicensed-health-care-employees-followRegistration and Enforcement of Automotive Service, Sales, and Salvage Facilities (Follow-Up)
… of automotive businesses, including registration of repair shops, dealers, dismantlers, and junk and salvage facilities …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/registration-and-enforcement-automotive-service-sales-and-salvage-facilities-followMedicaid Payments for Pharmacy Claims – Joia Pharmacy and a Related Prescriber (Follow-Up)
… made in our initial audit report, Medicaid Payments for Pharmacy Claims – Joia Pharmacy and a Related Prescriber (Report 2013-S-4 ). … 31, 2012, the Department of Health (Department) paid Joia Pharmacy, Inc. (Joia) more than $7.7 million for 50,060 … made in our initial audit report Medicaid Payments for Pharmacy Claims Joia Pharmacy and a Related Prescriber Report …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/medicaid-payments-pharmacy-claims-joia-pharmacy-and-related-prescriber-followFacilities Planning Bureau Project Review
… in a timely manner and, if not, what the impacts on school districts are. We also sought to determine whether … aid provided to Districts has increased steadily. In school year 2013-14, State building aid payments totaled … projects in a timely manner and if not what the impacts on school districts are …
https://www.osc.ny.gov/state-agencies/audits/2019/02/04/facilities-planning-bureau-project-reviewState Agencies Bulletin No. 2385
… with NYSPO access can opt out of receiving a paper Form W-2 statement for the 2025 tax year. Affected Employees: Employees enrolled … in NYSPO who have chosen to opt out of receiving a paper Form W-2 statement are affected. Background: In accordance … with NYSPO access can opt out of receiving a paper Form W2 statement for the 2025 tax year …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2385-new-york-state-payroll-online-nyspo-electronic-delivery-2025-form-w-2State Agencies Bulletin No. 2282
… employees with NYSPO access can opt out of receiving a paper Form W-2 statement for the 2024 tax year. Affected … in NYSPO who have chosen to opt out of receiving a paper Form W-2 statement are affected. Background: In … are met: All employees who opt out of receiving a paper Form W-2 statement must provide consent. The consent by …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2282-new-york-state-payroll-online-nyspo-electronic-delivery-2024-form-w-2Division of Housing and Community Renewal Bulletin No. DH-137
… instructions for processing the 2024 RRSU Over40 Comp Time II Cash Out. Affected Employees: Employees in the Rent … BU67 who have opted to participate in the Over40 Comp Time II Cash Out program are affected. Background: Pursuant to the … to cash out up to 120 hours of accrued Over40 Comp Time II credits in each year of the program . The Office of …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/housing-and-community-renewal/dh-137-2024-rrsu-over40-comp-time-ii-cash-outState Agencies Bulletin No. 2014
… in BU31 using Time Entry Earnings Code PS6 (PreSft Brief Auto Calc NY31/61) will be calculated based on the new rate. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2014-april-2022-security-performance-advancesState Agencies Bulletin No. 2015
… employee’s Job Data page is 2222. Inc Code not in Anniv Dt range – if the increment code on the employee’s Job Data … Code Invalid Inc Code Req Review Inc Code not in Anniv Dt range Sal Below Hiring Rate Sal At or Above Job Rate See …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2015-april-2022-civil-service-employees-association-csea-performanceState Agencies Bulletin No. 2016
… not processed automatically. Affected Employees: Employees in the Professional, Scientific, and Technical Services Unit … Eligibility Criteria: Performance Advance Employees in graded positions (Grade 001-037) and NS positions (Grade … date based on the 04/01/2021 Salary Schedule (currently in effect) are eligible for the April 2022 PEF Performance …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2016-april-2022-public-employees-federation-pef-performance-advances