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New York State Health Insurance Program – Payments by Empire BlueCross for Hospital Services for Ineligible Members
… information, and notifies Empire of any changes in a member’s status. Many contracts that Empire negotiates … due to delays by Civil Service, HBAs, and members. In one example, Empire paid $186,000 in ineligible claims because it took more than eight years to …
https://www.osc.ny.gov/state-agencies/audits/2020/08/18/new-york-state-health-insurance-program-payments-empire-bluecross-hospital-servicesMedicaid Program – Appropriateness of Medicaid Eligibility Determined by the New York State of Health System
… determine the extent to which improper enrollments may have caused Medicaid overpayments. Consequently, readers of our audit report should consider the effect of the scope limitation on the conclusions presented in our report. Using other …
https://www.osc.ny.gov/state-agencies/audits/2015/10/28/medicaid-program-appropriateness-medicaid-eligibility-determined-new-york-state-healthNew York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members (Follow-Up)
… in our initial audit report, Payments by CVS Health for Pharmacy Services for Ineligible Members (Report 2020-S-17 ). About … to ensure members are disenrolled promptly and to prevent payment of ineligible claims on their behalf. Our initial …
https://www.osc.ny.gov/state-agencies/audits/2023/01/04/new-york-state-health-insurance-program-payments-cvs-health-pharmacy-services-ineligibleNew York State Health Insurance Program – Payments by Empire BlueCross for Hospital Services for Ineligible Members (Follow-Up)
… the Program The New York State Health Insurance Program (NYSHIP), administered by the Department of Civil Service … The Empire Plan is the primary health benefits plan for NYSHIP, covering 1.1 million members. Civil Service contracts …
https://www.osc.ny.gov/state-agencies/audits/2021/12/27/new-york-state-health-insurance-program-payments-empire-bluecross-hospital-servicesDespite Progress, Pay Gap for Women Persists, March 2022
In 2020, women earned 83 cents to every dollar earned by men, a wage gap of more than $10,435 based on median earnings for men and women who worked full-time, as reported by the U.S. Census Bureau.
https://www.osc.ny.gov/files/reports/pdf/despite-progress-pay-gap-for-women-persists.pdfXII.5.G Entering the Appropriate Obligation and Accounting Dates on Vouchers – XII. Expenditures
… prepares the State’s financial statements in compliance with Generally Accepted Accounting Principles (GAAP). The …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii5g-entering-appropriate-obligation-and-accounting-dates-vouchersDiNapoli: Independent Review Finds State Pension Fund Strong, but Warns of Risks Posed by Limited Staffing
… sought to establish our state’s pension fund as a leader in transparency, ethics and effectiveness. It’s gratifying to … as the Fund’s trustee: “The Comptroller consistently acts in the sole interest of the members and beneficiaries of the … outsourced investment management and support functions. In addition, independent compensation benchmarking indicates …
https://www.osc.ny.gov/press/releases/2016/07/dinapoli-independent-review-finds-state-pension-fund-strong-warns-risks-posed-limited-staffingDiNapoli: Read Fine Print on Gift Cards this Holiday Season
… office as abandoned property after five years of dormancy. In State Fiscal Year 2016-17, $14.8 million from gift cards … rebates to disclose whether those rebates will be issued in the form of a gift card and whether any fees will apply to … office is currently holding more than $15 billion in unclaimed funds from uncashed checks, bank accounts, …
https://www.osc.ny.gov/press/releases/2017/11/dinapoli-read-fine-print-gift-cards-holiday-seasonMedicaid Program – Excessive Payments for Durable Medical Equipment Rentals
… program could achieve cost savings by implementation of a rental cap on oxygen equipment. The audit covered the … equipment rentals. About the Program The Department of Health (Department) administers the State’s Medicaid … recipient and, in turn, the MCOs arrange for the provision of health care services that Medicaid recipients require and …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/medicaid-program-excessive-payments-durable-medical-equipment-rentalsThe Kelberman Center, Inc. – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs submitted by The Kelberman Center, Inc. (Kelberman) on its Consolidated … with disabilities who are between three and five years of age. Kelberman is reimbursed for these services through rates set by SED. The reimbursement rates are based on school year …
https://www.osc.ny.gov/state-agencies/audits/2020/12/23/kelberman-center-inc-compliance-reimbursable-cost-manualCOVID-19 Pandemic Drove Record Medicaid Enrollment in 2021
… number of New Yorkers relied on Medicaid for health care in 2021, with monthly enrollment exceeding 7 million for the … per year over the last 15 years, increasing from about one in seven New Yorkers in 1998 to one in three in 2021, state budget projections …
https://www.osc.ny.gov/press/releases/2021/12/covid-19-pandemic-drove-record-medicaid-enrollment-2021Implications for the Future – 2022 Financial Condition Report
… the Fed’s interest rate response, and continued volatility in the financial markets all impact whether the trajectory … Funding Federal aid has long played an essential role in the State’s budget and its ability to provide health care, … education, human services and other essential programs. In recent years, for example, new federal funding has helped …
https://www.osc.ny.gov/reports/finance/2022-fcr/implications-futureXIII.4.D Meals and Incidental Expenses Breakdown – XIII. Employee Expense Reimbursement
… States. The per diem rates vary by location and year. In some cases, a traveler may be entitled to only a portion of the NYS M&IE per diem rate. In these cases, the traveler may be reimbursed up to 80 … applies. The maximum per diem rates are updated annually in the Statewide Financial System to coincide with federal …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiii/xiii4d-meals-and-incidental-expenses-breakdownNew York State Comptroller DiNapoli Statement on Federal Tax Reform
… and Senate will hurt the very people Washington claims to be helping." … The House and Senate Republican tax plans …
https://www.osc.ny.gov/press/releases/2017/11/new-york-state-comptroller-dinapoli-statement-federal-tax-reformCost Saving Opportunities on Payments of Medicare Part C Claims (Follow-Up)
To assess the extent of implementation of the recommendation included in our initial audit report Cost Saving Opportunities on Payments of Medicare Part C Claims Report 2020S65
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/cost-saving-opportunities-payments-medicare-part-c-claims-followTraining Resources for State Agencies and Employees
… View training materials and ondemand videos for classes presented by the Office of …
https://www.osc.ny.gov/state-agencies/trainingDiNapoli: Read the Fine Print on Your New Gift Card
… New York State Comptroller Thomas P. DiNapoli is urging New Yorkers this holiday season to read the fine print on gift cards for … also reminds recipients to spend their new gift cards in a timely manner, otherwise the money could eventually get …
https://www.osc.ny.gov/press/releases/2019/12/dinapoli-read-fine-print-your-new-gift-cardPublic Welfare – 2021 Financial Condition Report
… Public Assistance Recipients Increase for the First Time in Five Years Family Assistance (FA) provides up to 60 months … the federal government. “Public assistance” as discussed in this report includes both programs; almost 72 percent of public assistance expenditures are in the SNA program. For SFY 2020-21, the average monthly …
https://www.osc.ny.gov/reports/finance/2021-fcr/public-welfareReporting Services Provided by Lawyers and Law Firms (Education Law Section 2053)
… The system is available through the NYSED Business Portal. Each school district BOCES has a Delegated … New York State Education Department Application Business Portal . Please do not submit paper forms in lieu of …
https://www.osc.ny.gov/retirement/employers/reporting-services-provided-lawyers-and-law-firms-education-law-section-2053Public Welfare – 2022 Financial Condition Report
… the average monthly number of public assistance recipients in the State decreased by 17,043 (3.5 percent) to 472,043, a level slightly higher than the record low of 468,000 in SFY 2019-20. “Public assistance” as discussed in this report includes both Family Assistance (FA) and …
https://www.osc.ny.gov/reports/finance/2022-fcr/public-welfare