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New York State Health Insurance Program - Payments by CVS Health for Pharmacy Services for Ineligible Members (Follow-Up) (2022-F-29)

To assess the extent of implementation of the six recommendations included in our initial audit report, Payments by CVS Health for Pharmacy Services for Ineligible Members (Report 2020-S-17).

New York State Health Insurance Program – Payments by Empire BlueCross for Hospital Services for Ineligible Members (Follow-Up) (2021-F-17)

To assess the extent of implementation of the five recommendations included in our initial audit report, Payments by Empire BlueCross for Hospital Services for Ineligible Members (Report 2019-S-32).

Request for Retirement Allowance Data for Firefighters Paid Pursuant to Section 207-a of the General Municipal Law (PF6302)

To obtain information concerning the Accidental and Performance of Duty Disability Retirement Benefits as a basis to adjust the salary being paid to a firefighter pursuant to Section 207-a of the General Municipal Law, NYSLRS employers use form PF6302.

City of Yonkers - Budget Review (B23-6-5)

Budget Review for the City of Yonkers for the 2023-24 fiscal year

Standard Work Day and Reporting Resolution – Reporting Elected and Appointed Officials

… sure it is completed correctly. You can  email it to the Pension Integrity Bureau  or fax it to them at 518-486-9577. You must post the …

City of Yonkers – Budget Review (B6-16-10)

… Purpose of Budget Review The purpose of our budget review was to … the current deficits in the City School District’s general fund as of June 30, 2014. Chapter 55 of the Laws of 2014 … the State of New York Mortgage Agency that the Agency will transfer $11 million to the Municipal Bond Bank Agency for …

Comptroller DiNapoli and Attorney General Underwood Announce Criminal Conviction and False Claims Act Settlement with Bottini Fuel for Diverting Customers' Credit Balances for Their Own Benefit

… Fuel pleaded guilty today to Falsifying Business Records in the Second Degree in the Village of Wappingers Falls … settlement agreement resolving a qui tam action alleging false claims act violations. Bottini Fuel will pay over $3.2 … action pursuant to the qui tam provisions of the New York False Claims Act in 2015, the Attorney General's Taxpayer …

New York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members (Follow-Up) 30-Day Response

To assess the extent of implementation of the six recommendations included in our initial audit report, Payments by CVS Health for Pharmacy Services for Ineligible Members (Report 2020-S-17).

New York State Health Insurance Program - Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (2020-S-34) 180-Day Response

To determine whether UnitedHealthcare Insurance Company of New York paid claims for Empire Plan members who were not eligible.

Election Form for 25-Year Retirement Plan for Tier 3 Sheriffs, Undersheriffs, Deputy Sheriffs and Correction Officers (Section 89-p) (RS5473-P)

NYSLRS election form for only Tier 3 sheriffs, undersheriffs, deputy sheriffs and correction officers not already enrolled in a plan that permits retirement.

Improper Medicaid Payments to Hospitals for Outpatient Services Billed as Inpatient Services for Recipients Enrolled in Managed Care (2023-S-23)

To determine whether Medicaid made improper payments to hospitals for outpatient services that were erroneously billed as inpatient services for recipients enrolled in managed care.

Contract Amendments Eligibility Determination

Provides guidance for State authorities to identify contract amendments that must be submitted to OSC for filing or for prior approval.

New Contracts Eligibility Determination

Provides guidance for State authorities to identify new contracts that must be submitted to OSC for filing or for prior approval.

Monitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance (Follow-Up)

To determine the extent of implementation of the four recommendations included in our initial audit report Monitoring of NotforProfit Cemeteries for Fiscal Stability and Adequate Facility Maintenance 2016S79

Medicaid Program – Opioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program

… are receiving opioids while also in a Treatment Program for opioid use disorder. This audit covered the period … in the 1990s with the over-prescribing of opioid drugs for pain-related conditions. Opioid treatment programs … coupled with counseling and behavioral therapies for people diagnosed with an opioid use disorder. New York …

Medicaid Program – Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY

… Medicaid made improper payments to providers who submitted Part B cost-sharing claims directly to eMedNY. The audit covered … of the State’s Medicaid recipients are also eligible for Medicare, the federal health insurance program for people age …

Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 3, 4, 5 and 6 Members – Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 3, 4, 5 and 6 Members

Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 1 and 2 Members – Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 1 and 2 Members

Medicaid Program – Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance

… As of August 2017, 4.4 million people were enrolled in mainstream managed care plans – about 2.5 million were … have additional sources of health care coverage. In accordance with the New York State Social Services Law, … the audit period, the Department paid about $1.28 billion in Medicaid managed care premium payments on behalf of …

UnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59 (Follow-Up)

… Purpose To determine the implementation status of the three … Program (NYSHIP) provides health insurance coverage to active and retired State, participating local government, …