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Medicaid Program – Improper Fee-for-Service Payments for Services Covered by Long-Term Care Plans
… of Health (Department) made improper fee-for-service (FFS) payments for certain services covered by managed long-term … audit identified $16.4 million in improper Medicaid FFS payments for MLTC covered services. The improper payments resulted from the following: $15.6 million was paid …
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
… Medicaid program is administered by the Department of Health (Department) and is overseen at the federal level by the Centers for Medicare & Medicaid Services … their termination date. Specifically: Medicaid managed care organizations (MCOs) made improper payments to …
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)
… report, Medicaid Program: Oversight of Managed Long-Term Care Member Eligibility (Report 2020-S-52 ). About the … Medicaid recipients are enrolled in managed long-term care (MLTC) plans, which provide long-term care services, such as home health care and nursing home …
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)
… audit report, Reporting of Community-Based Services Under the Transformation Reinvestment Plan (Report 2021-S-15 … and enhancing community-based services (CBS) in the State. Under the Plan, OMH reinvests funds realized through the … its oversight of reinvestments and services provided under the Plan, OMH prepares monthly reports compiled from …
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)
… recommendations included in our initial audit report, Privacy and Security of Student Data (Report 2021-S-29 ). … follows all laws and regulations regarding the safety and privacy of students’ data and is monitoring New York State … with the legislation and regulations that govern data privacy and security. The audit covered the period from March …
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)
… in our initial audit report, Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Report 2020-S-34 ). About the Program … The Empire Plan is the primary health insurance plan for NYSHIP, covering 1.1 million members. Civil Service …
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)
… them for further education, employment, and independent living. They stipulate procedural requirements for the …
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)
… Buy-In Premiums for Ineligible Recipients (Report 2020-S-35 ). About the Program The Department of Health (Department) …
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)
… (Report 2020-S-18 ). About the Program The Board of Elections (BOE) is responsible for administering and … the BOE offers assistance to the 57 County Boards of Elections and the New York City Board of Elections. Congress passed the Help America Vote Act of 2002 …
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 Assistance (OTDA), New York City Department of Homeless Services (DHS), and New York City Department of Health and Mental Hygiene (DOHMH) are adequately … To determine whether the Office of Temporary and Disability Assistance New York City …
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)
… effectively oversaw and monitored efforts by Nursing Homes, Adult Care Facilities (ACFs), and Home Health Care (HHC) … background checks on unlicensed employees of Nursing Homes, ACFs, and HHCs, according to State requirements. …
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)
… our initial audit report, Registration and Enforcement of Automotive Service, Sales, and Salvage Facilities ( 2016-S-71 … the registration and licensing for certain types of automotive businesses, including registration of repair … responsible for issuing and enforcing regulations of these automotive businesses. The Department is responsible for …
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
… its review of projects in a timely manner and, if not, what the impacts on school districts are. We also sought to … its review of 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. 1851
… in the calculation of overtime compensation (refer to the Online Payroll Manual accessed from the PayServ Bulletin …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1851-october-2020-civil-service-employees-association-csea-longevity-lumpState Agencies Bulletin No. 1853
… grade (Grade 001-025) and whose annual salary is below the Job Rate of the employee’s grade on the payment effective … Advance. The agency must submit a Data Chg on the Job Action Requests page using the Reason code USP (Unsat … field and the Approved Salary Rate field. Position and Job do not match – the Position Number equals the NYS …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1853-october-2020-civil-service-employees-association-csea-performanceState Agencies Bulletin No. 1854
… is to inform agencies of OSC’s automatic processing of the October 2020 PEF Performance Advances and provide … and PEF, provides for payment of performance advances on October 1 to eligible PEF employees based on the 2018 Salary Schedule. Effective Dates: The October 2020 PEF Performance Advances will be paid using the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1854-october-2020-public-employees-federation-pef-performance-advancesState Agencies Bulletin No. 2385
… opt out of receiving a paper Form W-2 statement for the 2025 tax year. Affected Employees: Employees enrolled in … IRS Publications 15-A , Employer’s Supplemental Tax Guide 2025, and 1141 General Rules and Specifications for Substitute Forms W-2 and W-3 (2025) , employers may electronically furnish Form W-2, Wage …
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. 2044
… 2022 PEF Performance Advances and provide instructions for payments not processed automatically. Affected Employees … Agreement between the State of New York and PEF, provides for a payment of performance advances in September to … date based on the 04/01/2022 Salary Schedule, are eligible for the September 2022 PEF Performance Advance provided the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2044-september-2022-public-employees-federation-pef-performance-advances-andState Agencies Bulletin No. 2047
… retirement contributions, garnishments and federal levies. Tax Information The LLS payment is supplemental taxable … will be added to the employee’s taxable gross wages for tax withholding purposes, and is subject to employment and income taxes. Federal, State, and New York City income tax withholding will be calculated using the Aggregate …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2047-october-2022-civil-service-employees-association-csea-longevity-lump