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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

… 2017. Background The Medicaid program is a federal, state, and locally funded program that provides a wide range of … care services to those who are economically disadvantaged and/or have special health care needs. The Department … Medicaid program had approximately 7.4 million enrollees and Medicaid claims totaled about $58 billion. Under managed …

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

… implementation status of the three recommendations made in our audit report, UnitedHealthcare: Improper Payments for … Service (Department) contracts with UnitedHealthcare (United) to process and pay medical and surgical claims for services provided to Empire Plan members. United’s payments to medical providers are based, in part, on …

Changes in Federal Policies Pose Significant Risks for New York City's Budget

… to face serious financial challenges. Read the report , or go to: http://osc.state.ny.us/osdc/rpt8-2018.pdf For …

Medicaid Program – Medicaid Payments for Pharmacy Claims: Joia Pharmacy and a Related Prescriber

… a related prescriber (herein referred to as “the Doctor”) in compliance with applicable Medicaid laws and … oversight authorities of some of the matters addressed in this report. Subsequent to that review, we provided the … had approximately 7.4 million enrollees and Medicaid claim costs totaled about $56 billion. Prescription drugs can …

Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)

… included in our initial audit report, Payments for Fraudulent and Improper Claims Submitted by Davis Ethical … which was issued on August 13, 2013, determined that, for the period January 1, 2008 through December 13, 2011, … fraudulent claims to Medicaid and received payments for those claims. We coordinated our audit and investigative …

Medicaid Program – Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care

… services covered by recipients’ managed care plans. The audit covered the period October 1, 2011 through December … 31, 2013. Background Medicaid provides a wide range of medical services to those who are economically … fee-for-service claim payments we identified and recover funds as appropriate. Take corrective action to ensure …

DiNapoli Statement on Greenville Arrest for Alleged Theft of Taxpayer Funded Resources

… following statement regarding the arrest of Terry Williams for alleged theft of fuel from the Town of Greenville Highway … "Mr. Williams allegedly abused his position by taking, for his own personal use, fuel that was meant for official public business and paid for by taxpayers," …

DiNapoli Announces Interim CIO for the New York State Common Retirement Fund

… Chief Investment Officer of the New York State Common Retirement Fund. The Fund’s current CIO Vicki Fuller is … retiring the week of July 30 after six years of service. "My thanks go to Vicki Fuller, during whose tenure the Fund …

Special Plan for Suffolk County Park Police Officers (Sections 89-r and 603(n))

… (Return to Top) (Return to Top) (Return to Top) (Return to Top) VO1855 (Rev. 6/12) © 2012, New York State and Local …

Medicaid Program – Reducing Medicaid Costs for Recipients With End Stage Renal Disease

… Purpose To determine whether the Department of Health took sufficient … Medicaid recipients with ESRD and helped guide them on how to apply for and enroll in Medicare. In response to our … then for recipients with the necessary QCs, collect and submit documentation required for SSA to make an ESRD …

Oversight of Hotels and Motels Used for Homeless and Mixed-Use Temporary Residency

… Assistance: Oversight of Homeless Shelters (2015-S-23) … To determine if the Office of Temporary and Disability …

Lifeline Center for Child Development, Inc. – Compliance With the Reimbursable Cost Manual

… two fiscal years ended June 30, 2014. Background Lifeline is a Queens, New York-based not-for-profit organization … for their services using rates established by SED. The DoE is reimbursed by SED for a portion of its payments to …

Brookville Center for Children’s Services, Inc. – Compliance With the Reimbursable Cost Manual

… Purpose To determine whether the costs reported by Brookville Center … (CFRs) were reasonable, necessary, directly related to the special education program, and sufficiently documented pursuant to the State Education Department’s (SED) Reimbursable Cost …

DiNapoli: Contractor Sentenced in Federal Court for Defrauding State of Over $360,000

… to federal fraud charges earlier this year, as a result of a joint investigation by New York State Comptroller Thomas P. DiNapoli and U.S. Attorney for the Southern District Preet Bharara, was sentenced today to a … Office of the State Comptroller, Investigations Unit, 14th Floor, 110 State St., Albany, NY 12236. For a copy of …

Special 25-Year Plan for Institutional Safety Officers (Sections 89-t and 604(q))

… (Return to Top) (Return to Top) (Return to Top) VO1873 (Rev. 7/11) © 2011, New York State and Local Retirement System  (Return to Top) … Information for members about special 25 year …

United HealthCare – Overpayments for Services Provided by Eastern Orange Ambulatory Surgery Center

… Eastern Orange Ambulatory Surgery Center, LLC waived Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments … Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and …

Medicaid Program – Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits

… Purpose To determine whether the Department of Health paid pharmacy providers for controlled substances … Department of Health (Department) administers the State’s Medicaid program, which provides a wide range of health care … providers directly for drugs dispensed to Medicaid recipients. Under managed care, Medicaid pays managed care …

United HealthCare – Overpayments for Services Provided by Orthopedic Associates of Long Island

… services to Empire Plan members. Members pay a nominal co-payment to the participating provider for the services … costs, it will result in United making an excessive payment on the claim. Our audit focused on claims submitted … However, Orthopedic Associates accepted the $6,932 as payment-in-full and waived the $1,733 due from the member. …

DiNapoli Proposal Would Provide More Accountability for Personal Income Tax Check-Off Funds

… tax check off funds to improve efforts to spend dedicated contributions within the year they were made and report how … efficiently and effectively to address these challenges. My bill will help make sure these funds are being put to good … benefits as quickly as possible. For the full legislation, see: Tax Check-Off Funds . … Legislation being proposed by …