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Medicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services
… of Health overpaid health care providers’ Medicaid claims for services also covered by Medicare Advantage plans. The … plans (Plans) also offer supplemental insurance benefits for services that are not covered by original Medicare (e.g., … dental services). Plans reimburse health care providers for services provided to enrollees. Generally, Medicaid is …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-advantage-plan-servicesHawthorne Foundation, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Hawthorne Foundation, Inc. (Hawthorne) on its Consolidated … for preschool special education services through rates set by SED. The reimbursement rates are based on financial … To SED: Review the disallowances identified by our audit and, if warranted, make the necessary …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/hawthorne-foundation-inc-compliance-reimbursable-cost-manualInterdisciplinary Center for Child Development – Compliance With the Reimbursable Cost Manual
… directly related to the special education program, and sufficiently documented pursuant to the State Education … on ICCD’s CFR for the fiscal year ended June 30, 2015, and included certain expenses claimed on ICCD’s CFRs for the … $176,793 in compensation related to excess staffing of teacher aides/assistants; $1,765 in over-allocated and/or …
https://www.osc.ny.gov/state-agencies/audits/2018/04/05/interdisciplinary-center-child-development-compliance-reimbursable-cost-manualApplying for Previous or Military Service Credit – New Career Plan for ERS Tier 2 Members
… … New Career Plan information for ERS Tier 2 members covered by …
https://www.osc.ny.gov/retirement/publications/1509/applying-previous-or-military-service-creditReceiving Your Benefit and Filing Your Option Election – Career Plan for ERS Tier 2 Members
… … Career Plan information for ERS Tier 2 members covered by Sections 75f and 75g Receiving Your Benefit and Filing …
https://www.osc.ny.gov/retirement/publications/1508/receiving-your-benefit-and-filing-your-option-electionAdditional Service Credit for Sick Leave (Section 41[j]) – Career Plan for ERS Tier 2 Members
… … Career Plan information for ERS Tier 2 members covered by Sections 75f and 75g Additional Service Credit for Sick …
https://www.osc.ny.gov/retirement/publications/1508/additional-service-credit-sick-leave-section-41jCredit for Previous Public Employment or Military Service – Career Plan for ERS Tier 2 Members
… … Career Plan information for ERS Tier 2 members covered by Sections 75f and 75g Credit for Previous Public Employment …
https://www.osc.ny.gov/retirement/publications/1508/credit-previous-public-employment-or-military-serviceMedicaid Program – Medicaid Claims Processing Activity April 1, 2017 Through September 30, 2017
… reasonably ensured that Medicaid claims were submitted by approved providers, were processed in accordance with … eMedNY computer system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible … clinic, practitioner, and referred ambulatory claims. By the end of the audit fieldwork, about $4.5 million of the …
https://www.osc.ny.gov/state-agencies/audits/2018/08/03/medicaid-program-medicaid-claims-processing-activity-april-1-2017-through-september-30-2017Children’s Unit for Treatment and Evaluation – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Children’s Unit for Treatment and Evaluation (CUTE) on its … CUTE is reimbursed for these services through rates set by SED. The reimbursement rates are based on financial … Key Recommendations To SED: Review the findings identified by our audit and, if warranted, make the necessary …
https://www.osc.ny.gov/state-agencies/audits/2019/07/15/childrens-unit-treatment-and-evaluation-compliance-reimbursable-cost-manualDepartment of Labor Examination of Unemployment Insurance Benefit Payments January 1, 2017 – December 31, 2017
… (i) Unemployment Insurance (UI) benefit payments approved by the Department of Labor (Department) were appropriate; and … program, we examined high risk payment requests approved by the Department during the period January 1, 2017 through … we identified, recover $426,637 in overpayments owed by State employees and identify an additional $275,575 in …
https://www.osc.ny.gov/state-agencies/audits/2018/11/19/department-labor-examination-unemployment-insurance-benefit-payments-january-1-2017Amerimed Kids, LLC – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Amerimed Kids, LLC (Amerimed Kids) on its Consolidated … a New York City-based for-profit organization authorized by SED to provide Preschool Special Education Itinerant … Kids and pays for its services using rates established by SED. The rates are based on the financial information …
https://www.osc.ny.gov/state-agencies/audits/2019/06/05/amerimed-kids-llc-compliance-reimbursable-cost-manualAssociation to Benefit Children – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by the Association to Benefit Children (ABC) on its … private school established in 1986. ABC is approved by SED to operate preschool Special Class in an Integrated … special education services through rates established by SED. The reimbursement rates are based on financial …
https://www.osc.ny.gov/state-agencies/audits/2019/02/08/association-benefit-children-compliance-reimbursable-cost-manualDiNapoli: Health Care Jobs Grow Across New York
… 1.2 million in 2017, according to a report released today by State Comptroller Thomas P. DiNapoli. Health care employment rose by more than 18 percent over the past decade, more than … City led with an increase of nearly 33 percent, followed by Long Island (25.1 percent), the Finger Lakes (18.9 …
https://www.osc.ny.gov/press/releases/2018/10/dinapoli-health-care-jobs-grow-across-new-yorkNiagara Charter School - Information Technology (2018M-172)
… private and sensitive information (PPSI) on, or accessed by, the School’s information technology (IT) assets is … personal private and sensitive information on or accessed by the Schools information technology assets is properly …
https://www.osc.ny.gov/local-government/audits/charter-school/2018/12/21/niagara-charter-school-information-technology-2018m-172State Agencies Bulletin No. 1508
… Payment for Long-Term Seasonal Employees represented by the Public Employees’ Federation (PEF). Affected Employees … system will multiply the number of hours reported above by $.38 to determine the overtime adjustment amount. If an … Payment for LongTerm Seasonal Employees represented by the Public Employees Federation …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1508-april-2016-public-employees-federation-pef-longevity-payment-long-termCity of New Rochelle - Elevator Inspections (2018M-62)
… ensured that elevators were inspected as required by the New York State Uniform Fire Prevention and Building … deficiencies on the inspection reports submitted by property owners. Serious elevator deficiencies included 35 … and accurate. Enforce the submission of inspection reports by property owners and issue violation notices to those who …
https://www.osc.ny.gov/local-government/audits/city/2018/11/30/city-new-rochelle-elevator-inspections-2018m-62Medicaid Program – Medicaid Claims Processing Activity October 1, 2016 Through March 31, 2017
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … 2017, eMedNY processed over 192 million claims, resulting in payments to providers of more than $29 billion. The claims …
https://www.osc.ny.gov/state-agencies/audits/2017/12/08/medicaid-program-medicaid-claims-processing-activity-october-1-2016-through-march-31-2017Applying for Previous or Military Service Credit – New Career Plan for ERS Tier 1 Members
… … New Career Plan information for ERS Tier 1 members covered by …
https://www.osc.ny.gov/retirement/publications/1504/applying-previous-or-military-service-creditReceiving Your Benefit and Filing Your Option Election – Career Plan for ERS Tier 1 Members
… … Career Plan information for ERS Tier 1 members covered by Sections 75f and 75g Receiving Your Benefit and Filing …
https://www.osc.ny.gov/retirement/publications/1503/receiving-your-benefit-and-filing-your-option-electionAdditional Service Credit for Sick Leave (Section 41[j]) – Career Plan for ERS Tier 1 Members
… … Career Plan information for ERS Tier 1 members covered by Sections 75f and 75g Additional Service Credit for Sick …
https://www.osc.ny.gov/retirement/publications/1503/additional-service-credit-sick-leave-section-41j