Search
UnitedHealthcare – Reasonable and Customary Reimbursement Rates for Delayed Claims
… claims using reasonable and customary (R&C) reimbursement rate schedules that did not correlate with the date of the … for certain out-of-network claims is 80 percent of the R&C rate for the service. R&C rates are updated every six months. … claims processing system uses only the two most recent R&C rate periods (i.e., reimbursement rates from the prior 12 …
https://www.osc.ny.gov/state-agencies/audits/2019/12/12/unitedhealthcare-reasonable-and-customary-reimbursement-rates-delayed-claimsMedicaid Program – Medicare Part D Clawback Payments
To determine whether the Department of Health Department overpaid the Medicare Part D prescription drug phaseddown state contributions
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/medicaid-program-medicare-part-d-clawback-paymentsCompliance With Jonathan's Law
… Objective To determine whether the Office of Mental Health is complying with the requirements established … for People With Developmental Disabilities, the Office of Mental Health (OMH), or the Office of Alcoholism and … To determine whether the Office of Mental Health is complying with the requirements established …
https://www.osc.ny.gov/state-agencies/audits/2019/07/19/compliance-jonathans-lawMedicaid Program – Improper Medicaid Payments for Childhood Vaccines
… To determine whether Medicaid made improper payments for free vaccines available through the Vaccines for Children Program. The audit covered the period January 1, 2012 to May 31, 2017. Background The Vaccines for Children Program (VFC Program) is a federally funded …
https://www.osc.ny.gov/state-agencies/audits/2018/12/06/medicaid-program-improper-medicaid-payments-childhood-vaccinesMedicaid Program – Improper Fee-for-Service Payments for Services Covered by Managed Care
… whether Medicaid made improper fee-for-service (FFS) payments for certain services covered by mainstream managed … Findings Medicaid made over $36 million in improper FFS payments for inpatient, practitioner, and dental services … identification and recovery of improper FFS Medicaid payments for managed care services resulting from retroactive …
https://www.osc.ny.gov/state-agencies/audits/2019/01/10/medicaid-program-improper-fee-service-payments-services-covered-managed-careLead Poisoning Prevention Program
… discrepancies between LeadWeb and LHD data. On April 12, 2019, the Public Health Law was amended to lower the …
https://www.osc.ny.gov/state-agencies/audits/2019/08/08/lead-poisoning-prevention-programConstitutional Amendment
… – Relates to excluding certain indebtedness for the construction of sewage facilities in determining current local debt … Relates to excluding certain indebtedness for the construction of sewage facilities in determining current local debt limitation …
https://www.osc.ny.gov/legislation/constitutional-amendment-0Constitutional Amendment
… in determining current local debt limitation. Memo Bill Text Status …
https://www.osc.ny.gov/legislation/constitutional-amendmentWhitesville Central School District – Information Technology (2021M-22)
… and information systems. District officials did not: Disable six unnecessary user accounts. Establish written … confidentially to officials. Key Recommendations Disable unnecessary accounts. Adopt a written user …
https://www.osc.ny.gov/local-government/audits/school-district/2021/06/18/whitesville-central-school-district-information-technology-2021m-22Edwards-Knox Central School District – Medicaid Reimbursements (2021M-92)
Determine whether the EdwardsKnox Central School District District claimed all Medicaid reimbursements to which it was entitled
https://www.osc.ny.gov/local-government/audits/school-district/2021/08/20/edwards-knox-central-school-district-medicaid-reimbursements-2021m-92Town of Baldwin – Claims Auditing (2023M-113)
… did not always properly audit claims before approving them for payment. Due to insufficient documentation, we were …
https://www.osc.ny.gov/local-government/audits/town/2023/12/08/town-baldwin-claims-auditing-2023m-113Cheektowaga-Sloan Union Free School District – Claims Auditing (2024M-76)
… Cheektowaga-Sloan Union Free School District (District) claims were properly audited and approved prior to payment. Key Findings Claims totaling $9.2 million (45 percent of the claims processed) were not properly audited and approved … CheektowagaSloan Union Free School District District claims were properly audited and approved prior to payment …
https://www.osc.ny.gov/local-government/audits/school-district/2024/10/04/cheektowaga-sloan-union-free-school-district-claims-auditing-2024m-76Wyandanch Union Free School District – Budget Review (B20-7-7)
… in Suffolk County, adopted a budget of $71.7 million for 2020-21. Key Finding Significant estimated revenues and … budgeted expenditures in the $71.7 million adopted budget for the 2020-21 fiscal year are not reasonable. District … produce sufficient documentation that their appropriations for employee benefits, the re-institution of its athletics …
https://www.osc.ny.gov/local-government/audits/school-district/2020/07/14/wyandanch-union-free-school-district-budget-review-b20-7-7Payroll Improvement Project Bulletin No. PIP-001
… is to provide agencies with the updated layout for the Master File. NHRP501 version for 9.2 excel file NHRP501 … version for 9.2 pdf file Impact Agencies that use the Master File generated from PayServ will need to make changes … accommodate the new functionality. Agencies that use the Master File in their internal systems will be required to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/payroll-improvement-project/pip-001-changes-payserv-master-file-nhrp501-layoutState Agencies Bulletin No. 1697
… Purpose To notify agencies of the 2019 maximum salary limit for members of ORP and VDC in Tier … and 408 (k) (6) (D) (ii) will increase to $280,000 for the 2019 plan year, which is the calendar year for ORP and VDC … Effective Date(s) Institution Paychecks dated January 3, 2019 Administration Paychecks dated January 9, 2019 OSC …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1697-maximum-salary-limit-optional-retirement-plan-orp-and-voluntary-definedUnified Court System Bulletin No. UCS-103
… Unit SK who receive a paycheck or direct deposit advice statement dated October 4, 2006 or November 29, 2006 … for employees who receive a paycheck or direct deposit advice statement dated November 29, 2006 for whom the benefit …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-103-prepaid-legal-service-benefit-unified-court-system-ucsUnified Court System Bulletin No. UCS-79
… Purpose To notify agencies of the change in attributes for Deduction Codes 353 and 399 , Mutual of Omaha. Affected Employees Employees in Bargaining Unit F8, … To notify agencies of the change in attributes for Deduction Codes 353 and 399 Mutual …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-79-change-attributes-and-narrative-descriptions-mutual-omahaUnified Court System Bulletin No. UCS-77
… Term Care. Affected Employees Employees in Bargaining Unit DR, represented by Court Officers Benevolent Association of …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-77-change-eligibility-madison-planning-group-program-certainState Agencies Bulletin No. 1131
… Thanksgiving Day Thursday, November 22, 2012 Unavailable Christmas Eve Monday, December 24, 2012 6:30 a.m. - Noon Christmas Day Tuesday, December 25, 2012 Unavailable New …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1131-availability-payroll-applications-payserv-ps-query-control-dUnified Court System Bulletin No. UCS-106
… 30, 2006 and Active on the payroll (including paid Leave of Absence), on Workers’ Compensation Disability Leave ( WDL ) or on paid or unpaid Military Leave … paid Leave of Absence), on Workers’ Compensation Disability Leave ( WDL ) or on paid or unpaid Military Leave …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-106-december-2006-ucs-uniform-allowance-and-uniform-blazer