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Legislative and Executive Retirement Plan For Tier 1 and 2 Members (Section 80-a)
… System Survivor’s Benefit Program 110 State Street Albany, NY 12244-0001 (Return to Top) Final Average Salary (FAS) Your …
https://www.osc.ny.gov/retirement/publications/legislative-and-executive-retirement-plan-tier-1-and-2-members-section-80Life Changes: Getting Your Affairs in Order and A Guide for Survivors
… you can accumulate over a lifetime. Having everything in order will help your survivors make important decisions … you can do now to ensure your loved ones will have the information they need in the future. The second section is directed to your …
https://www.osc.ny.gov/retirement/publications/getting-your-affairs-order-and-guide-survivorsUnited HealthCare – Overpayments for Services Provided by Long Island Laparoscopic Surgery
… and the member’s out-of-pocket portion of the claim should have been $2,700. However, Long Island Laparoscopic accepted … accepted $10,800 as the full payment, United should have only paid $8,640 on the claim. This resulted in an …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-laparoscopic-surgeryExcessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)
… Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Report 2009-S-64). Background Our initial … Medicaid recipients who also have health insurance through Medicare. During the four year audit period ended June 30, … to limit Medicaid payments in areas where Medicaid and Medicare programs overlap. The remaining $100 million in …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/excessive-medicaid-payments-services-recipients-receiving-medicare-benefits-followMonitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Follow-Up)
… our initial audit report, Monitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Report 2010-S-21). … examined whether nursing home claims submitted to Medicaid for hospital bed reserve days were appropriate, and if not, … 31, 2010, our audit determined Medicaid paid $28 million for bed reserve claims that exceeded the bed reserve day …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/monitoring-medicaid-payments-nursing-home-bed-reserve-days-followUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… To determine whether UnitedHealthcare improperly paid for medical services designated with modifier code 59 that were not distinct and independent from other … with UnitedHealthcare (United) to process and pay medical and surgical claims for services provided to Empire …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59Hamburg Recreation Worker Sentenced to Jail and Probation for Stealing $156K
… which she has now repaid. Joanne Erickson skimmed money from village fees, then altered public records to … Erickson, 54, took fees from 2011 to 2017, including money for children’s programs, according to an investigation … “Over the course of six years, this defendant embezzled money intended to support programs for children in her …
https://www.osc.ny.gov/press/releases/2019/03/hamburg-recreation-worker-sentenced-jail-and-probation-stealing-156kMonitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance
… maintenance, and preservation of burial grounds for all not-for-profit cemetery corporations (cemeteries) in New York State. As authorized by Article 15 of the Not-for-Profit Corporation Law (Law), and under the supervision …
https://www.osc.ny.gov/state-agencies/audits/2017/07/11/monitoring-not-profit-cemeteries-fiscal-stability-and-adequate-facility-maintenanceAdministration of the Contract With the Postgraduate Center for Mental Health
… Purpose To determine whether the Office of Mental Health (OMH) is effectively administering its Supportive Housing Contract C007374 with the Postgraduate Center for …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/administration-contract-postgraduate-center-mental-healthAdministration of Contract C007373 With the Institute for Community Living
… Purpose To determine whether the Office of Mental Health (OMH) is effectively … New Yorkers. OMH operates psychiatric centers across the State and regulates, certifies, and oversees a variety of … Key Recommendations Establish effective fiscal controls to ensure that providers’ use of program funds is …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/administration-contract-c007373-institute-community-livingDiNapoli: Strong Growth for Local Sales Tax Collections Halfway Into 2018
… proven, sales tax can be an unpredictable revenue source for our local governments. I urge municipal officials to be cautious if planning for future growth." DiNapoli's report revealed local sales … year-over-year increase since 2013. This increase accounts for nearly half (45 percent) of the nearly $484 million …
https://www.osc.ny.gov/press/releases/2018/08/dinapoli-strong-growth-local-sales-tax-collections-halfway-2018Starting Point Services for Children – Compliance With the Reimbursable Cost Manual
… $2,585,454 in reported costs that did not comply with Manual requirements and recommend such costs be … to Starting Point’s CFRs and reimbursement rates. Work with Starting Point officials to help ensure their compliance with Manual provisions. To Starting Point: Ensure that costs …
https://www.osc.ny.gov/state-agencies/audits/2015/12/11/starting-point-services-children-compliance-reimbursable-cost-manualImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… included in our initial audit report, Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Report … which was issued on January 5, 2015, determined that, for the 27-month period October 1, 2011 through December 31, …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followImproper Payments for Controlled Substances That Exceed Allowed Dispensing Limits (Follow-Up)
… extent of implementation of the six recommendations made in our audit report, Improper Payments for Controlled … pharmacies $1,183,601 for 13,705 fee-for-service claims in which quantities of controlled substances exceeded the … 3,323 managed care claims for controlled substances in which the quantities dispensed exceeded the limits set by …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-payments-controlled-substances-exceed-allowed-dispensing-limits-followAstor Services for Children & Families – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by Astor Services for Children & Families (Astor) on its Consolidated Fiscal … fiscal year ended June 30, 2013. Background Astor, a not-for-profit organization located in Rhinebeck, New York, … the ages of three and five years. Astor is reimbursed for preschool special education services through rates set by …
https://www.osc.ny.gov/state-agencies/audits/2015/09/02/astor-services-children-families-compliance-reimbursable-cost-manualMilestone School for Child Development – Compliance With the Reimbursable Cost Manual
… reports to SED on its annual CFRs. Reimbursable costs must be reasonable, program-appropriate, and properly documented. SED reimburses DoE for a portion of its payments to Milestone based on statutory … comply with Manual requirements and recommend such costs be disallowed. These ineligible costs included $285,455 in …
https://www.osc.ny.gov/state-agencies/audits/2015/07/17/milestone-school-child-development-compliance-reimbursable-cost-manualCity of Batavia – Awarding Contracts for Goods and Services (2013M-296)
… of our audit was to review the City’s purchasing process for the period April 1, 2012 through September 6, 2013. … or indicate the selection basis, such as using requests for proposals (RFPs), when procuring professional services. … four vendors totaled $260,987 during our audit period for: legal services ($131,257), insurance ($73,699), …
https://www.osc.ny.gov/local-government/audits/city/2014/01/24/city-batavia-awarding-contracts-goods-and-services-2013m-296United HealthCare – Overpayments for Services Provided by Long Island Spine Specialists
… The Empire Plan is the primary health benefits plan for NYSHIP, covering a range of services from inpatient … process and pay medical claims from health care providers for services provided to Empire Plan members. United … pay a nominal co-payment to the participating provider for the services rendered. Members may also choose to receive …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-spine-specialistsWhitestone School for Child Development – Compliance With the Reimbursable Cost Manual
… pursuant to the State Education Department’s (SED) Reimbursable Cost Manual (Manual). The audit included all expenses claimed for the fiscal year 2012-13 and certain … 2013, Whitestone reported approximately $2.3 million in reimbursable costs for the programs. Key Findings For the …
https://www.osc.ny.gov/state-agencies/audits/2015/04/07/whitestone-school-child-development-compliance-reimbursable-cost-manualMedicaid Overpayments for Inpatient Transfer Claims Among Merged or Consolidated Facilities
To determine whether the Department of Health established adequate controls over inpatient claims for recipients who were transferred between merged or consolid
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-overpayments-inpatient-transfer-claims-among-merged-or-consolidated-facilities