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Medicaid Program – Claims Processing Activity April 1, 2021 Through September 30, 2021
… follows: $28.5 million was paid for managed care premiums on behalf of enrollees who also had concurrent comprehensive … $847,926 was paid for fee-for-service inpatient claims on behalf of recipients with multiple client identification …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-claims-processing-activity-april-1-2021-through-september-30-2021Capital One Bank Accounts
… the purpose of 15 unauthorized bank accounts established by the Metropolitan Transportation Authority (MTA) at Capital … that were established at Capital One Bank and were not on the MTA's list of authorized bank accounts. As of … that are to be followed by consultants and contractors who handle banking activity for the MTA. Determine and …
https://www.osc.ny.gov/state-agencies/audits/2014/01/27/capital-one-bank-accountsPerformance Incentive Program
… (Authority) provides public transportation services in Monroe, Genesee, Livingston, Orleans, Wayne, Wyoming, and … 2013-14, the Authority distributed a total of $1.8 million in awards. Key Findings The Program, by design, directed the … how the employees met or exceeded performance criteria. In comparison to other Upstate New York transportation …
https://www.osc.ny.gov/state-agencies/audits/2015/02/27/performance-incentive-programOversight of the Farm-to-School Program
… of Agriculture and Markets (Department) is to promote the State’s agriculture and its high-quality and diverse … safeguard the State’s food supply, land, and livestock. New York’s Farm-to-School Program (Program) was established to …
https://www.osc.ny.gov/state-agencies/audits/2021/04/19/oversight-farm-school-programOversight of Transportation Services and Expenses (Follow-Up)
… Objective To determine the extent of implementation of the seven recommendations included in our initial audit report, Oversight of Transportation Services and Expenses (Report 2021-S-1 ). …
https://www.osc.ny.gov/state-agencies/audits/2024/07/31/oversight-transportation-services-and-expenses-followMedicaid Managed Care Organization Fraud and Abuse Detection (Follow-Up)
… The audit objective was to determine if United HealthCare (UHC) and Amerigroup made payments to ineligible health care … 1, 2011 through December 31, 2014. We determined that UHC and Amerigroup made improper and questionable payments … program. Furthermore, recoveries of improper payments by UHC's and Amerigroup's SIUs were very limited. We also found …
https://www.osc.ny.gov/state-agencies/audits/2018/08/22/medicaid-managed-care-organization-fraud-and-abuse-detection-followOpinion 97-23
… This opinion represents the views of the Office of the State Comptroller at the time it was rendered. The opinion … subsequent court cases or statutory amendments that bear on the issues discussed in the opinion. AMBULANCE SERVICE -- … VILLAGE LAW, §10-1006: There is no statutory prohibition on an individual becoming a member of a fire company and a …
https://www.osc.ny.gov/legal-opinions/opinion-97-23Enforcement of Commission Orders and Other Agreements
… compliance with merger/acquisition Commission Orders and other agreements (including performance plans) and uses its enforcement power to hold utilities accountable … compliance with all conditions listed in Orders, and in some cases even lacks the equipment necessary to do so. For …
https://www.osc.ny.gov/state-agencies/audits/2020/03/03/enforcement-commission-orders-and-other-agreementsCity of Long Beach – Budget Review (B20-7-3)
… City officials have not developed or adopted a budget calendar which would have included, among other things, the …
https://www.osc.ny.gov/local-government/audits/city/2020/05/13/city-long-beach-budget-review-b20-7-3Opinion 94-33
… This opinion represents the views of the Office of the State Comptroller at the time it was rendered. The opinion … subsequent court cases or statutory amendments that bear on the issues discussed in the opinion. VOLUNTEER … Comp, 1956, p 164), even though the person may be carried on a separate roster as an inactive, honorary, life, social, …
https://www.osc.ny.gov/legal-opinions/opinion-94-33Opinion 96-7
… Municipal Law, §§209, 209-b; Volunteer Firefighters' Benefit Law, §5[1]; 1992 Opns St Comp No. 92-41, p 105; 1986 …
https://www.osc.ny.gov/legal-opinions/opinion-96-7SUNY Bulletin No. SU-56
… summer session payments. Affected Employees SUNY employees working summer session Effective Date Beginning of summer … unless the employee continues working summer session on or after 8/16/01. If the employee continues working summer … employees must be terminated at the end of summer session. Retirement For 21Ps OSC will report service credit for …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-56-suny-summer-session-proceduresNew York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members (2020-S-17)
To determine whether CVS Health paid pharmacy claims for Empire Plan members who were not eligible.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20s17.pdfAppropriateness of Medicaid Eligibility Determined by the New York State of Health System (Follow-Up) (2017-F-4) 30-Day Response
To determine the implementation status of the 14 recommendations made in our initial audit report, Appropriateness of Medicaid Eligibility Determined by the...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2018-17f4-response.pdfNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up) (2022-F-30)
To assess the extent of implementation of the three recommendations included in our initial audit report, Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Report 2020-S-34).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22f30.pdfNew York State Health Insurance Program – UnitedHealthcare: Improper Payments for Acupuncture and Acupuncture-Related Services (2020-S-7) 180-Day Response
To determine whether UnitedHealthcare Insurance Company of New York appropriately reimbursed acupuncture and acupuncture-related services.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-20s7-response.pdfReview of a sample high-risk PCard transactions and travel expenses for the State University of New York Maritime College
We examined Procurement Card Expenses related to one cardholder for the time period of January 1, 2017 through September 30, 2017. We also examined travel expen
https://www.osc.ny.gov/files/state-agencies/audits/pdf/bse-2019-06-07.pdfCUNY Bulletin No. CU-619
… criteria Background Pursuant to Section 6220 of New York State Education Law, yearly increments are to be paid in … Control-D report will be available for agency use on 06/07/2018. This will give agencies time to correct … a July 2018 Increment or Increment Code Update based on information available as of the date the report is …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-619-july-2018-city-university-new-york-cuny-incrementsXII.6.A.A Using the Real Estate Module to Pay Lease Vouchers – XII. Expenditures
… from the SFS home page after logging in with your SFS user ID and password. Process and Transaction Preparation To … lease management in the Real Estate Module, a Procurement Contract must be created in the Procurement Contracts module. … and password. Once a lease is established as a Procurement Contract, leaseholders must set up lease contracts in the …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii6aa-using-real-estate-module-pay-lease-vouchersTier 2, 3, 5 and 6 Death Benefits – Career Plan
… the greater of the two death benefits; if you die after retirement, and meet the eligibility criteria, your beneficiary will receive the post-retirement death benefit. Members who joined on or after … benefit payable. Death benefit two provides a post-retirement death benefit if you: Retire directly from …
https://www.osc.ny.gov/retirement/publications/1642/tier-2-3-5-and-6-death-benefits