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Medicaid Program - Medicaid Managed Care Organization Fraud and Abuse Detection
… managed care organizations (MCOs) to coordinate the care for enrolled Medicaid beneficiaries. In exchange, MCOs receive a monthly premium payment for each enrollee. In 2014, New York State’s Medicaid claim … among the largest plans. In 1998, managed care accounted for just 8 percent of New York State Medicaid expenditures. …
https://www.osc.ny.gov/state-agencies/audits/2016/07/15/medicaid-program-medicaid-managed-care-organization-fraud-and-abuse-detectionComptroller DiNapoli Releases State Audits
… office visits, as well as implementing computer system edits to prevent improper payments on claims for these … how internal controls relate to them. The Internal Audit Unit also reported to the director of the Risk Management … the Internal Audit Unit’s reporting relationship to help ensure its independence. Tuition Assistance Program …
https://www.osc.ny.gov/press/releases/2015/10/comptroller-dinapoli-releases-state-auditsState Comptroller DiNapoli Releases State Audits
… audits and examinations have been issued: Department of Health: Fiscal Oversight and Monitoring of AIDS Institute … update its procedures to address problems with contractor cost claims that were identified prior to this audit. …
https://www.osc.ny.gov/press/releases/2017/06/state-comptroller-dinapoli-releases-state-auditsState Comptroller DiNapoli Releases State Audits
… (Follow-Up) (2017-F-6) An initial audit report issued in December 2015, identified $710,284 in rebate revenues from agreements with 114 drug … of Civil Service from Jan. 1, 2011 through Dec. 31, 2013. In a follow-up report, auditors found UHC officials made …
https://www.osc.ny.gov/press/releases/2017/06/state-comptroller-dinapoli-releases-state-audits-0DiNapoli: Audit Reveals Cash, Drugs, Weapons Missing from Police Custody
… and discovered 293 items (7 percent) were unaccounted for from law enforcement agency inventories. Of the ten … only two – Elmira and Irondequoit – were able to account for each item tested. The inventories reviewed included property for criminal case evidence, property no longer needed as …
https://www.osc.ny.gov/press/releases/2015/02/dinapoli-audit-reveals-cash-drugs-weapons-missing-police-custodyUnified Court System Bulletin No. UCS-139
… Purpose To notify Unified Court System agencies of the Retroactive Salary and Location Pay Increases, to explain OSC’s automatic processing and to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-139-retroactive-general-salary-and-location-pay-increasesState Agencies Bulletin No. 1073
… do not meet United States Postal Service (USPS) standards for bar code mailing. The USPS has implemented Intelligent … of the sender, the addressee, and inaccurate zip codes for an address. In an effort to improve addresses and reduce … below. OSC Actions The NPAY766 Report is run weekly for Administration and Institution employees who have had a …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1073-modification-control-d-report-npay766-employee-address-not-barcodeableTherapy and Learning Center, Inc. – Compliance With the Reimbursable Cost Manual
… the fixed-fee 1:1 Aides program; $51,733 in over-allocated fringe benefit expenses. TLC applied an incorrect allocation rate for fringe benefits; $20,342 in excess executive compensation; …
https://www.osc.ny.gov/state-agencies/audits/2017/07/18/therapy-and-learning-center-inc-compliance-reimbursable-cost-manualMedicaid Program – Improper Episodic Payments to Home Health Providers
… services; home health aide services; physical therapy; and social worker and nutrition services. CHHAs allow Medicaid recipients to … 60 days of the recipient’s original episode start date; and $1.3 million in overpayments to CHHAs that improperly …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/medicaid-program-improper-episodic-payments-home-health-providersState Agencies Bulletin No. 648-A
… Police Benevolent Association (NYSCOPBA) and provides for salary increases and other payments for those employees covered by … Cash Advance Payment to employees eligible to receive the retroactive increases. When the General Salary Increases are …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/648-cash-advance-payment-eligible-employees-represented-nyscopba-bu01Adaptive Solutions Multi Services, PLLC - Compliance With the Reimbursable Cost Manual
… to the cost-based rates established through financial information reported on CFRs. During the fiscal year ended … established by SED. The rates are based on the financial information that Adaptive Solutions reports to SED on its … by Adaptive Solutions officials did not include required information such as the specific service provided, dates of …
https://www.osc.ny.gov/state-agencies/audits/2024/10/09/adaptive-solutions-multi-services-pllc-compliance-reimbursable-cost-manualFinal Average Earnings
… apply to members who retire on or after: April 1, 2024, for Police and Fire Retirement System (PFRS) Tier 6. April … of retirement; and Any payments made for time not worked. Retroactive Payments Retroactive payments are lump sum payments you receive from …
https://www.osc.ny.gov/retirement/members/final-average-earningsOther Bulletin No. 5
… Purpose To notify the SUNY Construction Fund of OSC’s automatic processing of the $800 Salary Increase Background The State University Construction Fund Resolution and Chapter 103 of the Laws of 2004 provide for an $800 Salary Increase for …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/suny-construction-fund/other-5-april-1-2007-salary-increase-suny-construction-fundDiNapoli: East Ramapo School Budget Hampered By Deficits, Inadequate Rainy Day Funds
… careful short- and long-term budget planning is needed for the district to avoid a worsening financial situation.” … the school district in “significant fiscal stress” for both 2013-14 and 2014-15 fiscal years. The school did not … unanticipated needs or to provide necessary cash flow for operations. The district had negative unrestricted fund …
https://www.osc.ny.gov/press/releases/2016/06/dinapoli-east-ramapo-school-budget-hampered-deficits-inadequate-rainy-day-fundsState Agencies Bulletin No. 1984
… bulletin is to inform agencies of the content information for the 2021 Form W-2. Affected Employees All employees who receive a Form W-2 Wage and Tax Statement for calendar year 2021 are affected. Background According to IRS Publication 15 (Circular E) for 2021, and the Instructions for Form W-2 (Wage and Tax …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1984-form-w-2-wage-and-tax-statement-calendar-year-2021XII.6.Z Processing Payments to Complex Entities – XII. Expenditures
… with the vendors to develop a consistent payment method for Business Units to follow which meets the needs of both … Units on how to process payments to specific vendors or for specific types of payments. As processes are developed … added within this section. Processing Payments to Verizon for Landline Services SECTION OVERVIEW AND POLICIES This …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii6z-processing-payments-complex-entitiesMedicaid Program – Improper Premium Payments Made on Behalf of Managed Care Members Residing Outside the State
… Social Security number (SSN) as the unique identifier for matches. Most of the State’s Medicaid members are enrolled in managed care plans, which are responsible for ensuring members have access to a range of health care services and reimbursing providers for those services. In exchange, DOH pays the plans a monthly …
https://www.osc.ny.gov/state-agencies/audits/2025/09/09/medicaid-program-improper-premium-payments-made-behalf-managed-care-members-residingBolivar-Richburg Central School District – Internal Controls Over Selected Financial Operations (2013M-92)
… Central School District (District) is located in the Towns of Alma, Bolivar, Clarksville, Cuba, Friendship, Genesee and Wirt, in Allegany County. The District is governed by the Board of … budgeting practices generated approximately $2.1 million in operating surpluses, which caused the unexpended surplus …
https://www.osc.ny.gov/local-government/audits/school-district/2013/07/26/bolivar-richburg-central-school-district-internal-controls-over-selectedSelected Aspects of Toll Collections
… laws and regulations to assess and collect toll revenues for use of the Thruway. In November 2020, the Authority … to reduce congestion, improve traffic flow, and allow for non-stop travel on the Thruway. The Authority contracts with third-party vendors for cashless tolling, invoicing, and receivables collection. …
https://www.osc.ny.gov/state-agencies/audits/2023/05/26/selected-aspects-toll-collectionsWilliamsburg Infant & Early Childhood Development Center, Inc. – Compliance With the Reimbursable Cost Manual
… programs for preschool and school-age children. During the 2018-19 school year, Williamsburg served 114 … 30, 2019, Williamsburg reported approximately $11 million in reimbursable costs for the SED preschool cost-based … 3 fiscal years ended June 30, 2019, we identified $822,224 in reported costs that did not comply with the requirements …
https://www.osc.ny.gov/state-agencies/audits/2023/03/01/williamsburg-infant-early-childhood-development-center-inc-compliance-reimbursable-cost