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Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance (Follow-Up)
… our initial audit report, Medicaid Program – Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance (Report … administers New York’s Medicaid program. Under the fee-for-service (FFS) payment method, DOH makes Medicaid payments …
https://www.osc.ny.gov/state-agencies/audits/2025/06/18/improper-fee-service-pharmacy-payments-recipients-third-party-health-insurance-followDiNapoli Releases 2024 Fiscal Stress Scores for Villages and Some Cities
… as “susceptible to fiscal stress.” The Village of Island Park (Nassau County), the Village of Saugerties (Ulster … classified as “susceptible to fiscal stress” were: Huntington Bay (Suffolk County), Kaser (Rockland County), Chateaugay (Franklin County) and Liberty (Sullivan County). “The number …
https://www.osc.ny.gov/press/releases/2025/04/dinapoli-releases-2024-fiscal-stress-scores-villages-and-some-citiesDiNapoli: State Tax Collections Outperform Projections for State Fiscal Year 2024-25
… Plan, according to the March State Cash Report released by New York State Comptroller Thomas P. DiNapoli. Tax … than forecast by the Division of the Budget DOB in the SFY 202526 Executive Budget Financial Plan according to the March State Cash Report released by New York State Comptroller Thomas P DiNapoli …
https://www.osc.ny.gov/press/releases/2025/04/dinapoli-state-tax-collections-outperform-projections-state-fiscal-year-2024-25DiNapoli: Audit Recommends Improvements in Services for Survivors of Human Trafficking
… The New York State Office of Temporary and Disability Assistance (OTDA) can take steps to improve … ensure survivors of human trafficking receive the services and assistance available to them, according to an audit … “Survivors of human trafficking face physical, emotional and financial trauma,” DiNapoli said. “Programs exist to …
https://www.osc.ny.gov/press/releases/2025/03/dinapoli-audit-recommends-improvements-services-survivors-human-traffickingChildren’s Center for Early Learning – Compliance With the Reimbursable Cost Manual
… Work with Center officials to help ensure that only allowable costs are included on any of their CFRs …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/childrens-center-early-learning-compliance-reimbursable-cost-manualMilestone School for Child Development – Compliance With the Reimbursable Cost Manual
… identified $801,859 in reported costs that did not comply with Manual requirements and recommend such costs be … to Milestone’s CFRs and reimbursement rates. Work with Milestone officials to help ensure their compliance with Manual provisions. To …
https://www.osc.ny.gov/state-agencies/audits/2015/07/17/milestone-school-child-development-compliance-reimbursable-cost-manualUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… modifier code 59 that were not distinct and independent from other services provided on the same day. The audit covered the period from September 1, 2012 to August 31, 2013. Background The New … performed a procedure that was distinct or independent from another procedure that was performed on the same day for …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59Life Changes: Getting Your Affairs in Order and A Guide for Survivors
… of a member’s or retiree’s death from anyone, but we can only mail information about death benefits and continuing …
https://www.osc.ny.gov/retirement/publications/getting-your-affairs-order-and-guide-survivorsUnited HealthCare – Overpayments for Services Provided by Long Island Laparoscopic Surgery
… Purpose To determine whether Long Island Laparoscopic Surgery, PLLC waived Empire Plan members’ … Our audit focused on claims submitted to United by Long Island Laparoscopic Surgery, PLLC (Long Island Laparoscopic), a non-participating provider located in … To determine whether Long Island Laparoscopic Surgery PLLC waived Empire Plan members …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-laparoscopic-surgeryPartial Lump Sum (PLS) Payment at Retirement — For Eligible NYSLRS Members
… single payment equal to a percentage of the value of your pension benefit at retirement. The payment amount depends on … sheriff, undersheriff, deputy sheriff or county correction officer; Be covered by a plan that allows for retirement … will not be made until it is determined whether you are approved for the disability retirement benefit. If you …
https://www.osc.ny.gov/retirement/members/partial-lump-sum-paymentThe Survivor’s Benefit Program for New York State Management / Confidential Employees
… that your survivors will receive a death benefit if you die before retiring. Your survivors may be eligible even … with your retirement system. NYSLRS members, you can sign in to Retirement Online to view or update your … and Your Benefits page . (Return to Top) Where can I get more information? Your employer’s benefits administrator …
https://www.osc.ny.gov/retirement/publications/survivors-benefit-program-nys-management-confidential-employeesExcessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)
… Purpose To determine the extent of implementation of the three … audit report, Excessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Report 2009-S-64). … the Department was correctly paying claims for services to Medicaid recipients who also have health insurance through …
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)
… what extent nursing home claims exceeded the bed reserve day limits. During the five year audit period ended March … for bed reserve claims that exceeded the bed reserve day limit. However, because reimbursement rates were the same for both standard and reserve care during our audit period, we determined no significant …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/monitoring-medicaid-payments-nursing-home-bed-reserve-days-followMonitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance
… Mainframe information system is antiquated and captures only limited data. Weaknesses in data integrity, entry, and … of at least $25,500. These same data limitations not only prevent similar analysis for many cemeteries, but also …
https://www.osc.ny.gov/state-agencies/audits/2017/07/11/monitoring-not-profit-cemeteries-fiscal-stability-and-adequate-facility-maintenanceAdministration of Contract C007373 With the Institute for Community Living
… Purpose To determine whether the Office of Mental Health (OMH) is effectively administering its contract with the Institute for Community Living (ICL) by ensuring … To determine whether the Office of Mental Health OMH is effectively administering its contract with the Institute …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/administration-contract-c007373-institute-community-livingAstor Services for Children & Families – Compliance With the Reimbursable Cost Manual
… Background Astor, a not-for-profit organization located in Rhinebeck, New York, provides preschool special education … reported costs must comply with the guidelines specified in the RCM. For the fiscal year ended June 30, 2013, Astor reported a total of $6.4 million in reimbursable costs on its CFR, of which $3.3 million was …
https://www.osc.ny.gov/state-agencies/audits/2015/09/02/astor-services-children-families-compliance-reimbursable-cost-manualLegislative and Executive Retirement Plan For Tier 1 and 2 Members (Section 80-a)
… 3% of your benefit. The adjustment percentage is applied only to the first $18,000 of your Single Life Allowance, even … Challenging a Retirement System Determination We can pay only those benefits authorized by law, and cannot pay you any … If you elected this plan on or after July 1, 1972, only legislative and certain military service can be credited …
https://www.osc.ny.gov/retirement/publications/legislative-and-executive-retirement-plan-tier-1-and-2-members-section-80Special Plan for Nassau County Fire Marshals (Sections 89-w and 603[s])
… (Return to Top) (Return to Top) (Return to Top) (Return to Top) VO1801 (Rev. 12/13) © 2013, New York State and …
https://www.osc.ny.gov/retirement/publications/special-plan-nassau-county-fire-marshals-sections-89-w-and-603sSpecial Plan for Suffolk County Correction Officers (Sections 89-f and 603 (c))
… Special Suffolk County Correction Officers Plan for PFRS Tier 1 2 4 5 6 some Tier 3 members Sections 89e 603b …
https://www.osc.ny.gov/retirement/publications/special-plan-suffolk-county-correction-officers-sections-89-f-and-603-cSpecial Plan for Westchester County Correction Officers (Sections 89-e and 603(b))
… (Return to Top) (Return to Top) (Return to Top) (Return to Top) (Return to Top) VO1810 (Rev. 6/12) © …
https://www.osc.ny.gov/retirement/publications/special-plan-westchester-county-correction-officers-sections-89-e-and-603b