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EmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits (2022-S-27) 180-Day Response
To determine whether EmblemHealth Plan, Inc. overpaid dental claims for members covered by two subscriber plans under the New York State Dental Insurance Program.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2024-22s27-response.pdfImproper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers (Follow-Up) (2022-F-2)
To determine the extent of implementation of the six recommendations included in our initial audit report, Improper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers (Report 2019-S-22).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-22f2.pdfImproper Managed Care Payments for Recipients With Duplicate Client Identification Numbers (Follow-Up) 90-Day Response
To determine whether improper Medicaid managed care premiums were paid on behalf of recipients with duplicate Client Identification Numbers
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20f22-response.pdfImproper Managed Care Premium Payments for Recipients With Duplicate Client Identification Numbers (Follow-Up) (2020-F-22)
To determine the extent of implementation of the ten recommendations included in our initial audit report, Improper Managed Care Premium Payments for Recipients With Duplicate Client Identification Numbers (Report 2018-S-24).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20f22.pdfMedicaid Overpayments for Inpatient Care Involving Mechanical Ventilation Services (Follow-Up) (2020-F-10) 30-day response
To determine the extent of implementation of the three recommendations made in our initial audit report, Medicaid Overpayments for Inpatient Care Involving Mechanical Ventilation Services (Report 2018-S-45).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-20f10-response.pdfMedicaid Program – Opioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program (Follow-Up) (2019-F-53)
To determine the extent of implementation of the three recommendations included in our initial audit report, Opioid Prescriptions for Medicaid Recipients in...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-19f53.pdfUnitedHealthcare - Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers (Follow-Up) (2019-F-38)
To determine the extent of implementation of the two recommendations included in our initial audit report, Overpayments for Out-of-Network Anesthesia...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-19f38.pdfMedicaid Program - Improper Managed Care Payments for Recipients With Duplicate Client Identification Numbers (2018-S-24)
To determine whether improper Medicaid managed care premiums were paid on behalf of recipients with duplicate Client Identification Numbers.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2019-18s24.pdfOverpayments of Hospitals’ Claims for Lengthy Acute Care Admissions (Follow-Up) (2015-F-12), 30-Day Response
We have followed up on the actions taken by officials of the Department of Health (Department) to implement the recommendations contained in our audit report, O
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-15f12-response_0.pdfCenter for Disability Services - Compliance With the Reimbursable Cost Manual (2015-S-40), 90-Day Response
To determine whether the costs reported by the Center for Disability Services (CFDS) on its Consolidated Fiscal Reports (CFRs) were properly calculated, adequat
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2016-15s40-response.pdfImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up) (2016-F-5), 30-Day Response
We have followed up on the actions taken by officials of the Department of Health (Department) to implement the recommendations contained in our audit report,
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2016-16f5-response_0.pdfImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up) (2016-F-5), 30-Day Response
We have followed up on the actions taken by officials of the Department of Health (Department) to implement the recommendations contained in our audit report,
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2016-16f5-response.pdfImproper Payments for Controlled Substances That Exceed Allowed Dispensing Limits (Follow-Up) (2016-F-6), 30-Day Response
We have followed up on the actions taken by officials of the Department of Health (Department) to implement the recommendations contained in our audit report, I
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2016-16f6-response.pdfMedicaid Program - Improper Medicaid Payments for Recipients in Hospice Care (2017-S-76) 90-Day Response
To determine whether Medicaid made improper payments to providers on behalf of recipients receiving hospice care.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2019-17s76-response.pdfNew York Center for Child Development, Inc. - Compliance With the Reimbursable Cost Manual (2015-S-101)
To determine whether the costs reported by the New York Center for Child Development, Inc. (NYCCD) on its Consolidated Fiscal Reports (CFRs)
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2017-15s101.pdfReducing Medicaid Costs for Recipients With End Stage Renal Disease (2015_S-14), 90-Day Response
To determine whether the Department of Health took sufficient steps to control the Medicaid costs of recipients diagnosed with end stage renal disease
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2017-15s14-response.pdfAccidental Death Benefit – Non-Contributory Plan with Guaranteed Benefits for ERS Tier 1 Members
… NonContributory Plan with Guaranteed Benefits information for ERS Tier 1 members under Sections 75d and 75e Accidental Death Benefit …
https://www.osc.ny.gov/retirement/publications/1502/accidental-death-benefitOrdinary Death Benefit – Non-Contributory Plan with Guaranteed Benefits for ERS Tier 1 Members
… NonContributory Plan with Guaranteed Benefits information for ERS Tier 1 members under Sections 75d and 75e Ordinary …
https://www.osc.ny.gov/retirement/publications/1502/ordinary-death-benefitLeaves of Absence – Non-Contributory Plan with Guaranteed Benefits for ERS Tier 1 Members
… NonContributory Plan with Guaranteed Benefits information for ERS Tier 1 members …
https://www.osc.ny.gov/retirement/publications/1502/leaves-absenceVested Retirement Benefit – Non-Contributory Plan with Guaranteed Benefits for ERS Tier 1 Members
… information for ERS Tier 1 members under Sections 75d and 75e Vested Retirement Benefit …
https://www.osc.ny.gov/retirement/publications/1502/vested-retirement-benefit