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Medicaid Program – Improper Managed Care Payments for Recipients With Duplicate Client Identification Numbers

… To determine whether improper Medicaid managed care premiums were paid on behalf of recipients with duplicate … pays managed care organizations (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs pay for …

State Comptroller DiNapoli Releases State Audits and Examinations

… address to improve Centro’s information security program for cardholder data and to help ensure it meets PCI … officials incorrectly certified some students as eligible for state financial aid awards. Incorrect certifications … practices when calculating $245.9 million in combined premiums and providing $125.3 million in combined discounts …

State Agencies Bulletin No. 780

… addresses on file in PayServ by January 31, 2008. W-2s for the 2007 calendar year will include earnings paid in … Social Security tax deducted, not to exceed $6,045. Box 5 Medicare Wages All wages subject to Medicare taxes. There is … code is also used for the Certification/Licensing Exam Fee Reimbursement from PEF and GOER. EDA Educational Assistance …

Excessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)

… in our initial audit report, Excessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Report 2009-S-64). Background Our initial … whether the Department was correctly paying claims for services to Medicaid recipients who also have health …

DiNapoli: Managed Care Companies Wasting Millions in State Medicaid Dollars

… period, including almost $60,000 in payments to pharmacies for medications that were prescribed by deceased doctors, … wasted.” DOH contracts with MCOs to coordinate the care for enrolled Medicaid beneficiaries. In exchange, MCOs … costs totaled more than $51 billion, of which managed care premiums comprised nearly $27 billion. At the time of …

State Comptroller DiNapoli Releases State Audits

… businesses pay NYSIF premiums for workers compensation and disability insurance. If a policyholder stops making … of a serious outbreak. However, some counties have high exemption rates, most notably Yates and Montgomery. Also, …

Empire BlueCross BlueShield – Controls Over Payments for Special Items

… and recovery of overpayments made to hospitals for special medical items; and took sufficient steps to … hospitals that do not include language that limits the reimbursement of special medical items. The audit covered the … program. Empire’s contracts with member hospitals include reimbursement rate schedules for the payment of inpatient and …

XII.6.I Paying a Non-State Employee – XII. Expenditures

… Statement: State agencies must appropriately classify workers as either employees or independent contractors so the workers are properly taxed. The Internal Revenue Service’s … and Medicare tax liabilities. The worker will not receive pension plan benefits. The worker will not receive other …

New York State Health Insurance Program - Empire Plan Members With Dual Family Coverage

… organizations and members are paying excessively for dual Empire Plan Family coverage. The audit covered the … Article XI of the New York State Civil Service Law (Law) for the purpose of providing health insurance benefits to … employers and members pay their respective share of those premiums. However, while participating organizations are …

Medicaid Program – Payments for Death-Related One-Day Inpatient Admissions

… the new APR DRG-based hospital inpatient payment system for Medicaid services when patient deaths occur within one … the Department implemented a change to the Medicaid reimbursement methodology used to compensate hospitals for … Usually, the more severe the illness, the higher the reimbursement factor. Because patient deaths can result from …

Medicaid Program: Overpayments for Medicare Part C Claims (2023-S-13)

To determine whether Medicaid made improper payments on Medicare Part C claims for recipients covered by Medicare Advantage Plans.

Medicaid Program – Improper Fee-for-Service Payments for Services Covered by Long-Term Care Plans

… the Department of Health (Department) made improper fee-for-service (FFS) payments for certain services covered by managed long-term care (MLTC) … Medicaid FFS payments for MLTC services resulting from retroactive enrollments. … The objective of this audit was to …

State Agencies Bulletin No. 1493

… repayment plans using Deduction Code 502 NYS (SS/Medicare Deficiency) will have a deduction rate of ten … repayment plans currently using Deduction Code 502 NYS (SS/Medicare Deficiency) with an effective date prior to 9/1/16 … will be converted to Deduction Codes 500 NYS/SCF (Medicare Deficiency) Flat Rate and 501 NYS/SCF (Social …

CUNY Bulletin No. CU-547

… repayment plans, using Deduction Code 582 CUNY (SS/Medicare Deficiency), will have a deduction rate of ten … plans currently using Deduction Code 582 CUNY (SS/Medicare Deficiency) with an effective date prior to 9/1/16 … obligation will be converted to Deduction Codes 580 CUNY (Medicare Deficiency) Flat Rate and 581 CUNY (Social Security …

XIII.8 - Procedures for Employee Non-Travel Expense Reimbursement – XIII. Employee Expense Reimbursement

Rockland County – Budget Review (B6-13-22)

… expenditure projections in the County’s proposed budget for the 2014 fiscal year are reasonable. Background The … the cumulative deficit in the County’s general fund for the fiscal year ending December 31, 2012. Chapter 468 of … may be overestimating revenue from tax anticipation note premiums and could experience potential revenue shortfall if …

IV.5.B Bond and Debt Proceeds – IV. Accounting Codes - Uses and Descriptions

… bonds and short-term notes issued in the form of commercial paper or Bond Anticipation Notes (BANs). Click … Proceeds from the sale of BANs by New York State. 36206 Commercial Paper Proceeds from the sale of Commercial Paper by New York State. 36301 Financing …

League for the Handicapped – Compliance With the Reimbursable Cost Manual

… To determine whether the costs reported by the League for the Handicapped (LFH) on its Consolidated Fiscal Report … LFH’s special education services pay tuition to LFH using reimbursement rates set by SED. SED sets the reimbursement rates based on financial information, including …

Empire BlueCross BlueShield Selected Payments for Special Items for the Period January 1, 2011 Through March 31, 2011

… whether Empire BlueCross BlueShield (Empire) paid claims for special items according to the provisions of the … cardiac devices from hospitals with contractually defined reimbursement limits differed significantly from hospitals … four claims by $77,342. Hospitals without contractual reimbursement limits for special items marked up charges for …

DiNapoli Seeks Stronger Federal Safety Measures for Oil Trains to Protect New Yorkers

… Administration to strengthen safety measures to prevent oil spills and other hazardous accidents on New York’s … administrator of the New York Environmental Protection and Spill Compensation Fund ( Oil Spill Fund ), noted that accidents could easily …