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

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

… (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs pay for services their members require. … referred to as “duplicate CINs”) during the time they are in receipt of benefits. Consistent with the Department’s … at a time. Individuals have several options for enrolling in Medicaid, including through Local Departments of Social …

New York State Health Insurance Program – Incorrect Payments by CVS Caremark for Medicare Rx Drug Claims That Were Improperly Paid Under the Commercial Plan

… March 2022. About the Program The New York State Health Insurance Program (NYSHIP), administered by the Department of … members and their dependents who have Medicare, and a Commercial Plan for members and their dependents who do not … the issue and develop a process to reconcile the data in their respective systems to reduce the risk of processing …

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

… inpatient payment system for Medicaid services when patient deaths occur within one day of admission. The audit … used to compensate hospitals for inpatient medical care. The new methodology, based on All Patient Refined … methodology, that compensates hospitals for the cost of care when death occurs within one day of admission. Use the …

State Comptroller DiNapoli Releases State Audits and Examinations

… four students who received awards but did not maintain good academic standing and four students who received awards but did not …

State Comptroller DiNapoli Releases Audits

… partially implemented. Office of General Services (OGS): Food Metrics Implementation (Follow-Up) (2018-F-23) State law … improper payments for services rendered by providers who do not meet federal and state requirements. In a … special education provider located in Rockland County. It provides preschool special education services to children …

Medicaid Program – Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare

… on behalf of dual-eligible individuals receiving hospice care covered by Medicare. This audit covered the period … Hospice is a coordinated program of home and/or inpatient care that treats terminally ill individuals and their families. Hospice programs provide palliative care, including nursing, physician, and counseling …

Kidz Therapy Services, PLLC – Compliance With the Reimbursable Cost Manual

… Purpose To determine whether the costs reported by Kidz Therapy Services PLLC (Kidz … five years. During the 2013-14 school year, Kidz Therapy served about 200 students. Local school districts refer … services, and programming options for school-age children who are not eligible for services through their local school …

Small Wonder Preschool, Inc. – Compliance With the Reimbursable Cost Manual

… Objective To determine whether the costs reported by Small Wonder Preschool, Inc. (Small Wonder) on its Consolidated Fiscal Reports (CFRs) were …

Medicaid Program – Medicaid Payments to Medicare Advantage Plan Providers

… the Medicare managed care program also known as Medicare Advantage. Under Medicare Part C, private managed care … to enrollees. For dual-eligibles, Medicaid reimburses the plan providers for the enrollee’s Part C cost-sharing … Medicare Advantage plan contracts offered by Fidelis and WellCare and, based on judgmental sampling, determined …

State Comptroller DiNapoli Releases Audits

… have been issued. Office of Alcoholism and Substance Abuse Services (OASAS): Problem Gambling Treatment Program … concurrent comprehensive third-party health insurance. By the end of the audit fieldwork, about $6.7 million of the … were not clear. Metropolitan Transportation Authority Homeless Outreach Program at the Metro-North Railroad …

State Comptroller DiNapoli Releases State Audits

… University of New York: Borough of Manhattan Community College (BMCC): Controls Over Bank Accounts (2015-S-93) CUNY … State Education Department (SED): Oversight of School Fire Safety Compliance (2015-S-86) Auditors found SED does … corrected. State Education Department and Department of Health (DOH): Oversight of Student Immunization in Schools …

DiNapoli: Managed Care Companies Wasting Millions in State Medicaid Dollars

… United HealthCare and Amerigroup, managed care organizations (MCOs) … the state’s Medicaid program, made at least $6.6 million in improper and questionable payments to ineligible providers … there were 53 MCOs that offered 81 different plans. United HealthCare (UHC) and Amerigroup were among the largest. …

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

… to the Guidelines to Determine Employee Status below can minimize the risk of exposure to an IRS audit, and … no material differences in the factual circumstances that apply to a group of similarly situated workers, then Business … https://www.osc.state.ny.us/files/state-agencies/pdf/xii-6-I-a-att.pdf Attachment B – Employee/Independent Contractor …

League for the Handicapped – Compliance With the Reimbursable Cost Manual

… the Handicapped (LFH) on its Consolidated Fiscal Report (CFR) were properly calculated, adequately documented and … year ended June 30, 2014, LFH reported approximately $2.9 million in reimbursable costs for its SED-funded rate-based … - Compliance With the Reimbursable Cost Manual (2014-S-49) State Education Department: Newmeadow, Inc. - Compliance …

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

… Purpose To determine whether Empire BlueCross BlueShield (Empire) paid claims for special items according to the provisions of the … for special items, while agreements with other hospitals do not have such limitations. From July 1, 2011 to December …

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 … independently. If an employee has a taxable earnings change that increases their FICA tax obligation, it is highly …

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 … independently. If an employee has a taxable earnings change that increases their FICA tax obligation, it is highly …

Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up)

… Hospice is a coordinated program of home and/or inpatient care that treats terminally ill individuals and their families. Hospice programs provide palliative care, including nursing, physician, and counseling services; …

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.