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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 … and enrollment data necessary to make appropriate claim payments. When an individual is assigned duplicate …

State Comptroller DiNapoli Releases State Audits and Examinations

… should address to improve Centro’s information security program for cardholder data and to help ensure it meets PCI … Higher Education Services Corporation: Tuition Assistance Program, Fordham University (2016-T-2) Auditors determined …

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

… Purpose To determine the extent of implementation of the three recommendations included in our initial audit …

DiNapoli: Managed Care Companies Wasting Millions in State Medicaid Dollars

… and Amerigroup, managed care organizations (MCOs) that contract with the Department of Health (DOH) to provide health services under the state’s Medicaid program, made at least $6.6 million in … deceased doctors, according to an audit released today by State Comptroller Thomas P. DiNapoli. “These organizations …

State Comptroller DiNapoli Releases State Audits

… the following audits have been issued: City University of New York (CUNY): Administration of Fellowship Leaves (Follow-Up) (2015-F-5) An initial audit … for one. Auditors identified two accounts that were not on CUNY’s list. These findings point to weaknesses in the …

Empire BlueCross BlueShield – Controls Over Payments for Special Items

… medical items; and took sufficient steps to minimize the State’s risk of excessive payments which result from … Empire had contracts with 162 member hospitals: 117 had contract provisions that limited the reimbursement of special … a result of Empire’s efforts, including contracts with two vendors, Empire recovered overpayments totaling $6,313,534 …

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

… a payment to an individual who provided services to the State. Paying non-employee travel Paying expenses for … even though the Business Unit may have entered into a contract. The Business Unit will process these payments …

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 … retirees, and their dependents. The Law also allows for the inclusion of other public employees in New York, …

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 – Payments for Death-Related One-Day Inpatient Admissions

… Purpose To determine whether the Department of Health (Department) appropriately and effectively implemented and applied the new APR DRG-based hospital inpatient payment system for …

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

… Objective The objective of this audit was to determine whether the Department of Health (Department) made improper …

Incorrect Payments by CVS Caremark for Medicare Rx Drug Claims That Were Improperly Paid Under the Commercial Plan (Follow-up)

… Medicare-eligible members since the initial audit (from April 2022 through December 2024). All three of the initial …

State Agencies Bulletin No. 1493

… share that was remitted to the IRS by the Office of the State Comptroller on their behalf. Failure to quickly begin … penalties by the IRS for the years of non-payment. The State remains in compliance with the error-correction … of the Treasury Regulations under IRC section 6205 if the State consistently makes reasonable efforts to obtain …

CUNY Bulletin No. CU-547

… Purpose To notify agencies that newly established FICA tax deficiency … CUNY (SS/Medicare Deficiency) with an effective date prior to 9/1/16 and will remain at their current rate. Affected …

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

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

Rockland County Budget Review B61322

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

… Bond proceeds includes the proceeds of general obligation bonds and short-term notes issued in the form of commercial paper or Bond Anticipation Notes (BANs). Click here to download the …

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

… and retired State, participating local government, and school district employees, and their dependents. The Empire Plan is the primary health benefits plan for NYSHIP, serving about 1.1 million members. Civil Service …

League for the Handicapped – Compliance With the Reimbursable Cost Manual

… calculated, adequately documented and allowable under the State Education Department’s (SED) guidelines, including the … as needed. Other Related Audits/Reports of Interest State Education Department: Summit Educational Resources - Compliance With the Reimbursable Cost Manual (2014-S-49) State Education Department: Newmeadow, Inc. - Compliance With …

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

… paid claims for special items according to the provisions of the agreements between Empire and its member hospitals. We … district employees and their dependents. The Department of Civil Service contracts with Empire to administer the … Payments for hospital services are generally based on standard fee schedules. However, hospitals may be entitled …