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

… Objective To determine whether improper Medicaid managed care premiums were paid on behalf of recipients with duplicate Client Identification Numbers. … Department of Health (Department) administers New York’s Medicaid program. Many of the State’s Medicaid recipients …

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

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 … subsidies that are not available for claims paid under the Commercial Plan. Accordingly, ensuring that claims for …

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

… payment system for Medicaid services when patient deaths occur within one day of admission. The audit covers … paid significantly more for certain claims when patient deaths occur within the first day of admission. For instance, … the higher the reimbursement factor. Because patient deaths can result from more severe medical conditions, …

State Comptroller DiNapoli Releases State Audits and Examinations

… Thomas P. DiNapoli announced today the following audits and examinations have been issued: Central New York Regional … Standards (2016-S-31) Auditors reviewed select operational and technical security controls over the protection of … Centro’s information security program for cardholder data and to help ensure it meets PCI requirements. Public Service …

State Comptroller DiNapoli Releases Audits

… Auditors also found that officers didn’t adequately document their responses to electronic monitoring alerts. In … progress in correcting the problems. Department of Health (DOH): Administrative Costs Used in Premium Rate Setting (Follow-Up) (2018-F-10) An initial audit found DOH overpaid managed care organizations more than $18.9 …

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

… About the Program Hospice is a coordinated program of home and/or inpatient care that treats terminally ill … Hospice programs provide palliative care, including nursing, physician, and counseling services; home health … Care (MLTC) plans, which serve people who require nursing home or long-term home health care. When a Medicaid …

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

… Purpose To determine whether the costs reported by Kidz Therapy Services PLLC (Kidz Therapy) on its Consolidated Fiscal Reports (CFRs) were … (Manual). The audit covered expenses claimed on Kidz Therapy’s CFR for fiscal year 2011-12 and certain expenses … To determine whether the costs reported by Kidz Therapy Services PLLC Kidz Therapy on its Consolidated Fiscal …

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

… authorized by SED to provide full-day Special Class services to children with disabilities who are between the … on a non-SED approved loan given to Small Wonder by its Executive Director; $378 in overallocated repairs and maintenance costs; $260 in notary public exam costs; $134 in lobbying-related costs; $52 …

State Comptroller DiNapoli Releases Audits

… State Health Insurance Program: CVS Health: Accuracy of Drug Rebate Revenue Remitted to the Department of Civil … the rebate revenue generated from agreements with six drug manufacturers and found that CVS Health did not always … Find out how your government money is spent at Open Book New York . Track municipal spending, the state's 150,000 …

State Comptroller DiNapoli Releases State Audits

… New York State Comptroller Thomas P. DiNapoli announced today the following audits have been issued: City University … of Manhattan Community College (BMCC): Controls Over Bank Accounts (2015-S-93) CUNY officials provided auditors … schools to guide their immunization programs. Immunization rates across the state are generally above standards …

DiNapoli: Managed Care Companies Wasting Millions in State Medicaid Dollars

… United HealthCare and Amerigroup, managed care organizations (MCOs) that … Medicaid program, made at least $6.6 million in improper and questionable payments to ineligible providers over a … are being entrusted to manage public health dollars and are costing taxpayers millions in questionable payments,” …

Medicaid Program – Medicaid Payments to Medicare Advantage Plan Providers

… to enrollees. For dual-eligibles, Medicaid reimburses the plan providers for the enrollee’s Part C cost-sharing … Key Findings We reviewed selected Medicare Advantage plan contracts offered by Fidelis and WellCare and, based on … claims for Medicare Part C cost-sharing liabilities. Other Related Audits/Reports of Interest Department of Health: …

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

… an employee, disadvantages the worker in that: For income tax purposes, the worker may be required to report payments … will process these payments through the Employee Expense Reimbursement Module in the Statewide Financial System (SFS), … whether travel is reimbursed following the State’s travel rules or whether other rules govern the travel reimbursement. …

League for the Handicapped – Compliance With the Reimbursable Cost Manual

… Audits/Reports of Interest State Education Department: Summit Educational Resources - Compliance With the …

CUNY Bulletin No. CU-547

… notify agencies that newly established FICA tax deficiency repayment plans, using Deduction Code 582 CUNY (SS/Medicare … percent of gross pay applied. Existing FICA tax deficiency repayment plans currently using Deduction Code 582 CUNY … taxable. Rarely, an employee may have simultaneous FICA repayment obligations resulting in a total FICA repayment …

State Agencies Bulletin No. 1493

… which is essentially within the timeframe for filing the payroll return for the period in which the error was … maintain timely and accurate FICA Status on the Job Data Payroll panel: Main Menu>Workforce Administration>Job Information>Job Data>Payroll . When FICA repayment is required by an employee …

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

… which includes coverage for inpatient and outpatient hospital services. Empire processes Plan claims for hospital services in accordance with agreements they negotiate with member hospitals. Payments for hospital services are generally based on standard fee …

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

… ). About the Program Hospice is a coordinated program of home and/or inpatient care that treats terminally ill … Hospice programs provide palliative care, including nursing, physician, and counseling services; home health … Care (MLTC) plans, which serve people who require nursing home or long-term home health care. When a Medicaid …

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.