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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 State Audits

… instructional staff were awarded for authorized purposes and in compliance with requirements. Auditors found that … were implemented, one was partially implemented, and one was not implemented. City University of New York: … improper (did not comply with CUNY, state or city policies and procedures) or were unsupported. New York State Insurance …

DiNapoli: Managed Care Companies Wasting Millions in State Medicaid Dollars

… MCOs received inadequate annual training. DiNapoli made 11 recommendations to DOH, including: Ensure improper MCO …

State Comptroller DiNapoli Releases Municipal Audits

… the following local government audits were issued. Village of Asharoken – Claims Audit and Treasurer’s Duties (Suffolk … found the board did not always conduct a thorough audit of individual claims for non-payroll disbursements because … consistently included with claims submitted for review. Of the 232 disbursements totaling $877,625 reviewed, 51 …

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

… a Commercial Plan for members and their dependents who do not qualify for Medicare, and the Empire Plan Medicare Rx … Rx Plan) for retired members and their dependents who do qualify for Medicare. Claims paid under the Medicare Rx …

Empire BlueCross BlueShield – Controls Over Payments for Special Items

… range of services including, but not limited to, hospital services, office visits, home care, medical equipment, mental health services, and prescription drugs. The State … rate schedules for the payment of inpatient and outpatient hospital services. Empire’s hospital contracts also allow …

CUNY Bulletin No. CU-547

… CUNY (SS/Medicare Deficiency), will have a deduction rate of ten percent of gross pay applied. Existing FICA tax deficiency repayment … in a total FICA repayment that exceeds ten percent of gross pay. If an employee has existing active FICA …

State Agencies Bulletin No. 1493

… NYS (SS/Medicare Deficiency) will have a deduction rate of ten percent of gross pay applied. Existing FICA tax deficiency repayment … in a total FICA repayment that exceeds ten percent of gross pay. If an employee has existing active FICA …

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

… POLICIES This section provides guidance about: Determining employee status when making a payment to an individual who … be used “as is” or as a template to create a determination form specific to the Business Unit’s needs. … Unit must maintain these forms in accordance with the record retention requirements outlined in Section 3 - Record …

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.

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

… State and participating organization employers and members pay their respective share of those premiums. However, while participating organizations are required to pay a minimum employer share of the cost, some may pay a higher rate of contribution up to the full cost of …

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

… Insurance Program (NYSHIP), administered by the Department of Civil Service (Civil Service), is one of the nation’s largest public sector health insurance … were incorrectly paid under the Commercial Plan instead of the Medicare Rx Plan. We found the misprocessing of claims …

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

… Purpose To determine whether the Department of Health (Department) appropriately and effectively … Medicaid services when patient deaths occur within one day of admission. The audit covers the period December 1, 2009 … patient treatment. Key Findings Since the implementation of the APR DRG-based methodology, Medicaid has paid …

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) … managed care premiums and, in return, MLTC plans pay for all MLTC covered services. The Medicaid program should … of Health DOH made improper feeforservice FFS payments for certain services covered by managed longterm care plans …

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 individuals and … Hospice programs provide palliative care, including nursing, physician, and counseling services; home health …

Medicaid Program – Medicaid Payments to Medicare Advantage Plan Providers

… through Medicare Advantage plans, which have networks of participating providers that they reimburse for services … on 7,072 Medicaid claims resulting in overpayments of $770,935. We determined three of the providers were overpaid 58, 74, and 79 percent of the …

Annual Statement

… Statement: Sign in to Retirement Online . Look under My Account Summary . Click View My Retiree Annual Statement … Retirement Online Tools and Tips If you don’t have an account or for help signing in to an existing account, check out our Retirement Online tools and tips for …

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

… their proposed budget for the next fiscal year to the State Comptroller for review while the deficit obligations …

New York’s Economy and Finances in the COVID-19 Era (June 24, 2021)

… June 24, 2021 Edition Growth in Use of Telehealth Services Among Medicaid and Child Health Plus Beneficiaries in New York The COVID-19 pandemic prompted many changes in the ways New Yorkers conducted daily activities, with … The COVID19 pandemic prompted many changes in the ways New Yorkers conducted daily activities with …