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Members
… new members established members and readytoretire members of the New York State and Local Retirement System NYSLRS …
https://www.osc.ny.gov/retirement/membersXI.1 Procurement and Contract Management Overview and Policies – XI. Procurement and Contract Management
… of this chapter is to provide policies, procedures, and requirements applicable to the New York State procurement process, and guidance to State contracting entities in determining … (OSC) approval. Who this Chapter is for: State purchasing and procurement professionals vendors contractors Topics …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi1-procurement-contract-management-overview-policiesIX.12.D Federal Funding Subject to CMIA – IX. Federal Grants
… nearly all cash disbursed under federal programs listed in the Assistance Listing Number (ALN) (formerly CFDA) is … to CMIA. Only larger programs, however, are subject to the interest provisions of CMIA. This distinction can be better understood by … nearly all cash disbursed under federal programs listed in the Catalog of Federal Domestic Assistance CFDA is subject to …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix12d-federal-funding-subject-cmiaThanksgiving Day Message from State Comptroller DiNapoli
… those who are not as fortunate. I want to express my deep gratitude to my colleagues at the Office of the State …
https://www.osc.ny.gov/press/releases/2014/11/thanksgiving-day-message-state-comptroller-dinapoliCUNY Bulletin No. CU-689
… employees in the Skilled Trade titles of Oiler, Stationary Engineer, and Senior Stationary Engineer are affected. Background The rate increases are … Engineers for employees in the titles of Oiler, Stationary Engineer, and Senior Stationary Engineer. This determination …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-689-cuny-retroactive-pay-rate-increases-oiler-stationaryMandatory vs. Optional Membership
… Membership in the Employees’ Retirement System (ERS) There are two types of membership in ERS, mandatory and optional. If you are a permanent, … hours. The date of membership for optional membership in ERS is the date your application is received, or the date …
https://www.osc.ny.gov/retirement/members/mandatory-vs-optional-membershipMedicaid Program – Medicaid Claims Processing Activity October 1, 2016 Through March 31, 2017
… home health care providers; $404,227 in overpayments for dental anesthesia claims that were reimbursed excessive …
https://www.osc.ny.gov/state-agencies/audits/2017/12/08/medicaid-program-medicaid-claims-processing-activity-october-1-2016-through-march-31-2017Medicaid Program – Medicaid Claims Processing Activity April 1, 2017 Through September 30, 2017
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … 2017, eMedNY processed over 193 million claims, resulting in payments to providers of more than $31 billion. The claims …
https://www.osc.ny.gov/state-agencies/audits/2018/08/03/medicaid-program-medicaid-claims-processing-activity-april-1-2017-through-september-30-2017Medicaid Program – Maximizing Drug Rebates for Health and Recovery Plans
… drugs, to Medicaid recipients age 21 or older with serious mental illness and/or substance use disorders. Beginning on October …
https://www.osc.ny.gov/state-agencies/audits/2018/06/22/medicaid-program-maximizing-drug-rebates-health-and-recovery-plansMedicaid Program – Inappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus
… Medicaid mainstream managed care plans and Family Health Plus managed care plans (Plans) for recipients who were no … managed care, during the audit period, Family Health Plus (FHP) was a publicly funded managed care program for … Medicaid mainstream managed care plans and Family Health Plus …
https://www.osc.ny.gov/state-agencies/audits/2017/07/11/medicaid-program-inappropriate-premium-payments-recipients-no-longer-enrolled-mainstreamNursing Home Surveillance
… State regulations and procedures for conducting nursing home surveys and whether survey processes, including the … Complaint surveys investigate issues, and nursing home-reported incidents, that may involve non-compliance with … for severity and urgency to assess whether a nursing home has violated a federal or State regulation. If any …
https://www.osc.ny.gov/state-agencies/audits/2016/02/19/nursing-home-surveillanceSelect Financial Management Practices
… To determine if the Albany Port District Commissions Commission capital planning process and …
https://www.osc.ny.gov/state-agencies/audits/2015/11/05/select-financial-management-practicesDriver Responsibility Assessment Program
… all Driver Responsibility Assessment Program fees due from violators and that it suspended the licenses, or the … the repeated behavior of problem drivers and to improve traffic safety, in November 2004, the State Legislature … a fee of $100 per year for the first six points and $25 for each additional point, for a three-year period, on …
https://www.osc.ny.gov/state-agencies/audits/2014/10/09/driver-responsibility-assessment-programAccountability for Traffic Ticket Surcharges
… (Department) accurately assessed, collected, accounted for, and reported all traffic ticket surcharge revenue … and one each in Rochester and Buffalo; each is responsible for processing and collecting fines and traffic ticket … $1 million in surcharge revenue that was reported twice for the same week during May 2013, the Department is …
https://www.osc.ny.gov/state-agencies/audits/2015/08/10/accountability-traffic-ticket-surchargesMedicaid Program – Improper Payments for Ancillary Services Provided During Hospital Inpatient Admissions
… for review. Medicaid reimbursement rates for inpatient hospital claims include the costs of most medical care provided during a hospital admission. As such, claims for ancillary services provided during a hospital admission are generally not reimbursable. In 2007, …
https://www.osc.ny.gov/state-agencies/audits/2014/04/03/medicaid-program-improper-payments-ancillary-services-provided-during-hospital-inpatientMedicaid Program – Mainstream Managed Care Organizations: Administrative Costs Used in Premium Rate Setting
… costs in determining mainstream managed care premium rates. Our audit covered the period January 1, 2011 … monthly managed care premium rates, which are based, in part, on allowable MCO administrative costs. For this … The Department is required by the federal Centers for Medicare & Medicaid Services to create actuarially sound …
https://www.osc.ny.gov/state-agencies/audits/2016/10/13/medicaid-program-mainstream-managed-care-organizations-administrative-costs-used-premiumInmate Sentence Calculation and Release Practices
… orders, and its own policies and procedures, regarding inmate sentences to ensure accurate and consistent calculation of sentence times in accordance with all laws and regulations. The audit … staff within the Inmate Record Coordinator office at each facility are responsible for determining the inmates’ release …
https://www.osc.ny.gov/state-agencies/audits/2017/04/07/inmate-sentence-calculation-and-release-practicesEmpire BlueCross BlueShield – Controls Over Payments for Special Items
… range of services including, but not limited to, hospital services, office visits, home care, medical … rate schedules for the payment of inpatient and outpatient hospital services. Empire’s hospital contracts also allow … Empire BlueCross BlueShield - Payments Made to Hudson Valley Hospital Center (2009-S-99) New York Health Insurance …
https://www.osc.ny.gov/state-agencies/audits/2017/06/22/empire-bluecross-blueshield-controls-over-payments-special-itemsMedicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services
… Part C, private managed care companies administer Medicare benefits and offer different health care plans (referred to … services that are not covered by original Medicare (e.g., dental services). Plans reimburse health care providers for … If Plans deny a claim or pay a different amount than what a provider billed, Plans must communicate the reasons …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-advantage-plan-servicesMedicaid Program – Claims Processing Activity October 1, 2018 Through March 31, 2019
… in costs were avoided due to an averted overpayment of a provider refund. By the end of the audit fieldwork, about … and was determining the program status of 1 remaining provider. Key Recommendations We made 10 recommendations to …
https://www.osc.ny.gov/state-agencies/audits/2019/09/27/medicaid-program-claims-processing-activity-october-1-2018-through-march-31-2019