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Medicaid Program – Claims Processing Activity April 1, 2021 Through September 30, 2021
… their claims. During the 6-month period ended September 30, 2021, eMedNY processed over 121 million claims, resulting … who also had concurrent comprehensive third-party health insurance; $3.7 million was paid for fee-for-service … $714,336 was paid for inpatient claims that were billed at a higher level of care than what was actually provided; …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-claims-processing-activity-april-1-2021-through-september-30-2021Improper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers (Follow-Up)
… included in our initial audit report, Improper Medicaid Payments Involving Fee-for-Service Claims for … Program The Department of Health administers the State’s Medicaid program. Individuals may enroll in Medicaid through Local Departments of Social Services or the …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/improper-medicaid-payments-involving-fee-service-claims-recipients-multiple-clientOversight of Transportation Services and Expenses (Follow-Up)
… Objective To determine the extent of implementation of the seven … Many of DOCCS’s employees operate its vehicles in its day-to-day operations. Of the 44 facilities, 32 manage the … for periodically reviewing a sample of procurements to determine the Contractor’s compliance with the contract …
https://www.osc.ny.gov/state-agencies/audits/2024/07/31/oversight-transportation-services-and-expenses-followCity of Long Beach - Budget Review (B19-7-4)
… review issued in May 2018. Background The City of Long Beach, located in Nassau County, has been authorized to issue …
https://www.osc.ny.gov/local-government/audits/city/2019/05/10/city-long-beach-budget-review-b19-7-4Cost-Saving Ideas: Legal Requirements
… and sewer and water improvement districts, including voter approval requirements. Section 6-d details procedures … or equipment when the repairs are of a type that does not recur annually or at shorter intervals. Section 6-g … from, a capital reserve for fire districts, including voter approval requirements. Section 99-g provides an …
https://www.osc.ny.gov/local-government/publications/cost-saving-ideas-legal-requirementsOpinion 2000-5
… are not required by law to be paid into any other fund or account." Highway Law §141 contains requirements with respect … (i.e. town outside village) general fund to a section 141 account having the same tax base. Section 285-a authorizes … moneys from section 141 accounts into any other fund or account (see, e.g., 1984 Opns St Comp No. 84-60, p 76; 24 …
https://www.osc.ny.gov/legal-opinions/opinion-2000-5Opinion 89-53
… if, among other things, there have been subsequent court cases or statutory amendments that bear on the issues discussed in the opinion. FOREIGN FIRE INSURANCE TAXES--Recipients … enactment of chapter 293 of the Laws of 1988, two court cases addressed the question of how foreign fire insurance …
https://www.osc.ny.gov/legal-opinions/opinion-89-53Opinion 89-41
… mandatory referendum to establish a service award program for the volunteer firefighters of a fire district may be … prior to the establishment of a service award program for the volunteer firefighters of a fire district pursuant to … authorizes the establishment of a "service award program" for the volunteer firefighters of: (1) a "political …
https://www.osc.ny.gov/legal-opinions/opinion-89-41Opinion 2005-8
… to delete the reference to volunteer fire companies. This change, however, was made because of concern with respect to …
https://www.osc.ny.gov/legal-opinions/opinion-2005-8Medicaid Program – Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance
… on behalf of recipients who had third-party insurance and, if so, whether appropriate recoveries were made. The … Part D). Medicaid is considered the payer of last resort and, as such, FFS pharmacy providers are required to … with Gainwell Technologies (Gainwell) to identify and recover Medicaid payments made for services that should …
https://www.osc.ny.gov/state-agencies/audits/2023/05/11/medicaid-program-improper-fee-service-pharmacy-payments-recipients-third-party-healthSUNY Bulletin No. SU-225
… Purpose To explain the OSC and agency procedures for the use of the … 29th falls, the biweekly salary calculation is changed to calculate the biweekly payment based on 366 days in that … day in February, the salary calculation will be changed to reflect the Leap Year Factor of .038251 effective 09/01/15 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-225-leap-year-salary-calculation-fiscal-year-2015-16-suny-calOpinion 93-31
… of the board of commissioners of a recreation district in commuting from their residences to the place where meetings … not be reimbursed as actual and necessary expenses. This is in response to your letter asking whether commissioners of … shall receive no compensation for services, but is silent with respect to whether the commissioners are …
https://www.osc.ny.gov/legal-opinions/opinion-93-31Opinion 93-18
… This opinion represents the views of the Office of the State Comptroller at the time it was rendered. The … Duties (authority to require referendum on establishment of service award program) FIRE PROTECTION AND PREVENTION -- …
https://www.osc.ny.gov/legal-opinions/opinion-93-18Opinion 2000 - 13
… that bear on the issues discussed in the opinion. FIRE COMPANY - Membership (eligibility to join second … §176-b(10): An individual who is a member of a volunteer fire company may not join a second company unless he or she … original company. You ask whether a member of a volunteer fire company of a fire district fire department who seeks …
https://www.osc.ny.gov/legal-opinions/opinion-2000-13Medicaid Program – Errors in Identification of 340B Providers in the Medicaid Drug Rebate Program
… Department of Health (Department) accurately excluded 340B drugs from the Medicaid Drug Rebate Program and sought … to pay rebates to state Medicaid programs for prescription drugs dispensed to Medicaid recipients. To collect rebates, … requires drug manufacturers to discount the price of drugs sold to eligible health care providers. The Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2017/06/30/medicaid-program-errors-identification-340b-providers-medicaid-drug-rebate-programOpinion 94-11
… discussed in the opinion. FIRE DISTRICTS -- Appropriations and Expenditures (celebration of district fire department's … celebration of the fire department consists of a dinner and coincides with the annual inspection dinner for the fire … of this Office (1981 Opns St Comp No. 81-196, p 209) and ask if that opinion still reflects our views. In the …
https://www.osc.ny.gov/legal-opinions/opinion-94-11City of Yonkers – Budget Review (B17-6-10)
… Revenue estimates for mortgage tax, income tax surcharge, parking violations, metered water sales, and other fees may … school payments, mortgage tax, income tax surcharge, parking violations and amend as necessary. Develop a plan to … fund. Pass the necessary amendments to change the fees for parking violations, and other fees. Pass a resolution to …
https://www.osc.ny.gov/local-government/audits/city/2017/05/19/city-yonkers-budget-review-b17-6-10Opinion 88-32
… the issues discussed in the opinion. TOWN BOARD -- Powers and Duties (authority to publish names, office addresses and phone numbers of town officials) TOWN LAW, §§30, 116(13): … public of the name, office, address, office phone number, and office hours of the town clerk. You have asked whether it …
https://www.osc.ny.gov/legal-opinions/opinion-88-32Oversight of Telemental Health Services (Follow-Up)
… Objective To determine the extent of implementation, as of November 15, … for developing regulations and providing guidance to assist OMH-licensed and -designated providers under … two-way, real-time interactive audio and video equipment to provide and support mental health services and psychiatric …
https://www.osc.ny.gov/state-agencies/audits/2022/12/06/oversight-telemental-health-services-followOpinion 95-13
… the bonds under certain circumstances). Moreover, by its express terms, this requirement is applicable to excess …
https://www.osc.ny.gov/legal-opinions/opinion-95-13