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Medicaid Program – Overpayments of Ambulatory Patient Group Claims
… overpaid Ambulatory Patient Groups (APG) claims because of deficiencies in the claims processing and payment system. The audit … reimbursed based on a patient's condition and complexity of service. The APG system was adopted by the Department of … overpaid Ambulatory Patient Groups APG claims because of deficiencies in the claims processing and payment system …
https://www.osc.ny.gov/state-agencies/audits/2013/08/20/medicaid-program-overpayments-ambulatory-patient-group-claimsMedicaid Program – Oversight of Managed Long-Term Care Member Eligibility
… services, such as home health care and nursing home care, for people who are chronically ill or disabled. For the year … for initiating disenrollment of enrollees when it is determined they are no longer MLTC eligible (e.g., enrollees who did not receive any CBLTC services in a month, deceased recipients), and Maximus is responsible for …
https://www.osc.ny.gov/state-agencies/audits/2022/08/05/medicaid-program-oversight-managed-long-term-care-member-eligibilityInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… Objective To determine the extent of implementation of the five recommendations made in our initial audit report, … was eliminated effective January 1, 2015 and the majority of FHP enrollees transitioned to the Medicaid program. … To determine the extent of implementation of the five recommendations made in our …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andRestitution Payments (2021-MS-2)
… [pdf] , Erie [pdf] , Franklin [pdf] , Jefferson [pdf] , Orange [pdf] , Putnam [pdf] , Rensselaer [pdf] , Saratoga …
https://www.osc.ny.gov/local-government/audits/county/2021/12/14/restitution-payments-2021-ms-2CUNY Bulletin No. CU-341
This bulletin explains the establishment of New Payroll Bargaining Unit and Benefit Program for Hourly Continuing Education Teachers Represented by the Professi
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-341-establishment-new-payroll-bargaining-unit-and-benefitCUNY Bulletin No. CU-190
… Purpose To provide agencies with information regarding a new bargaining unit and new … before 11/27/03. The agency must use the HIRE action with a reason of APT, effective on the appropriate … This bulletin provides agencies with information regarding a new bargaining unit and new …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-190-newly-established-bargaining-unit-iatse-local-one-andTier 2, 3, 5 and 6 Death Benefits – Police and Fire Plan
… be paid the greater of the two death benefits; if you die after retirement, and meet the eligibility criteria, your … a salary of $60,000 $60,000 × 3 = $180,000 (reduction for working after age 60) − 10,800 (ordinary death benefit at …
https://www.osc.ny.gov/retirement/publications/1512/tier-2-3-5-and-6-death-benefitsAccess Controls Over Student Information Systems (2014-MR-1)
… (APW) Central School District [pdf] , Indian River Central School District [pdf] , Lowville Academy and …
https://www.osc.ny.gov/local-government/audits/school-district/2014/08/19/access-controls-over-student-information-systems-2014-mr-1Accounts Payable Advisory No. 37
… credit card charges within 30 days of the payment of the Citibank bill (see the Guide to Financial Operations (GFO), …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/37-reconciliation-credit-card-transactionsOperational Advisory No. 10
… Subject: Updates to the GFO Pertaining to the new Fringe Benefit & Indirect Cost (FBIC) Automation … process. The new process generates journal entries to the General Ledger in the SFS on a more real-time basis … Updates to the GFO Pertaining to the new Fringe Benefit Indirect Cost …
https://www.osc.ny.gov/state-agencies/advisories/operational-advisory/10-fbic-automationPayroll Improvement Project Bulletin No. PIP-006
… until the beginning of the formal testing period. Agencies ready to process master files should request them by emailing the Payroll Improvement Project mailbox. Agencies ready to submit test AI files should email the Payroll …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/payroll-improvement-project/pip-006-payroll-improvement-project-agency-timelineExcessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans (Follow-Up)
… in our initial audit report, Excessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans (Report 2021-S-37 ). About the … disorders. Within MMC and HARP is the Integrated Benefits for Dually Eligible Enrollees Program (IB-Dual), which became …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/excessive-premium-payments-dual-eligible-recipients-enrolled-mainstream-managed-care-andImproper Managed Care Payments for Misclassified Patient Discharges (Follow-Up)
… included in our initial audit report, Improper Managed Care Payments for Misclassified Patient Discharges (Report … recipients receive their medical services through managed care, whereby the Department pays managed care organizations (MCOs) a monthly premium for each enrolled …
https://www.osc.ny.gov/state-agencies/audits/2023/12/06/improper-managed-care-payments-misclassified-patient-discharges-followSUNY Bulletin No. SU-331
… processing. Affected Employees Employees in SUNY 21P and CAL positions who meet the eligibility criteria are affected. … paychecks dated 09/14/2022 and effective 09/01/2022 for CAL employees, paychecks dated 09/28/2022. Eligibility … Criteria Employees in 21P positions as of 08/18/2022 and CAL positions as of 09/01/2022 are eligible. OSC Actions …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-331-2022-restoration-contract-pay-and-additional-pay-suny-21pSUNY Bulletin No. SU-346
… purpose of this bulletin is to provide agency instructions for OSC’s automatic processing. Affected Employees: Employees … are affected. Effective Dates: Effective 08/17/2023 for 21P employees, paychecks dated 09/13/2023 and effective 09/01/2023 for CAL employees, paychecks dated 09/27/2023. Eligibility …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-346-2023-restoration-contract-pay-and-additional-pay-suny-21pSUNY Bulletin No. SU-364
… processing. Affected Employees: Employees in SUNY 21P and CAL positions who meet the eligibility criteria are affected. … paychecks dated 09/11/2024 and effective 09/01/2024 for CAL employees, paychecks dated 09/25/2024. Eligibility … Criteria: Employees in 21P positions as of 08/15/2024 and CAL positions as of 09/01/2024 are eligible. OSC Actions: …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-364-2024-restoration-contract-pay-and-additional-pay-suny-21pUnified Court System Bulletin No. UCS-365
… inform agencies of OSC’s automatic processing of the April 2026 UCS Increments and Longevity Increments and provide … eligibility criteria may be eligible to receive the April 2026 Increment or Longevity Increment as indicated below: … “Satisfactory” to be eligible for an increment in April 2026. Employees must have completed four or eight years of …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-365-april-2026-state-new-york-unified-court-system-ucs-incrementsUnified Court System Bulletin No. UCS-349
… Purpose: The purpose of this bulletin is to inform agencies of OSC’s automatic processing of the April … Longevity Increments and provide instructions for payments not processed automatically. Affected Employees: Employees … units who meet the eligibility criteria may be eligible to receive the April 2025 Increment or Longevity Increment as …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-349-april-2025-state-new-york-unified-court-system-ucs-incrementsUnified Court System Bulletin No. UCS-296
… is to inform agencies of OSC’s automatic processing of the April 2021 UCS Increments and Longevity Increments and … the employee’s record will not be updated: Position and Job do not match – if the Position Number equals the NYS Position Number on the employee’s Job Data page but the Bargaining Unit, Salary Administration …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-296-april-2021-state-new-york-unified-court-system-ucs-incrementsOversight of Managed Long-Term Care Member Eligibility (Follow-Up)
… services, such as home health care and nursing home care, for people who are chronically ill or disabled. For the year ended December 31, 2022, Medicaid paid MLTC plans $15.7 billion in premiums for 338,186 recipients enrolled in MLTC. The Department …
https://www.osc.ny.gov/state-agencies/audits/2024/03/13/oversight-managed-long-term-care-member-eligibility-follow