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Medicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
… premium for each enrolled recipient, and in turn, the MCOs are required to pay for the Medicaid services their … is considered the payer of last resort, and as such, MCOs are required to coordinate benefits with the recipient’s TPHI … recovery process to ensure that all available recoveries are made. During our audit scope: HMS did not bill TPHI …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/medicaid-program-recovering-managed-care-overpayments-pharmacy-services-behalf-recipientsRecovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance (Follow-Up)
… premium for each enrolled recipient and, in turn, MCOs are required to pay for the Medicaid services their … is considered the payer of last resort and, as such, MCOs are required to coordinate benefits with the recipient’s … in the initial audit report, but additional actions are still required. Although some recoveries have been made, …
https://www.osc.ny.gov/state-agencies/audits/2024/01/31/recovering-managed-care-overpayments-pharmacy-services-behalf-recipients-third-party-healthState Agencies Bulletin No. 2355
… appropriations due to lapse on 09/15/2025 or 09/30/2025, are affected. Background: Certain chart of accounts strings in SFS that are attached to position pools in PayServ will be lapsing and … Effective Dates: Changes described in this bulletin are effective 09/15/2025, or 09/30/2025. OSC Actions: The …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2355-sfs-chartfield-strings-payserv-09152025-09302025-lapse-datesMedicaid Program – Improper Payments for Certain Third-Party Cost-Sharing Claims
… the payer of last resort and, as such, providers are required to coordinate benefits with third-party insurers … Claim Adjustment Reason Codes (CARCs) and group codes are standard codes on ERAs that detail the reason an … processing and payment system. Claims with a CARC PR 45 are currently configured to pay in eMedNY, while claims with …
https://www.osc.ny.gov/state-agencies/audits/2025/11/05/medicaid-program-improper-payments-certain-third-party-cost-sharing-claimsSchuyler County – Court and Trust Funds (2021-C&T-1)
… in property filed to ensure payment for contracted services rendered on the property). These actions are … deposited to courts and ordered into the courts’ custody. Additionally, when the whereabouts of any person … maintained a court and trust register as required, but it was incomplete and outdated. We identified four actions …
https://www.osc.ny.gov/local-government/audits/court-and-trust/2021/12/10/schuyler-county-court-and-trust-funds-2021-ct-1State Agencies Bulletin No. 1893
… To better facilitate the tracking of overtime adjustments in PayServ, new Earnings Codes have been created. Effective … OSC Actions OSC has created the following Earnings Codes in PayServ to be used in place of Earnings Code AJR to retroactively adjust …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1893-reporting-adjustments-overtimePayroll Improvement Project Bulletin No. PIP-006
… Project. Affected Employees All agency PayServ users are affected. Background OSC is preparing to upgrade PayServ … three major areas of agency participation and/or impact are Agency Testing and Training, Agency File Interface … Effective Dates All timelines contained in this bulletin are effective immediately; dates related to specific …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/payroll-improvement-project/pip-006-payroll-improvement-project-agency-timelinePerformance of Duty Disability – Career Plan
… You may be entitled to this disability benefit if you are found permanently disabled as a result of the performance … The mandatory contributions made by Tier 5 and 6 members are not annuity savings contributions, and Tier 5 and 6 … retirement. The application must be filed while you are still in service or within two years of your …
https://www.osc.ny.gov/retirement/publications/1642/performance-duty-disabilityPerformance of Duty Disability – Basic Plan with Increased-Take-Home-Pay (ITHP)
… The application must be filed while you are still in service or within two years of your discontinuance from service. When filing for this benefit, “in service” is defined as while you are: Being paid on the …
https://www.osc.ny.gov/retirement/publications/1511/performance-duty-disabilityPerformance of Duty Disability – Police and Fire Plan
… service you may have. Notice of Occurrence To be eligible for this benefit, you must file an application for a performance of duty disability retirement benefit … may be eligible to receive. You must also select an option for the payment of your disability benefits . Filing You, …
https://www.osc.ny.gov/retirement/publications/1512/performance-duty-disabilityPerformance of Duty Disability – Non-Contributory Plan with Guaranteed Benefits
… You may be entitled to this disability benefit if you are found permanently disabled as a result of the performance … made. The contributions required of Tier 5 and 6 members are not annuity savings contributions, and Tier 5 and 6 … retirement. The application must be filed while you are still in service or within two years of your …
https://www.osc.ny.gov/retirement/publications/1513/performance-duty-disabilityPerformance of Duty Disability – New Career Plan
… You may be entitled to this disability benefit if you are found permanently disabled as a result of the performance … made. The contributions required of Tier 5 and 6 members are not annuity savings contributions, and Tier 5 and 6 … retirement. The application must be filed while you are still in service or within two years of your …
https://www.osc.ny.gov/retirement/publications/1515/performance-duty-disabilityPerformance of Duty Disability – Regional State Park Police Plan
… service you may have. Notice of Occurrence To be eligible for this benefit, you must file an application for a performance of duty disability retirement benefit … be eligible to receive. You must also select an option for the payment of your disability benefits . Filing You, …
https://www.osc.ny.gov/retirement/publications/1867/performance-duty-disabilityDiNapoli: New York State is Home to 4.4 Million Immigrants, Second Only to California
… areas such as New York City and Long Island. “Immigrants are nearly a quarter of our population. While the vast majority live in New York City, many are reshaping our suburban and upstate communities and … said. “Our report found that most immigrants in New York are well-educated and actively participate in the workforce. …
https://www.osc.ny.gov/press/releases/2016/11/dinapoli-new-york-state-home-44-million-immigrants-second-only-californiaCUNY Bulletin No. CU-768
… CUNY instructional staff who meet the eligibility criteria are affected. Background: Pursuant to an Agreement between … members who perform research work receive payments that are reimbursed by the CUNY RF. The work may be performed in … employee is employed on a full-time basis. The payments are processed through PayServ to facilitate crediting …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-768-2023-city-university-new-york-cuny-research-foundationLabor Investigations in New York City
… the authority to assess penalties and fines if employers are found to be in violation of the Laws. Claims are initiated through various means, such as directly from an … These delays further lessen the likelihood that employers are held accountable, and in the meantime they are able to …
https://www.osc.ny.gov/state-agencies/audits/2024/01/31/labor-investigations-new-york-cityState Agencies Bulletin No. 280
… Exchange Program. Officers and employees whose salaries are prescribed by Section 169 of the Executive Law or whose … prior to the enactment of Chapter 55 of the laws of 1979 are ineligible for the payment. Effective Date(s) Vacation … on Voluntary Reduction at the time the request was filed are eligible for a maximum of 5 full days of Vacation …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/280-vacation-exchange-paymentCUNY Bulletin No. CU-744
… CUNY instructional staff who meet the eligibility criteria are affected. Background Pursuant to an Agreement between the … members who perform research work receive payments that are reimbursed by the CUNY RF. The work may be performed in … employee is employed on a full-time basis. The payments are processed through PayServ to facilitate crediting …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-744-2022-city-university-new-york-cuny-research-foundationDiNapoli: Improved Guidance Needed for State Agencies Using AI To Avoid Risks
… of New York City’s AI Governance. “New York state agencies are using AI to monitor prisoners’ phone calls, catch … central guidance and oversight to check that these systems are reliable and accurate, and no inventory of what AI the … Without adequate guidelines and oversight, AI systems that are meant to help expedite and expand services can, for …
https://www.osc.ny.gov/press/releases/2025/04/dinapoli-improved-guidance-needed-state-agencies-using-ai-avoid-risksDiNapoli Releases Executive Budget Report
… by $7.9 billion, or 7.3%. While General Fund surpluses are anticipated currently for SFY 2024-25 and SFY 2025-26, these are projected to give way to budget gaps that cumulatively … Over the Financial Plan period, General Fund disbursements are projected to grow by 24.9%, over four times as fast as …
https://www.osc.ny.gov/press/releases/2025/02/dinapoli-releases-executive-budget-report