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State Agencies Bulletin No. 1197
… Purpose To inform agencies of changes to the payroll processing calendar due to the SSN … Decoupling conversion in PayServ. Affected Employees Users of the PayServ system Effective Date(s) 12:00 p.m. (noon) … (i.e. DCS, ERS, Unions, etc.). OSC will begin a review of Vendor and Control Agency inbound and outbound files at a …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1197-payroll-processing-calendar-schedule-ssn-decouplingHear 2 Learn PLLC – Compliance With the Reimbursable Cost Manual
… year ended June 30, 2013. Background Hear 2 Learn is a privately owned institution located in Syracuse, New York that provides preschool special … year, Hear 2 Learn provided Special Education Itinerant Teacher (SEIT) services to 105 children with learning …
https://www.osc.ny.gov/state-agencies/audits/2015/07/22/hear-2-learn-pllc-compliance-reimbursable-cost-manualAssessment of Costs to Administer the Workers’ Compensation Program for the Two Fiscal Years Ended March 31, 2013
… procedures in place to accurately report its assessable expenses related to administration of Sections 50(5), 151, … Firefighters’ and the Volunteer Ambulance Workers’ Benefit Laws. We performed our audit pursuant to legislative … the Comptroller and the Chair of the Board ascertain the annual amount of expenses incurred in the administration of …
https://www.osc.ny.gov/state-agencies/audits/2015/04/15/assessment-costs-administer-workers-compensation-program-two-fiscal-years-ended-march-31New York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members (Follow-Up)
… included in our initial audit report, Payments by CVS Health for Pharmacy Services for Ineligible Members … Service (Civil Service), covers over 1.2 million active and retired State, local government, and school district employees, and their dependents. Civil …
https://www.osc.ny.gov/state-agencies/audits/2023/01/04/new-york-state-health-insurance-program-payments-cvs-health-pharmacy-services-ineligibleImproper Medicaid Payments for Misclassified Patient Discharges (Follow-Up)
… through December 31, 2019. We found the Department did not have a process to identify and recover improper Medicaid … two have been partially implemented, and one has not yet been implemented. Key Recommendation Officials are …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/improper-medicaid-payments-misclassified-patient-discharges-followMetro Therapy, Inc. – Compliance With the Reimbursable Cost Manual
… ended June 30, 2011. Background Metro Therapy is based in Hauppauge, New York and provides Special Education Itinerant Teacher (SEIT) services to children between the ages of three and five years residing in New York City and Nassau and Suffolk counties. During the …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/metro-therapy-inc-compliance-reimbursable-cost-manualState Agencies Bulletin No. 2162
… participated in the PEF or CSEA Certification, Licensure, and Exam Fee Reimbursement Program, or who used Empire Star … fringe benefits such as the Certification, Licensure, and Exam Fee Reimbursement are considered taxable income. … Effective Administration paychecks dated 11/22/2023, and Institution paychecks dated 11/30/2023. OSC Actions: OSC …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2162-certification-licensure-and-exam-fee-reimbursement-clefr-2023Empowering Minds Therapy Inc. – Compliance With the Reimbursable Cost Manual
… (CFR) were properly calculated, adequately documented, and allowable under the State Education Department’s (SED) … services to children with disabilities who are between 3 and 4 years of age. SED sets the special education rates … with the guidelines in SED’s RCM regarding eligibility and documentation requirements. For the fiscal year ended …
https://www.osc.ny.gov/state-agencies/audits/2022/04/08/empowering-minds-therapy-inc-compliance-reimbursable-cost-manualState Agencies Bulletin No. 1864
… is to inform agencies of the taxable fringe benefit CLEFR for 2020 processing. Affected Employees Employees who … Program or who used Empire Star Public Service awards for certification, license or exam fees are affected. … Time Entry using the earn code CFR . This amount is used for reporting and tax withholding purposes only and does not …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1864-certification-licensure-and-exam-fee-reimbursement-clefr-2020Oversight of Information Technology Consultants and Contract Staffing (Follow-Up)
… are responsible for monitoring project deliverables and timelines, and then determining if deliverables are …
https://www.osc.ny.gov/state-agencies/audits/2020/12/08/oversight-information-technology-consultants-and-contract-staffing-followUnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services (Follow-Up)
… The Empire Plan is the primary health benefits plan for NYSHIP. Civil Service contracted with UnitedHealthcare … level billed, the greater United’s reimbursement. Billing for a higher level of care than the service actually provided … monitored out-of-network providers who routinely billed for higher-level E/M services, and if out-of-network …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesEmpire BlueCross – Improper Payments for Intraocular Lens Claims Billed by Hospitals
… – the clouding of the lens in the eye – which cause vision problems. A cataract is corrected with surgery, which frequently … lens and replacing it with an intraocular lens (such as a plastic lens). Empire generally reimburses the intraocular …
https://www.osc.ny.gov/state-agencies/audits/2019/12/20/empire-bluecross-improper-payments-intraocular-lens-claims-billed-hospitalsCompliance With Executive Order 88 – Energy Efficiency in State Buildings
… Objectives To determine if the Department of Corrections and Community … Supervision (DOCCS) has developed targets and plans to effectively meet its contributions toward Executive Order … more meters than required. In addition, a major design change was made after the contract was awarded, causing some …
https://www.osc.ny.gov/state-agencies/audits/2020/01/30/compliance-executive-order-88-energy-efficiency-state-buildingsNew York State Health Insurance Program – Payments by Empire BlueCross for Hospital Services for Ineligible Members (Follow-Up)
… included in our initial audit report, Payments by Empire BlueCross for Hospital Services for Ineligible Members (Report 2019-S-32 ). About the Program The New York State Health Insurance Program (NYSHIP), administered by …
https://www.osc.ny.gov/state-agencies/audits/2021/12/27/new-york-state-health-insurance-program-payments-empire-bluecross-hospital-servicesState Agencies Bulletin No. 1956
… CSEA Certification, Licensure, and Exam Fee Reimbursement Program, or who used Empire Star Public Service awards for … are informed of the taxability upon enrollment in the program. Questions Questions regarding this bulletin may be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1956-certification-licensure-and-exam-fee-reimbursement-clefr-2021Medicaid Overpayments for Medicare Advantage Plan Services (Follow-Up)
… Advantage Plan Services (Report 2017-S-46 ). About the Program The Department of Health (Department) administers the State’s Medicaid program. Many Medicaid recipients are also enrolled in …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-advantage-plan-services-followMedicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (Follow-Up)
… in our initial audit report, Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (Report 2017-S-36 ). …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-part-b-services-billed-directly-emedny-followMedicaid Payments to Medicare Advantage Plan Providers (Follow-Up)
… Objective To determine the extent of implementation of the three recommendations made in our initial audit … Plan Providers (Report 2016-S-54 ). About the Program Many of the State’s Medicaid recipients are also enrolled in …
https://www.osc.ny.gov/state-agencies/audits/2019/10/15/medicaid-payments-medicare-advantage-plan-providers-followState Agencies Bulletin No. 2063
… participated in the PEF or CSEA Certification, Licensure, and Exam Fee Reimbursement Program, or who used Empire Star … fringe benefits such as the Certification, Licensure, and Exam Fee Reimbursement are considered taxable income. … Dates Effective Administration paychecks dated 11/23/2022, and Institution paychecks dated 12/01/2022. OSC Actions OSC …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2063-certification-licensure-and-exam-fee-reimbursement-clefr-2022DiNapoli: Number of New Yorkers Behind on Utility Bills Soared During Pandemic
… owed $1.8 billion with customers from New York City and Long Island comprising 60% of those in arrears and 68% of the …
https://www.osc.ny.gov/press/releases/2022/07/dinapoli-number-new-yorkers-behind-utility-bills-soared-during-pandemic