Search
CUNY Bulletin No. CU-719
… Purpose The purpose of this bulletin is to notify agencies of new voluntary deduction codes for City … Office has requested new voluntary deduction codes to accommodate new Metro+ deductions. Effective Dates … Questions regarding this bulletin may be directed to the University Director of Employee Benefits at CUNY …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-719-new-voluntary-deductions-codes-cuny-health-insuranceHealth Insurance Coverage in New York State
Public policies over the last decade have had a significant impact in reducing the number of uninsured people nationally and especially in New York, where the share of those without health insurance declined to 5.2 percent in 2021, well below the national average of 8.6 percent.
https://www.osc.ny.gov/files/reports/pdf/health-insurance-coverage-in-new-york-state.pdfTown of Babylon – Financial Condition and Internal Controls Over Selected Town Operations (2013M-115)
… 2011 through July 31, 2012. Background The Town of Babylon is located in western Suffolk County. The Town is governed by the Town Board, which comprises five elected …
https://www.osc.ny.gov/local-government/audits/town/2013/11/22/town-babylon-financial-condition-and-internal-controls-over-selected-town-operationsMedicaid Program – Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance
… made Medicaid mainstream managed care premium payments on behalf of individuals who had comprehensive third-party … to those who are economically disadvantaged and/or have special health care needs. The Department administers … comprehensive TPHI coverage after the coverage has taken effect. Our audit determined Medicaid paid over $691 million …
https://www.osc.ny.gov/state-agencies/audits/2018/06/13/medicaid-program-managed-care-premium-payments-recipients-comprehensive-third-partyDiNapoli: MetroPlus Enrollment Reached a Record High Over the Course of the Pandemic
… MetroPlus, a subsidiary of NYC Health + Hospitals (H+H), offers low-cost to no-cost … released today by State Comptroller Thomas P. DiNapoli. The financial stability of H+H is impacted by MetroPlus’s …
https://www.osc.ny.gov/press/releases/2022/09/dinapoli-metroplus-enrollment-reached-record-high-over-course-pandemicMedicaid Program – Medicaid Claims Processing Activity April 1, 2015 Through September 30, 2015
… reasonably ensured that Medicaid claims were submitted by approved providers, were processed in accordance with … eMedNY computer system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible … durable medical equipment, and eye care services. By the end of the audit fieldwork, about $2.1 million of the …
https://www.osc.ny.gov/state-agencies/audits/2016/08/09/medicaid-program-medicaid-claims-processing-activity-april-1-2015-through-september-30-2015State Contract and Payment Actions in January
… In January, the Office of the State Comptroller approved 1,493 contracts for state agencies and public authorities valued at $3.7 billion …
https://www.osc.ny.gov/press/releases/2024/03/state-contract-and-payment-actions-januaryEmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits
… whether EmblemHealth Plan, Inc. overpaid dental claims for members covered by two subscriber plans under the New … EmblemHealth Plan, Inc. (Emblem) to process and pay claims for services on behalf of the New York State Dental Insurance … benefits (COB) is a process health insurance companies use for paying health care claims when an individual is covered …
https://www.osc.ny.gov/state-agencies/audits/2024/01/08/emblemhealth-plan-inc-overpayments-services-requiring-coordination-benefitsJoin Our Investment Team
… for health and dependent care A supportive and continuous learning environment The Office of the New York State Comptroller is an Affirmative Action/Equal …
https://www.osc.ny.gov/common-retirement-fund/employmentTown of Shandaken – Employee Compensation and Benefits (2017M-289)
… Purpose of Audit The purpose of our audit was to determine whether Town officials accurately compensated … Town officials overpaid health insurance buyout incentives to two employees by more than $4,900 and underpaid incentives to two employees by $1,680 during the audit period. Also, …
https://www.osc.ny.gov/local-government/audits/town/2018/04/13/town-shandaken-employee-compensation-and-benefits-2017m-289DiNapoli: Contractor Failed to Turn Over $1.5 Million in Prescription Drug Rebates to NYS
… A company that was supposed to collect rebates from drug manufacturers on behalf of the … money is intended to help hold down costs of the program and contractors are expected to make every effort to collect … DiNapoli said. “The Department of Civil Service and United HealthCare need to make sure this money is fully collected …
https://www.osc.ny.gov/press/releases/2016/11/dinapoli-contractor-failed-turn-over-15-million-prescription-drug-rebates-nysEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012
… Empire processes Plan claims for hospital services in accordance with agreements they negotiate with member … above the amount Empire should have paid for the items in question. For one hospital, Empire paid $68,382 for three …
https://www.osc.ny.gov/state-agencies/audits/2013/12/13/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughMedicaid Program – Recovering Managed Care Payments for Inpatient Services on Behalf of Recipients With Third-Party Health Insurance
… Program The Department of Health (Department) administers New York’s Medicaid program. Many of the State’s Medicaid recipients receive their services through …
https://www.osc.ny.gov/state-agencies/audits/2023/09/27/medicaid-program-recovering-managed-care-payments-inpatient-services-behalf-recipientsMedicaid Program – Medicaid Claims Processing Activity April 1, 2013 Through September 30, 2013
… eMedNY system reasonably ensured that Medicaid claims were submitted by approved providers, were processed in accordance … claims that providers billed at higher levels of care than what was actually provided; $1,005,176 in overpayments for … the remaining inappropriate Medicaid payments and improve claim processing and monitoring controls. Other Related …
https://www.osc.ny.gov/state-agencies/audits/2015/02/05/medicaid-program-medicaid-claims-processing-activity-april-1-2013-through-september-30-2013Village of West Haverstraw - Accrued Leave and Benefits (2019M-143)
… Village employees received and used leave accruals in accordance with Village policies, and whether amounts paid for benefits were accurate. Key Findings The Treasurer did … separate records on leave accruals earned and used for administrative employees, or the amount of sick leave …
https://www.osc.ny.gov/local-government/audits/village/2019/09/06/village-west-haverstraw-accrued-leave-and-benefits-2019m-143New York State Health Insurance Program – Payments by Empire BlueCross for Hospital Services for Ineligible Members (Follow-Up)
… 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 the … maintains the New York Benefits Eligibility and Accounting System (NYBEAS), the system of record for member enrollment …
https://www.osc.ny.gov/state-agencies/audits/2021/12/27/new-york-state-health-insurance-program-payments-empire-bluecross-hospital-servicesMedicaid Program – Improper Overlapping Medicaid and Essential Plan Enrollments
… to individuals who are economically disadvantaged and/or have special health care needs. New York’s Essential Plan … between Medicaid and EP. NY State of Health (NYSOH) is the State-run health plan marketplace organized under the … correct these improper duplicative enrollments, nor does it have a process to recover improper payments caused by the …
https://www.osc.ny.gov/state-agencies/audits/2022/10/11/medicaid-program-improper-overlapping-medicaid-and-essential-plan-enrollmentsCosts to Administer the Insurance Division Operations for the Three Fiscal Years Ended March 31, 2012
… Purpose To determine whether the Department of Financial Services … is reporting its assessable expenses accurately, pursuant to Section 332, Article 3 of the Insurance Law. Our audit … in $229,662 assessed to the Banking Division that should have been allocated to the Insurance Division. Management …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/costs-administer-insurance-division-operations-three-fiscal-years-ended-march-31-2012Ulster County Community College - Retiree Health Insurance and Payroll (2018M-123)
Ulster County Community College - Retiree Health Insurance and Payroll (2018M-123)
https://www.osc.ny.gov/files/local-government/audits/pdf/ulster-county.pdfEldred Central School District – Budget Review (B4-15-3)
… $16.6 million. Key Findings Except for the items noted, we found the significant revenue and expenditure projections … fund balance to less than 2 percent of appropriations; and does not account for the probable return of $200,000 in …
https://www.osc.ny.gov/local-government/audits/school-district/2015/04/08/eldred-central-school-district-budget-review-b4-15-3