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School for Language and Communication Development – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by the School for Language and Communication Development (SLCD) on its … special education services through rates set by SED. The reimbursement rates are based on financial information, … SLCD reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with the RCM …
https://www.osc.ny.gov/state-agencies/audits/2018/04/16/school-language-and-communication-development-compliance-reimbursable-cost-manualState Comptroller DiNapoli Releases Audits
… increasing the risk of a shortened useful life or the need for more repairs. Also, there was no inventory system to track parts purchased for vehicle maintenance, resulting in parts that were missing or untraceable to a vehicle. Notably, for the audit period, maintenance costs totaled more than $50 …
https://www.osc.ny.gov/press/releases/2023/02/state-comptroller-dinapoli-releases-auditsVillage of Cobleskill - Misappropriated Funds and Board Oversight (2018M-47)
… but did not inform the Board. Key Recommendations Seek reimbursement from the former Clerk-Treasurer as appropriate. …
https://www.osc.ny.gov/local-government/audits/village/2020/01/03/village-cobleskill-misappropriated-funds-and-board-oversight-2018m-47Tips to Help You Keep Your Money
… Glossary Required Documentation Taxes and Interest What to Expect from Us … Learn how to keep your financial accounts and …
https://www.osc.ny.gov/unclaimed-funds/claimants/tips-help-you-keep-your-moneyImproper Medicaid Payments for Misclassified Patient Discharges (Follow-Up)
… of implementation of the four recommendations included in our initial audit report, Improper Medicaid Payments for … transfers and discharges are different, often resulting in lower payments for transfers. We issued our initial audit … status codes. As a result, we identified over $28 million in improper and questionable Medicaid payments for recipients …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/improper-medicaid-payments-misclassified-patient-discharges-followMedicaid Program – Claims Processing Activity October 1, 2023 Through March 31, 2024
… Objective To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … through March 2024, and certain claims outside this period when trends in the claims were observed that warranted follow-up. About the Program The Department of Health (DOH) administers the State’s Medicaid program. …
https://www.osc.ny.gov/state-agencies/audits/2025/02/06/medicaid-program-claims-processing-activity-october-1-2023-through-march-31-2024DiNapoli: New York's Medicaid System Improperly Paid Over $16 Million in Claims
… eMedNY computer system improperly paid $16.2 million in Medicaid claims during a six-month period that started in October 2023, according to an audit released today by … third-party insurance and should’ve been enrolled in Medicaid fee-for-service instead. As a result of the …
https://www.osc.ny.gov/press/releases/2025/02/dinapoli-new-yorks-medicaid-system-improperly-paid-over-16-million-claimsCUNY Bulletin No. CU-531
… Purpose To inform agencies of the new flat rate deduction codes that will be used to … OSC will process deficiency deduction transactions using the new deduction codes when applicable. Agency update access …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-531-new-deduction-codes-580-city-university-new-york-medicareIX.5.B Billing for Onboarding Agencies – IX. Federal Grants
… agency PCBU Use the Commitment Control in SFS to budget for Federal Grant Projects Utilize funds distribution … to approve bills in a timely manner to facilitate proper reimbursement of state resources. Agencies access the Manage … screen to select the bills they want to approve for reimbursement. Approval can be done using “Approve Now” or …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix5b-billing-onboarding-agenciesImproper Managed Care Premium Payments for Recipients With Duplicate Client Identification Numbers (Follow-Up)
… audit report, Improper Managed Care Premium Payments for Recipients With Duplicate Client Identification Numbers … the State’s Medicaid program. Each individual who applies for Medicaid benefits is assigned a Client Identification … was to determine whether improper Medicaid managed care premiums were paid on behalf of recipients with duplicate …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/improper-managed-care-premium-payments-recipients-duplicate-client-identification-numbersAnthem Blue Cross – Coordination of Benefits With Medicare
… Objective To determine whether Anthem Blue Cross coordinated benefits to properly pay claims for NYSHIP … of the members. Civil Service contracts with Anthem Blue Cross (Anthem) to administer the Hospital Program of the …
https://www.osc.ny.gov/state-agencies/audits/2024/08/19/anthem-blue-cross-coordination-benefits-medicareCosts to Administer the Insurance Division Operations for the Three Fiscal Years Ended March 31, 2012
… costs among insurers based on the dollar value of premiums written in New York State. Key Findings We found … expenses accurately. The funds spent by the Department for the Healthy New York program, postage, and equipment … the Insurance Division incorrectly applied the percentages for these costs, resulting in $229,662 assessed to the …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/costs-administer-insurance-division-operations-three-fiscal-years-ended-march-31-2012Medicaid Program – Improper Payments to a Physical Therapist
… “dual-eligible” beneficiaries who are enrolled in both Medicare and Medicaid. Under this arrangement, Medicare is … Medicare deductibles and coinsurance. Medicaid claims for Medicare deductibles or coinsurance are called … system improved the accuracy of Medicaid payments for dualeligible recipients. Prior to the implementation, …
https://www.osc.ny.gov/state-agencies/audits/2014/12/15/medicaid-program-improper-payments-physical-therapistNorthside Center for Child Development – Compliance With the Reimbursable Cost Manual
… determine whether the costs reported by Northside Center for Child Development (Northside) on its Consolidated Fiscal … education services through rates established by SED. The reimbursement rates are based on the financial information … reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with the Manual’s …
https://www.osc.ny.gov/state-agencies/audits/2019/01/11/northside-center-child-development-compliance-reimbursable-cost-manualMedicaid Program: Reducing Medicaid Costs for Recipients Who Are Eligible for Medicare (2021-S-16)
To determine whether the Department of Health (Department) took sufficient steps to control the Medicaid costs of recipients who were eligible for Medicare based on age but were not enrolled in Medicare.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21s16.pdfClaims for Businesses and Organizations
… or funds by submitting Proof of Address or Ownership and Proof of Authorization . Provide additional information … the return of funds from their own report. Sign the form and have your signature notarized by a licensed notary … 110 State Street Albany, New York 12236 Resources Forms and Publications Glossary Required Documentation Taxes and …
https://www.osc.ny.gov/unclaimed-funds/claimants/claims-businesses-and-organizationsOverpayments of Certain Medicare Crossover Claims (Follow-Up)
… made in our audit report, Overpayments of Certain Medicare Crossover Claims (2011-S-28). Background Many … Overpayments for Services Also Covered by Medicare Part B (2012-S-27) Department of Health: Overpayments for …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/overpayments-certain-medicare-crossover-claims-followIX.6.F Agency Draw Procedures – IX. Federal Grants
… the agency should enter a Direct Journal Payment in the SFS. Once the funds are received by the State, OSC BSAO posts … to improve the cash management of their grants. Since the SFS does not calculate agency drawdown amounts for … procedures. Agencies have access to various standard SFS reports to assist in the calculation. The reports can be …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix6f-agency-draw-proceduresOversight of Managed Long-Term Care Member Eligibility (Follow-Up)
… (Department) administers New York’s Medicaid program. Many of the State's Medicaid recipients are enrolled in … such as home health care and nursing home care, for people who are chronically ill or disabled. For the year … of ineligible enrollees. The audit covered the period from January 2015 through March 2021. The audit identified …
https://www.osc.ny.gov/state-agencies/audits/2024/03/13/oversight-managed-long-term-care-member-eligibility-followState Agencies Bulletin No. 1698
… January 1, 2019 Background/Eligibility Under the previous tax law, qualified employees could deduct the reasonable costs of moving expenses. The Federal Tax Cuts and Jobs Act signed into law on December 22, 2017 … beginning after December 31, 2017 through December 31, 2025. As a result, the reimbursement of moving expenses must …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1698-new-payroll-process-and-new-time-entry-codes-payment-moving-expense