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Opinion 97-2
… This opinion represents the views of the Office of the State Comptroller at the time it was … families pursuant to General Municipal Law, §92-a. The power to purchase insurance for health care benefits pursuant … board member. February 11, 1997 David S. Shaw, Esq., Attorney at Law Goshen Central School District 1 In 1985 …
https://www.osc.ny.gov/legal-opinions/opinion-97-2Cost-Saving Ideas: Monitoring Health Insurance Premiums for Retirees
… the retirees may be: allowed a continuation of coverage for surviving spouses or certain other eligible persons for a … local obituaries each day, family notification, uncashed Medicare reimbursement checks and notification by the New York State …
https://www.osc.ny.gov/local-government/publications/cost-saving-ideas-monitoring-health-insurance-premiums-retireesMedicaid Program – Improper Payments of Medicare Buy-in Premiums for Ineligible Recipients
… Medicare premium payments on behalf of recipients enrolled in the Medicare buy-in program. The audit covered Medicaid … for the period from January 1, 2015 through December 31, 2019 and associated Medicare buy-in program credits from … determinations and timely closure of Buy-in Program cases for ineligible individuals. Review the active cases of …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-payments-medicare-buy-premiums-ineligible-recipientsImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up)
… Program The Department of Health (Department) administers New York’s Medicaid program. Many Medicaid recipients are also …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/improper-payments-medicare-buy-premiums-ineligible-recipients-followMedicaid Payments Made Pursuant to Medicare Part C (Follow-Up)
… in our audit report, Medicaid Payments Made Pursuant to Medicare Part C (Report 2012-S-133). Background Medicaid … We recommended that the Department: re-evaluate the reimbursement methodology for Medicare Part C cost-sharing; …
https://www.osc.ny.gov/state-agencies/audits/2016/12/15/medicaid-payments-made-pursuant-medicare-part-c-followUnnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)
… initial audit report, Unnecessary Managed Care Payments for Medicaid Recipients With Medicare (Report 2010-S-75). Background Our initial audit … about $36 million. The unnecessary Medicaid managed care premiums occurred because of delays in posting recipients' …
https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-followDiNapoli Finds Over $100 Million in Inappropriate Medicaid Payments
… $100 million in improper payments made by the Department of Health (DOH) for the Medicare buy-in program, maternity … program provides critical health care services to millions of New Yorkers but the program is dogged by oversight … DiNapoli said. “Over the years, we’ve uncovered billions of dollars of waste and abuse in the system. DOH should act …
https://www.osc.ny.gov/press/releases/2021/11/dinapoli-finds-over-100-million-inappropriate-medicaid-paymentsExcessive 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 … Medicaid program. Many Medicaid recipients are enrolled in Medicare and are referred to as “dual-eligibles.” … fee-for-service (FFS) because the cost of the managed care premiums generally exceeds the cost of deductibles and …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/excessive-premium-payments-dual-eligible-recipients-enrolled-mainstream-managed-care-andMedicaid Program – Reducing Medicaid Costs for Recipients Who Are Eligible for Medicare
… control the Medicaid costs of recipients who were eligible for Medicare based on age but were not enrolled in Medicare. … program. Individuals who are eligible or appear eligible for Medicare are required to apply for Medicare as a condition of receiving Medicaid. When Medicaid recipients …
https://www.osc.ny.gov/state-agencies/audits/2023/09/14/medicaid-program-reducing-medicaid-costs-recipients-who-are-eligible-medicareImproper Payments Related to the Medicare Buy-In Program (Follow-Up)
… made in our audit report, Improper Payments Related to the Medicare Buy-In Program ( 2010-S-76 ). Background The federal … Under the buy-in program, Medicaid pays the Medicare premiums and sometimes the deductibles and coinsurance of … New York City (local districts). Annual Medicaid payments for the Medicare buy-in program total approximately $1.3 …
https://www.osc.ny.gov/state-agencies/audits/2014/11/18/improper-payments-related-medicare-buy-program-followUnified Court System Bulletin No. UCS-132
… 14, 2008 December 31, 2008 OSC Actions OSC has created a new Time Entry earn code to be used to pay this allowance: …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-132-judicial-supplemental-support-allowanceMedicaid Program – Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance
… The Department administers the State’s Medicaid program. For the State fiscal year ended March 31, 2017, New York’s … the recipients from managed care retroactively and recover premiums paid to the MCO for those recipients during the … Managed Care Payments for Medicaid Recipients With Medicare (2010-S-75) Department of Health: Inappropriate …
https://www.osc.ny.gov/state-agencies/audits/2018/06/13/medicaid-program-managed-care-premium-payments-recipients-comprehensive-third-partyReducing Medicaid Costs for Recipients With End Stage Renal Disease (Follow-Up)
… made in our initial audit report, Reducing Medicaid Costs for Recipients With End Stage Renal Disease (Report 2015-S-14 … disease (ESRD) who were eligible for, but not enrolled in Medicare. Medicaid recipients with ESRD may be eligible for … service itself, Medicaid pays the recipient’s Medicare premiums, deductibles, and coinsurance amounts, which allows …
https://www.osc.ny.gov/state-agencies/audits/2018/09/05/reducing-medicaid-costs-recipients-end-stage-renal-disease-followMedicaid Program – Excessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans
… to state Medicaid programs. In order to receive the increase, states were required to maintain managed care …
https://www.osc.ny.gov/state-agencies/audits/2022/10/31/medicaid-program-excessive-premium-payments-dual-eligible-recipients-enrolled-mainstreamState Comptroller DiNapoli Releases State Audits
… Services Center within OGS as a centralized office for processing human resources and finance transactions that … of Health (DOH) Medicaid Payments Made Pursuant to Medicare Part C (Follow-Up) (2016-F-16) An audit released in … $28,952 in ineligible costs that HTA reported for state reimbursement, including $22,207 in other than personal …
https://www.osc.ny.gov/press/releases/2016/12/state-comptroller-dinapoli-releases-state-audits-1Improper Payments of Medicare Buy-In Premiums for Ineligible Recipients (2020-S-35)
To determine if Medicaid made improper Medicare premium payments on behalf of recipients enrolled in the Medicare buy-in program.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-20s35.pdfDiNapoli: State Missing Out on Millions in Medicare Payments for Kidney Patients
… to taxpayers. With the looming uncertainty over Medicaid under the new administration in Washington, states need to … program costs." Medicaid is a federal, state, and locally funded medical program that provides services to those who … federal health insurance program for people who are age 65 or older, people under 65 who have certain disabilities, …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-state-missing-out-millions-medicare-payments-kidney-patientsMedicaid Program – Reducing Medicaid Costs for Recipients With End Stage Renal Disease
… ESRD have been eligible for Medicare benefits. This allows state Medicaid programs to transfer some of the medical costs …
https://www.osc.ny.gov/state-agencies/audits/2017/03/01/medicaid-program-reducing-medicaid-costs-recipients-end-stage-renal-diseaseIV.4.C General State Charges – IV. Accounting Codes - Uses and Descriptions
… Account Title Description 60001 Accidental Death Benefits Payments for accidental death benefits pursuant to collective … Commuter Transportation District (MCTD). 60074 Pension Fund Contributions State's contribution to the employees’ retirement system pension accumulation fund, the police and fire retirement …
https://www.osc.ny.gov/state-agencies/gfo/chapter-iv/iv4c-general-state-chargesMedicaid Program – Excessive Medicaid Payments to Federally Qualified Health Centers for Group Therapy Services
… Purpose To determine if Medicaid reimbursement rates for group therapy services provided by … rates. With approval from the federal Centers for Medicare and Medicaid Services, the Department amended the … of Health: Overpayments for Services Also Covered by Medicare Part B (2012-S-27) Department of Health: Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2014/11/18/medicaid-program-excessive-medicaid-payments-federally-qualified-health-centers-group