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Medicaid Overpayments for Certain Medicare Part C Claims (Follow-Up)
… C Claims (Report 2013-S-35). Background Medicaid provides health care services to those who are economically disadvantaged and/or have special health care needs. Many of the State’s Medicaid recipients … are also enrolled in Medicare, the federal health insurance program for the elderly and disabled. Under …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/medicaid-overpayments-certain-medicare-part-c-claims-followState Agencies Bulletin No. 502
… whose degree of disability, as determined by the State Insurance Fund (SIF), is more than 50% and the statutory … the Monitor Workplace path ( Monitor Workplace/Monitor Health/Safety (GBL)/Use/Incident Details ), the agency must … and Fingerprint Fees Repayment of State Loans State Health Insurance Adjustments State Health Insurance Repayment …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/502-eligibility-and-processing-instructions-workers-compensationState Contract and Payment Actions in August
… services for the Empire, Excelsior and Student Employee health plans. $35.4 million to Beacon Health Options Inc. for benefit services for the Mental … for assistance with the Health Benefit Exchange, including insurance enrollment and call center operations. $10.6 …
https://www.osc.ny.gov/press/releases/2021/09/state-contract-and-payment-actions-augustState Comptroller DiNapoli Releases Audits
… been issued. Department of Civil Service: New York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members …
https://www.osc.ny.gov/press/releases/2021/10/state-comptroller-dinapoli-releases-auditsAssessment and Collection of Selected Penalties
… penalties. Background The Workers' Compensation Law allows health care providers, which have provided services to WCB … claimants, to notify WCB in writing when the claimant's insurance carrier fails to pay or notify them within 45 days … including referral to the Attorney General and State Insurance Department. Adjust accounts receivable and other …
https://www.osc.ny.gov/state-agencies/audits/2013/09/24/assessment-and-collection-selected-penaltiesState Contract and Payment Actions in June
… at the Empire State Plaza in Albany County. Department of Health $24.6 million with KPMG LLP for Health Care Reform Act performance audits. $4.1 million with … for assistance with the Health Benefit Exchange, including insurance enrollment and call center operations. Department …
https://www.osc.ny.gov/press/releases/2022/07/state-contract-and-payment-actions-juneAppropriateness of Medicaid Eligibility Determined by the New York State of Health System (Follow-Up)
… Medicaid Eligibility Determined by the New York State of Health System (Report 2014-S-4 ). Background The Department … a new online marketplace for individuals to obtain health insurance coverage, including Medicaid. Individuals who apply …
https://www.osc.ny.gov/state-agencies/audits/2017/12/07/appropriateness-medicaid-eligibility-determined-new-york-state-health-system-followMedicaid Program – Suspicious and Fraudulent Medicaid Payments to Affiliated Brooklyn Dentists
… 8, 2011. Background The State's Medicaid program provides health insurance to individuals who are economically disadvantaged and/or have special health care needs. For dental care, the State's Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2013/04/04/medicaid-program-suspicious-and-fraudulent-medicaid-payments-affiliated-brooklyn-dentistsNew York State Health Insurance Program – UnitedHealthcare: Improper Payments for Acupuncture and Acupuncture-Related Services (2020-S-7)
To determine whether UnitedHealthcare Insurance Company of New York appropriately reimbursed acupuncture and acupuncture-related services.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-20s7.pdfState Contract and Payment Actions in May
… to assist the New York State Assembly with preparation and discovery related to a trial in U.S. District Court in the …
https://www.osc.ny.gov/press/releases/2018/06/state-contract-and-payment-actions-mayState Contract and Payment Actions in August
… Peekskill Armory in Westchester County. Department of Health $170 million with Opad Media Solutions LLC for media … Department of Civil Service $382.6 million to CaremarkPCS Health LLC to provide pharmacy benefit services for the … for assistance with the Health Benefit Exchange, including insurance enrollment and call center operations. Division of …
https://www.osc.ny.gov/press/releases/2023/09/state-contract-and-payment-actions-augustState Contract and Payment Actions in October
… Book New York . Major Contracts Approved Department of Health $28.5 million with New York State Technology … Department of Civil Service $452.3 million to CaremarkPCS Health LLC to provide pharmacy benefit services for the … for enrollment broker services for the Office of Health Insurance Programs. $12.2 million to One Brooklyn Health …
https://www.osc.ny.gov/press/releases/2024/12/state-contract-and-payment-actions-octoberSolvay Union Free School District – Payroll (2017M-257)
… matching contributions and in the employee-paid portion of health and dental insurance premiums. Key Recommendations Implement review …
https://www.osc.ny.gov/local-government/audits/school-district/2018/02/02/solvay-union-free-school-district-payroll-2017m-257Spencer-Van Etten Central School District – Financial Condition (2014M-233)
… reduced staffing, paid down debts and sought lower-cost health insurance. Key Recommendations There are no recommendations …
https://www.osc.ny.gov/local-government/audits/school-district/2014/10/24/spencer-van-etten-central-school-district-financial-condition-2014m-233Comptroller DiNapoli Releases State Audits
… and four have not been implemented. New York State Health Insurance Program, Selected Payments for Special Items for … BlueCross and BlueShield) (2013-S-28) The New York State Health Insurance Program (NYSHIP) provides health coverage to …
https://www.osc.ny.gov/press/releases/2014/02/comptroller-dinapoli-releases-state-auditsDiNapoli: New York City's Financial Outlook Improving
… cost savings and reports that it is on track to reach its health insurance cost-saving targets for fiscal years (FY) 2015 and … an agreement with municipal unions to reduce the cost of health insurance by $3.4 billion through FY 2018, of which …
https://www.osc.ny.gov/press/releases/2014/12/dinapoli-new-york-citys-financial-outlook-improvingDiNapoli Seeks Stronger Federal Safety Measures for Oil Trains to Protect New Yorkers
… railways and require oil transporters to carry sufficient insurance to cover cleanup costs and other liabilities … Fund, capped at $40 million, was created to protect public health and the environment by providing quick access to funds … DiNapoli for advocating for measures to protect public health and hold industry accountable.” “Riverkeeper welcomes …
https://www.osc.ny.gov/press/releases/2016/04/dinapoli-seeks-stronger-federal-safety-measures-oil-trains-protect-new-yorkersState Contract and Payment Actions in June
… Conservation locations statewide. Office of Mental Health $2.1 million with Bayside Refrigeration Inc. for … services for the Empire, Excelsior and Student Employee Health plans. $28.7 million to Beacon Health Options Inc. for … Department of Labor $13.5 billion for Unemployment Insurance, Pandemic Unemployment Assistance and Federal …
https://www.osc.ny.gov/press/releases/2020/07/state-contract-and-payment-actions-juneState Contract and Payment Actions in September
… at Upstate Medical University. $3 million with Cerner Health Services Inc. for maintenance and support services of Eagle 2000 software at Downstate Health Sciences University. $2.3 million with Southeast … for assistance with the Health Benefit Exchange, including insurance enrollment and call center operations. $12.9 …
https://www.osc.ny.gov/press/releases/2021/11/state-contract-and-payment-actions-septemberState Comptroller DiNapoli Releases Audits
… implement one. Department of Civil Service: New York State Health Insurance Program: CVS Health – Accuracy of Drug Rebate Revenue Remitted to the …
https://www.osc.ny.gov/press/releases/2021/01/state-comptroller-dinapoli-releases-audits