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Medicaid Program – Mainstream Managed Care Organizations: Administrative Costs Used in Premium Rate Setting
… is appropriately applying the administrative costs in determining mainstream managed care premium rates. Our … had approximately 7.1 million enrollees and Medicaid claim costs totaled about $53 billion. Most of the State’s … pharmacy benefits, and many others. Of the $53 billion in Medicaid costs, MCOs received $17.8 billion in mainstream …
https://www.osc.ny.gov/state-agencies/audits/2016/10/13/medicaid-program-mainstream-managed-care-organizations-administrative-costs-used-premiumMedicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… not properly factor Medicare coverage or a lower level of care into the payment; $682,022 in overpayments for pharmacy … billings and hospital, clinic, transportation, and eye care services. By the end of the audit fieldwork, auditors …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014Medicaid Program – Medicaid Claims Processing Activity April 1, 2011 Through September 30, 2011
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … recover the inappropriate Medicaid payments and to improve claim processing controls. Other Related Audits/Reports of …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-program-medicaid-claims-processing-activity-april-1-2011-through-september-30-2011Medicaid Program – Medicaid Claims Processing Activity April 1, 2013 Through September 30, 2013
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … 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-30-2013State Agencies Bulletin No. 931
… employee Social Security numbers and names in the NYS payroll system with the Social Security Administration … name and Social Security number on their employees’ Form W-2. This requirement also applies to resident and … Offices reconcile Social Security numbers and names in the NYS payroll system with the Social Security Administration …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/931-verification-employee-social-security-numbers-and-names-be-reportedDiNapoli: Central NY Village Official Stole More Than $100K
… and investigation by his office revealed a former official of the now-dissolved village of Altmar in Oswego County stole more than $117,000 in public funds. The New York State Police yesterday arrested …
https://www.osc.ny.gov/press/releases/2014/03/dinapoli-central-ny-village-official-stole-more-100kFor-Profit Construction Questionnaire (CCA-2)
… online – it’s fast and easy Don’t spend extra time printing, filling out, and mailing a paper form. Use our free … future bids. Update your questionnaire at any time. View the status of your contract review. Delegate user roles to employees. FILE ONLINE Not ready to file electronically? For-Profit Construction …
https://www.osc.ny.gov/state-vendors/vendrep/profit-construction-questionnaire-cca-2Not-for-Profit Construction Questionnaire
… online – it’s fast and easy Don’t spend extra time printing, filling out, and mailing a paper form. Use our free … all future bids Update your questionnaire at any time View the status of your contract review Delegate user roles to employees FILE ONLINE Not ready to file electronically? Not-for-Profit Construction …
https://www.osc.ny.gov/state-vendors/vendrep/not-profit-construction-questionnaireNot-for-Profit Non-Construction Questionnaire
… or update your questionnaire form right away. Benefits of filing online Complete only one questionnaire for all future bids Update your questionnaire at any time View the status of your contract review Delegate user roles to employees FILE …
https://www.osc.ny.gov/state-vendors/vendrep/not-profit-non-construction-questionnaireFor-Profit Non-Construction Questionnaire
… or update your questionnaire form right away. Benefits of filing online Complete only one questionnaire for all future bids Update your questionnaire at any time View the status of your contract review Delegate user roles to employees FILE …
https://www.osc.ny.gov/state-vendors/vendrep/profit-non-construction-questionnaireSafety at Stations (Follow-Up)
… of implementation of the two recommendations included in our initial report, Safety at Stations (Report 2016-S-91 ). About the Program Staten Island Railway (SIR) is a subsidiary of the Metropolitan …
https://www.osc.ny.gov/state-agencies/audits/2020/01/06/safety-stations-followFranklin Square Public Library - Claims Audit (2018M-48)
… Library officials generally agreed with our recommendation and indicated they planned to initiate corrective action. … …
https://www.osc.ny.gov/local-government/audits/library/2018/08/24/franklin-square-public-library-claims-audit-2018m-48State Agencies Bulletin No. 1852
… This bulletin is superseded by Payroll Bulletin 1852.1. Purpose The purpose of this bulletin is to inform agencies … This income is reportable on the employee’s Form W-2 and is subject to income and employment taxes. Effective … chauffeur services for the period November 1, 2019 through October 31, 2020 as income on the employee’s …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1852-procedures-reporting-taxable-value-personal-use-employer-providedAccounts Payable Advisory No. 48
… efficiencies for the State. Also, in the event of unclaimed funds, a standard name format increases the likelihood of …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/48-paying-single-payment-vendorTown of Patterson - Recycling Center Cash Receipts (2019M-237)
… supported, recorded and remitted timely and intact (in the same form and amount as received). Key Findings Cash receipts were not remitted timely and intact, resulting in discrepancies with 44 of 76 remittances (58 percent) to …
https://www.osc.ny.gov/local-government/audits/town/2020/03/20/town-patterson-recycling-center-cash-receipts-2019m-237Overpayments of Hospitals’ Claims for Lengthy Acute Care Admissions (Follow-Up)
… extent of implementation of the three recommendations made in our audit report, Overpayments of Hospitals’ Claims for … hospitals must indicate a patient’s “level of care” on a claim to ensure accurate processing and payment. Certain … which was issued on July 25, 2013, identified $7.8 million in Medicaid overpayments. The overpayments occurred primarily …
https://www.osc.ny.gov/state-agencies/audits/2015/07/07/overpayments-hospitals-claims-lengthy-acute-care-admissions-followLetter of Authorization and Fee Agreement
All Location Service Providers must submit claims by mail. You’ll need to provide an agreement that is signed by the owner and witnessed and acknowledged by a n
https://www.osc.ny.gov/files/unclaimed-funds/claimants/pdf/authorization-fee-agreement.pdfMedicaid Program – Improper Payments for Drugs Without a Federal Drug Rebate Agreement
… Program The Department of Health (Department) administers New York’s Medicaid program. The Medicaid Drug Rebate Program …
https://www.osc.ny.gov/state-agencies/audits/2024/02/23/medicaid-program-improper-payments-drugs-without-federal-drug-rebate-agreementState Agencies Bulletin No. 1528
… Purpose To explain why the Retirement Plan check box in Box 13 of Form W-2 must be checked for most employees and left … – applicable only to employees of SUNY, CUNY and the NYS Education Department. *IRS Publication 590A - Individual …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1528-retirement-plan-checkbox-form-w-2-wage-and-tax-statement-calendar-yearState Agencies Bulletin No. 1441
… Purpose To explain why the Retirement Plan check box in Box 13 of Form W-2, must be checked for most employees and left … – applicable only to employees of SUNY, CUNY and the NYS Education Department. *IRS Publication 590A - Individual …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1441-retirement-plan-checkbox-form-w-2-wage-and-tax-statement-calendar-year