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CUNY Bulletin No. CU-356
… participate in the New York State Health Insurance Plan (NYSHIP) administered by the New York State Department of …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-356-certain-cuny-employees-eligible-new-york-state-healthExcessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)
… Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Report 2009-S-64). Background Our initial … Medicaid recipients who also have health insurance through Medicare. During the four year audit period ended June 30, … to limit Medicaid payments in areas where Medicaid and Medicare programs overlap. The remaining $100 million in …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/excessive-medicaid-payments-services-recipients-receiving-medicare-benefits-followState Agencies Bulletin No. 982
… Stipend earnings that were subject to Social Security and Medicare tax withholdings beginning in 2006 through 2009 … Military Stipend earnings exempt from Social Security and Medicare taxes. OSC Actions OSC will identify and mail … forms will reduce the reported Social Security and Medicare wages by the value of the Military stipend amount …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/982-social-security-and-medicare-tax-refunds-and-corresponding-correctedDiNapoli: Audit Finds More Than $16 Million in Medicaid Cost Savings
… whose expenses could have been covered by the federal Medicare program, according to an audit released today by … stay alive. Medicaid recipients with ESRD are eligible for Medicare coverage if they receive regular dialysis treatments …
https://www.osc.ny.gov/press/releases/2017/07/dinapoli-audit-finds-more-16-million-medicaid-cost-savingsState Agencies Bulletin No. 914
… procedures regarding withholding of Social Security and Medicare taxes for employees receiving a military stipend. … as a military stipend is exempt from Social Security and Medicare taxes and must be reported on a Form 1099. The …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/914-change-taxation-military-stipendsUnited HealthCare – Overpayments for Services Provided by Long Island Bone and Joint, LLP
… Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and … The Empire Plan is the primary health benefits plan for NYSHIP, covering a range of services from inpatient hospital …
https://www.osc.ny.gov/state-agencies/audits/2017/03/01/united-healthcare-overpayments-services-provided-long-island-bone-and-joint-llpState Comptroller DiNapoli Releases Audits
… (2021-S-18) The New York State Health Insurance Program (NYSHIP), administered by Civil Service, provides health … The Empire Plan is the primary health insurance plan for NYSHIP, serving about 1.1 million members. Civil Service …
https://www.osc.ny.gov/press/releases/2022/06/state-comptroller-dinapoli-releases-auditsDiNapoli: State Medicaid Needs to Stop Paying Bills That Federally Funded Plans Should Cover
… health care plan, such as the Essential Plan or Medicare, should have paid. These shortcomings are … plans. Medicaid Paying Costs That Should Be Covered By Medicare Most individuals receiving Medicaid are required to apply for federally-funded Medicare at age 65. Under DOH’s supervision, local …
https://www.osc.ny.gov/press/releases/2023/09/dinapoli-state-medicaid-needs-stop-paying-bills-federally-funded-plans-should-coverState Agencies Bulletin No. 1682
… how OSC will handle current year Social Security and/or Medicare (FICA) tax deficiencies for inactive employees … Employees Employees who incurred a Social Security and/or Medicare tax deficiency and have since left the New York …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1682-current-year-social-security-andor-medicare-tax-deficiencies-and-impactState Agencies Bulletin No. 952
… of the automatic processing of Social Security and Medicare tax withholding refunds related to Military Stipend … Military Stipend earnings exempt from Social Security and Medicare taxes. OSC will automatically issue refunds for …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/952-refund-social-security-and-medicare-tax-withholdings-related-militaryMadrid-Waddington Central School District - Claims Audit Process (2019M-1)
… two claims totaling $251,601 for health insurance and Medicare reimbursement. In addition, two claims totaling … approve any of the District’s health insurance claims and Medicare reimbursement payments, which totaled $3.5 million. … Ensure that all claims for health insurance, Medicare reimbursements and scholarship payments are …
https://www.osc.ny.gov/local-government/audits/school-district/2019/03/08/madrid-waddington-central-school-district-claims-audit-process-2019m-1Empire BlueCross BlueShield Selected Payments for Special Items for the Period January 1, 2011 Through March 31, 2011
… Background The New York State Health Insurance Program (NYSHIP) provides health coverage to active and retired State, …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2011-throughNew York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members (Follow-Up)
… the Program The New York State Health Insurance Program (NYSHIP), administered by the Department of Civil Service …
https://www.osc.ny.gov/state-agencies/audits/2023/01/04/new-york-state-health-insurance-program-payments-cvs-health-pharmacy-services-ineligibleState Agencies Bulletin No. 964
… a decrease in the reported wages and Social Security and Medicare taxes Effective Date(s) Immediately Background Previously, refunds of Social Security and Medicare taxes were remitted to employees as soon as the OSC … will no longer immediately issue the Social Security and Medicare tax refund when the C8EMP form is processed. OSC …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/964-procedure-change-prior-year-ssmed-tax-refundsCUNY Bulletin No. CU-531
… new flat rate deduction codes that will be used to recover Medicare and Social Security tax deficiencies for City … (CUNY) employees. Affected Employees CUNY employees with Medicare and/or Social Security deficiency Effective Date(s) …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-531-new-deduction-codes-580-city-university-new-york-medicareOpinion 97-2
… in a municipal cooperative health benefit plan for Part B Medicare premiums paid by the former school board member. … school district's local health insurance plan for Part B Medicare insurance premiums paid by the former school board …
https://www.osc.ny.gov/legal-opinions/opinion-97-2NYSHIP: Payments by Empire BlueCross for Hospital Services for Ineligible Members (2019-S-32)
To determine whether Empire BlueCross paid hospital claims for members who were not eligible. The audit covered the period January 1, 2014 through December...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-19s32.pdfState Agencies Bulletin No. 1364
… are receiving a prior year refund of Social Security and Medicare taxes for any reason, including Workers’ … refund on the employee’s portion of Social Security and/or Medicare taxes. This form also certifies that the employee …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1364-new-procedure-reporting-prior-year-social-security-and-medicare-taxState Agencies Bulletin No. 732
… agencies of the new Deduction Code 502 (Social Security/Medicare Deficiency) that will be used to recover Social Security and/or Medicare tax deficiencies. Affected Employees Employees who …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/732-new-deduction-code-502-social-securitymedicare-deficiencyMedicaid Program – Medicare Part D Clawback Payments
… whether the Department of Health (Department) overpaid the Medicare Part D prescription drug phased-down state … program. Effective January 1, 2006, pursuant to the Medicare Prescription Drug, Improvement, and Modernization …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/medicaid-program-medicare-part-d-clawback-payments