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Medicaid Program – Improper Medicaid Payments for Terminated Drugs
… made improper payments for drugs dispensed after their drug termination date. The audit covers the period July 1, … programs to reject these claims on the basis of the drug’s termination date (defined as either the expiration … date of the final batch produced or the date the drug was recalled for health and safety reasons). Pursuant to …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-improper-medicaid-payments-terminated-drugsAmerican Academy of Pediatrics, District II
… paid AAP approximately $1.5 million under these contracts for expenses related to various immunization initiatives. Key … to the Department 16 Standard Vouchers and 1 Claim for Payment (together referenced as “vouchers”) as “just, … and that the balance is actually due and owing” which our examination revealed to contain material false information …
https://www.osc.ny.gov/state-agencies/audits/2014/02/28/american-academy-pediatrics-district-iiMedicaid Program – Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care
… 29,289 fee-for-service pharmacy claims totaling $978,251 on behalf of 18,010 recipients whose pharmacy benefits were … paid 51 fee-for-service pharmacy claims totaling $1,736 on behalf of a recipient who was enrolled in a managed care …
https://www.osc.ny.gov/state-agencies/audits/2015/01/05/medicaid-program-improper-fee-service-payments-pharmacy-services-covered-managed-careImproper Payments Related to the Medicare Buy-In Program (Follow-Up)
… for the Medicare buy-in program total approximately $1.3 billion. Our initial audit report, which was issued on …
https://www.osc.ny.gov/state-agencies/audits/2014/11/18/improper-payments-related-medicare-buy-program-followOpinion 92-35
… be enforced by a proceeding brought pursuant to article 78 of the Civil Practice Law and Rules. Thus, section 995 …
https://www.osc.ny.gov/legal-opinions/opinion-92-35DiNapoli: Medicaid Audits Find Nearly $800 Million in Savings and Revenue
… concurrent comprehensive TPHI from Jan. 1, 2012 through Sept. 1, 2017. In a follow-up review, auditors found DOH made … payments. For instance, for the one-year period ended Sept. 30, 2019, DOH paid another $199 million in Medicaid …
https://www.osc.ny.gov/press/releases/2020/01/dinapoli-medicaid-audits-find-nearly-800-million-savings-and-revenueState Comptroller DiNapoli Releases Municipal & School Audits
… totaling nearly $2 million that consisted of 1,835 entries made during the audit period and determined: 1,759 entries lacked a duplicate press-numbered receipt which … whether deposits were made in a timely manner. Another 34 entries totaling approximately $50,000 did not have the …
https://www.osc.ny.gov/press/releases/2024/03/state-comptroller-dinapoli-releases-municipal-school-audits-1Medicaid 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 … pays managed care organizations (MCOs) a monthly premium for each enrolled Medicaid recipient, and the MCOs arrange for the provision of services their members require. As of …
https://www.osc.ny.gov/state-agencies/audits/2018/06/13/medicaid-program-managed-care-premium-payments-recipients-comprehensive-third-partyWithdrawing Your Contributions and/or Your Membership – State Police Plan
… with less than ten years of credited service, you may end your membership and withdraw your accumulated mandatory contributions (with 5 percent interest compounded annually). To withdraw your membership, you should apply no earlier than 15 days … Tier 2 5 and 6 members under Sections 381b Withdrawing Your Contributions andor Your Membership …
https://www.osc.ny.gov/retirement/publications/1518/withdrawing-your-contributions-andor-your-membershipMedicaid Program – Maximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program
… Objective To determine whether the Department of Health (Department) took appropriate steps to collect all available drug rebates under the federal Medicaid Drug Rebate Program (MDRP). The audit covered the period from … To determine whether the Department of Health took appropriate steps to collect …
https://www.osc.ny.gov/state-agencies/audits/2023/04/05/medicaid-program-maximizing-drug-rebates-under-federal-medicaid-drug-rebate-programApplication to Reinstate a Former Membership (RS5506)
To reinstate a former membership in a public retirement system in New York State, NYSLRS members use form RS5506.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5506.pdfMedicaid Program – Medicaid Claims Processing Activity October 1, 2014 Through March 31, 2015
… that were either billed at a higher level of care than what was actually provided or were billed with incorrect patient status codes; $590,405 in overpayments for claims …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-program-medicaid-claims-processing-activity-october-1-2014-through-march-31-2015Overpayments of Certain Medicare Crossover Claims
… are also eligible for Medicare, the federal health insurance program available to people 65 or more years-old, … of Health (Department) implemented the Medicare/ Medicaid claim crossover system. Under the system, providers submit … because eMedNY incorrectly interpreted certain crossover claim adjustment codes; and did not properly apply Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/overpayments-certain-medicare-crossover-claimsStart a Business and Get Licenses
… licenses or permits to conduct business in New York State. Here is a list of additional resources for you to use. New York State License Center The New York State …
https://www.osc.ny.gov/state-vendors/resources/start-business-and-get-licensesState Agencies Bulletin No. 2344
… Purpose: The purpose of this bulletin is to provide agency instructions for processing the April 2025 Longevity Payment for Long-Term Seasonal … The purpose of this bulletin is to provide agency instructions for …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2344-april-2025-longevity-payment-long-term-seasonal-employeesTown of Homer – Conflict of Interest (2022M-148)
… Town of Homer (Town) officials had prohibited interests in Town contracts. Key Findings One Board member is the … the Board member had a prohibited conflict of interest in the welding company’s contracts with the Town pursuant to … Adopt procedures to help prevent prohibited interests in contracts. Town officials generally agreed with our …
https://www.osc.ny.gov/local-government/audits/town/2022/12/23/town-homer-conflict-interest-2022m-148Tompkins County Industrial Development Agency – Project Approval and Monitoring (2021M-143)
… County Industrial Development Agency (TCIDA) Board of Directors (Board) evaluated projects prior to approval and subsequently monitored the performance of businesses that received financial benefits. Key Findings … is accurate. The Board did not ensure payments in lieu of taxes (PILOTs) were billed and paid in accordance with …
https://www.osc.ny.gov/local-government/audits/county/2021/12/17/tompkins-county-industrial-development-agency-project-approval-and-monitoringMedicaid Program – Medicaid Claims Processing Activity April 1, 2013 Through September 30, 2013
… Auditors identified over $5.6 million in inappropriate or questionable Medicaid payments, including: $1,822,467 in … for pharmacy claims that posed patient safety concerns or were not in compliance with regulations and policies … providers in the Medicaid program who were charged with or found guilty of crimes that violate health care programs’ …
https://www.osc.ny.gov/state-agencies/audits/2015/02/05/medicaid-program-medicaid-claims-processing-activity-april-1-2013-through-september-30-2013Medicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… of Health’s eMedNY system reasonably ensured that Medicaid claims were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to … Department of Health (Department) administers the State’s Medicaid program. The Department’s eMedNY computer system …
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
… of Health: Medicaid Claims Processing Activity October 1, 2010 through March 31, 2011 ( 2010-S-65 ) Department of Health: Medicaid Claims Processing Activity April 1, 2010 through September 30, 2010 (2010-S-15 ) Department of …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-program-medicaid-claims-processing-activity-april-1-2011-through-september-30-2011