Search
New York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up)
… ineligible members. Key Findings Civil Service and United have made significant progress in addressing the issues … has been recovered. In addition, Civil Service and United have implemented quarterly reconciliations of eligibility … the issuance of this follow-up to provide information on any actions that are planned to address the unresolved issues …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesNew York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members
… 1, 2014 through December 31, 2019. About the Program The New York State Health Insurance Program (NYSHIP) provides … and enrollment records for NYSHIP members in the New York Benefits Eligibility and Accounting System (NYBEAS). …
https://www.osc.ny.gov/state-agencies/audits/2021/09/29/new-york-state-health-insurance-program-payments-cvs-health-pharmacy-services-ineligibleDiNapoli: Federal Relief Funds Should Have Been Better Targeted to Communities Hardest Hit by COVID-19
… (see Figure 2), many of which are located in the regions hit hardest by COVID-19. DiNapoli’s report found that Nassau …
https://www.osc.ny.gov/press/releases/2020/09/dinapoli-federal-relief-funds-should-have-been-better-targeted-communities-hardest-hit-covid-19New York State Health Insurance Program – Payments by Empire BlueCross for Hospital Services for Ineligible Members
… paid about 6 million hospital claims totaling $13 billion. A coordinated effort is required by Civil Service, Empire, … on behalf of members who are retroactively disenrolled (i.e., when a member is disenrolled after the date their … period goes back to June 1, 2018). For contracts that do not include this retroactive disenrollment language, …
https://www.osc.ny.gov/state-agencies/audits/2020/08/18/new-york-state-health-insurance-program-payments-empire-bluecross-hospital-servicesLocal Sales Tax Collections Increase by 1.6 Percent in the First Quarter of 2024
Marks the Lowest Rate of Quarterly Year-Over-Year Growth in Three Years.
https://www.osc.ny.gov/files/local-government/publications/pdf/2024-sales-tax-first-quarter.pdfImproper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up) (2022-F-31)
To assess the extent of implementation of the nine recommendations included in our initial audit report, Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Report 2018-S-71).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22f31.pdfPrompt Contracting Information Provided by State Agencies (Percentage of Late Contracts) - 2022 Calendar Year
Additional Information and data supporting the 2022 Prompt Contracting Report
https://www.osc.ny.gov/files/state-agencies/contracts/2022/pdf/pcl-state-agency-data-A2-2022.pdfAccounting and Financial Reporting for Other Postemployment Benefits as Required by GASB Statement 75
This bulletin provides information regarding the accounting treatment for other post-employment benefits (OPEB) and guidance.
https://www.osc.ny.gov/files/local-government/publications/pdf/GASB-75-OPEB.pdfMedicaid Program - Overpayments for Therapy Services and Prescription Drugs Covered by Medicare (2016-S-73)
To determine if the Department of Health overpaid health care providers’ Medicaid claims for therapy services and prescription drugs that are covered by...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-16s73.pdfUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59 (Follow-Up) (2017-F-23)
To determine the implementation status of the three recommendations made in our audit report, UnitedHealthcare: Improper Payments for Medical Services...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2018-17f23.pdfLocal Sales Tax Collections Increase by 2.2 Percent in the Second Quarter of 2024
Marks the Second Straight Quarter of Modest Growth.
https://www.osc.ny.gov/files/local-government/publications/pdf/2024-sales-tax-second-quarter.pdfAIM and AIM-Related Payments and Payment Months by Municipality - December 2019 through May 2022
AIM and AIM-Related Payments and Payment Months by Municipality - December 2019 through May 2022
https://www.osc.ny.gov/files/local-government/data/excel/aim-and-aim-related-payments-and-payment-months.xlsxMedicaid Program - Improper Fee-for-Service Payments for Services Covered by Long-Term Care Plans (2018-S-65)
The objective of this audit was to determine whether the Department of Health (Department) made improper fee-for-service (FFS) payments for certain services...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-18s65.pdfPrompt Contracting Information Provided by State Agencies (Percentage of Late Contracts) - 2020 Calendar Year
Additional information and data supporting the 2020 Prompt Contracting Report.
https://www.osc.ny.gov/files/state-agencies/contracts/2020/pdf/pcl-state-agency-data-A2-2020.pdfImproper Fee-for-Service Payments for Services Covered by Managed Care (Follow-Up) (2020-F-8) 30-Day Response
To determine the extent of implementation of the six recommendations included in our initial audit report, Improper Fee-for-Service Payments for Services Covered by Managed Care (Report 2017-S-74).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20f8-response.pdfCost Reporting of Programs Operated by Gateway-Longview, Inc. (2012-S-17), SED 90-Day Response
To determine whether the costs reported by Gateway-Longview, Inc. (Gateway) to the State Education Department (SED), the Office of Children and Family Services
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-12s17-SED-response.pdfCost Reporting of Program Operated by Gateway-Longview, Inc. (2012-S-17), Gateway-Longview 90-Day Response
To determine whether the costs reported by Gateway-Longview, Inc. (Gateway) to the State Education Department (SED), the Office of Children and Family Services
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-12s17-Gateway-Longview-response.pdfReporting Deferred Inflows and Outflows of Resources as Required by GASB 63 and 65
Reporting Deferred Inflows and Outflows of Resources as Required by GASB 63 and 65
https://www.osc.ny.gov/files/local-government/publications/pdf/DeferredInflowsOutflowsGASB6365.pdfLocal Sales Tax Collections Increased by 1.4 Percent in the Third Quarter of 2024
Marks the lowest quarterly year-over-year increase following the pandemic-induced declines.
https://www.osc.ny.gov/files/local-government/publications/pdf/2024-sales-tax-third-quarter.pdfOpinion 2000-1
… of misconduct. This is in reply to your request for our opinion concerning the payment by a village of … As a rule, a municipality may not provide legal counsel for a municipal officer or employee who is charged with a … because the defense is considered additional remuneration for services rendered (see Corning , supra ; Security , supra …
https://www.osc.ny.gov/legal-opinions/opinion-2000-1