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Medicaid Program – Appropriateness of Medicaid Eligibility Determined by the New York State of Health System
… to ensure accurate enrollments in the Medicaid program and to determine whether improper enrollments caused Medicaid … York State of Health (NYSOH) as a new online marketplace for individuals to obtain health insurance coverage, including Medicaid. Individuals who apply for public assistance benefits, including Medicaid, are …
https://www.osc.ny.gov/state-agencies/audits/2015/10/28/medicaid-program-appropriateness-medicaid-eligibility-determined-new-york-state-healthDiNapoli: Local Sales Tax Collections Grew by Over 14% in February Compared to Last Year
… reported sales by vendors. The next quarterly numbers (for January to March) will be available in April. Table …
https://www.osc.ny.gov/press/releases/2023/03/dinapoli-local-sales-tax-collections-grew-over-14-february-compared-last-yearDiNapoli: State Tax Receipts Through First Half of Fiscal Year Exceed Projections by $2.4 Billion
… which was $4.4 billion, or 4.8%, higher than last year for the same period. All Funds spending through September was … primarily due to lower than anticipated spending for local assistance payments. The State’s General Fund ended …
https://www.osc.ny.gov/press/releases/2022/10/dinapoli-state-tax-receipts-through-first-half-fiscal-year-exceed-projections-2-point-4-billionEmpire BlueCross – Improper Payments for Special Items Billed by Hospitals Within Long Island Health Network
… and, if not, whether Empire BlueCross made overpayments on any of those claims. The audit covered the period January … Recover the remaining $3,335,221 out of $3,597,688 in special item claim overpayments. Develop a corrective … with LIHN hospitals to prevent these errors from occurring in the future. … To determine whether Empire BlueCross paid …
https://www.osc.ny.gov/state-agencies/audits/2019/11/29/empire-bluecross-improper-payments-special-items-billed-hospitals-within-long-island-health2021 Local Sales Taxes Grew by Over 19 Percent; Exceeded Pre-Pandemic Levels
The report examines the many factors that drove sales tax growth in 2021, including inflation, along with the difference in sales tax recovery between New York City and the rest of the State.
https://www.osc.ny.gov/files/local-government/publications/pdf/2021-local-sales-taxes-grew-by-over-19-percent-exceeded-pre-pandemic-levels.pdfLong Island Rail Road: On-Time Performance by the Numbers (2017) - March 2018
In 2017, the Long Island Rail Road (LIRR) had its worst on-time performance in 18 years.
https://www.osc.ny.gov/files/reports/osdc/pdf/report-12-2018.pdfAccuracy of Medicaid Eligibility Determined by NY State of Health (2019-S-43)
To determine whether NY State of Health properly sent accurate, complete, and timely Medicaid eligibility and and enrollment information to eMedNY ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-19s43.pdfPCL -Contracting Information Provided by State Agencies (Percentage of Late Contracts), 2018
Contracting Information Provided by State Agencies (Percentage of late Contracts), 2018
https://www.osc.ny.gov/files/state-agencies/contracts/pdf/pcl-state-agency-data-A-2.pdfImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up) (2016-F-5)
We have followed up on the actions taken by officials of the Department of Health (Department) to implement the recommendations contained in our audit report,
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2016-16f5.pdfMedicaid Program - Overpayments for Services Also Covered by Medicare Part B (2012-S-27)
To determine if the Department of Health overpaid health care providers for Medicaid claims for Medicare Part B coinsurance.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2012-12s27.pdfOverview of Online Resources Provided by the Office of the State Comptroller
Print out presentation prior to live webinar to follow along and take notes.
https://www.osc.ny.gov/files/local-government/academy/pdf/overview-online-resources-10-23-19.pdfDiNapoli: Independent Review Finds State Pension Fund Strong, but Warns of Risks Posed by Limited Staffing
… taking office, I have sought to establish our state’s pension fund as a leader in transparency, ethics and … “Our staff has helped build one of the nation’s strongest pension funds, but only with competitive compensation and … levels are in the bottom quartile for similar public pension funds. There is justifiable concern that current …
https://www.osc.ny.gov/press/releases/2016/07/dinapoli-independent-review-finds-state-pension-fund-strong-warns-risks-posed-limited-staffingPractices Used by the Transit Adjudication Bureau to Collect and Account for Fines and Fees (Follow-Up)
… by the Transit Adjudication Bureau to Collect and Account for Fines and Fees (Report 2015-S-33 ). Background The … (TAB) is an administrative tribunal that provides a forum for processing and adjudicating summonses for violations of New York City Transit (Transit) Rules of …
https://www.osc.ny.gov/state-agencies/audits/2019/03/07/practices-used-transit-adjudication-bureau-collect-and-account-fines-and-fees-followOffice of the State Comptroller Response to Report Issued Today by the Department of Financial Services
… Services seems more interested in playing political games, so remains unaware of actions taken by what is one of …
https://www.osc.ny.gov/press/releases/2016/10/office-state-comptroller-response-report-issued-today-department-financial-servicesDiNapoli: Weak Monitoring of Financial Reporting by NYC Housing Provider Led to Overbilling of $1 Million
… of supportive housing for the City’s Dept. of Health and Mental Hygiene (DOHMH) overbilled the agency by $1 … DiNapoli. DOHMH’s weak oversight of the Center for Urban and Community Services (CUCS) made the overpayments possible and raises concerns about potential overpayments to other …
https://www.osc.ny.gov/press/releases/2016/02/dinapoli-weak-monitoring-financial-reporting-nyc-housing-provider-led-overbilling-1-millionNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up)
… covered the period January 1, 2014 through December 31, 2019. We identified $5.7 million that was paid for …
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
… to perform periodic reconciliations, and establish or strengthen additional controls as needed, to prevent …
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
… State Comptroller Thomas P. DiNapoli today said the $150 … of being based on the most recent U.S. Census Bureau population data. DiNapoli released an analysis that found the … at the time the aid was given have not. “The formula used by the federal government to distribute the coronavirus …
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
… To determine whether Empire BlueCross paid hospital claims for members who were not eligible. The audit covered the … records; however, Civil Service is ultimately responsible for ensuring these groups fulfill their duties. Civil Service … and Accounting System (NYBEAS) as the system of record for member enrollment and eligibility information, and …
https://www.osc.ny.gov/state-agencies/audits/2020/08/18/new-york-state-health-insurance-program-payments-empire-bluecross-hospital-servicesOpinion 2000-1
… subsequent court cases or statutory amendments that bear on the issues discussed in the opinion. CLAIMS -- Payment (of … of misconduct. This is in reply to your request for our opinion concerning the payment by a village of … officers were represented by attorneys whom they retained on their own. The police officers did not ask the village to …
https://www.osc.ny.gov/legal-opinions/opinion-2000-1