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Medicaid Program: Excessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans
To determine whether Medicaid overpaid Mainstream Managed Care and Health and Recovery Plan premiums on behalf of dual-eligible individuals.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21s37-response.pdfDiNapoli: Preschool Special Education Provider Received Nearly $6 Million for Ineligible Expenses
… and that it provided insufficient documentation. Read the report , or go to: …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-preschool-special-education-provider-received-nearly-6-million-ineligible-expensesMedicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims
… treatment and recovery. Generally, outpatient services are medical procedures that can be performed in the same day. … for calculating the reimbursement. Outpatient services are typically reimbursed using rate codes, and each service … could trigger a separate payment. Outpatient services are generally less expensive than inpatient treatments …
https://www.osc.ny.gov/state-agencies/audits/2023/08/30/medicaid-program-improper-medicaid-payments-outpatient-services-billed-inpatient-claimsSt. Regis Falls Central School District – Medicaid Reimbursements (2021M-106)
… would have realized revenues totaling $11,530, 50 percent of the reimbursement. Key Recommendations Establish …
https://www.osc.ny.gov/local-government/audits/school-district/2021/09/17/st-regis-falls-central-school-district-medicaid-reimbursements-2021m-106West Ghent Volunteer Fire Company – Treasurer’s Activities (2016M-48)
… Purpose of Audit The purpose of our audit was to evaluate controls over the Treasurer’s … Findings The Company did not require multiple signatures when withdrawing funds from its bank accounts. The Board did …
https://www.osc.ny.gov/local-government/audits/fire-company-or-department/2017/11/03/west-ghent-volunteer-fire-company-treasurers-activities-2016mMedicaid Program - Medicaid Payments to Medicare Advantage Plan Providers (2016-S-54) 90-Day Response
To determine whether Medicaid inappropriately paid for recipients’ Medicare Part C cost-sharing liabilities.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2018-16s54-response.pdfMedicaid Program - Medicaid Payments to Medicare Advantage Plan Providers (2016-S-54)
To determine whether Medicaid inappropriately paid for recipients’ Medicare Part C cost-sharing liabilities.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2018-16s54.pdfOpinion 92-51
… only as authorized by statute (see Grossman v Herkimer County IDA , 60 AD2d 172, 400 NYS2d 623), these conclusions …
https://www.osc.ny.gov/legal-opinions/opinion-92-51State Agencies Bulletin No. 1121
… New York State, New York City and Yonkers withholding tax tables have been revised for 2012. Please refer to the … information. NYS-50-T-NYS New York State Withholding Tax Tables and Methods NYS-50-T-NYC New York City Withholding Tax Tables and Methods NYS-50-T-Y Yonkers Withholding Tax Tables …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1121-summary-tax-related-withholding-requirements-2012DiNapoli: Audit Cites East Clinton Fire District For Improper Gifts
… working more than 11 hours a day, seven days a week, every week, for 16 months. The Comptroller’s audit also revealed: …
https://www.osc.ny.gov/press/releases/2014/02/dinapoli-audit-cites-east-clinton-fire-district-improper-giftsState Agencies Bulletin No. 1784
… Program or received reimbursement from the Empire Star Public Service Award program are impacted by this bulletin. … the taxability upon enrollment in the program. Empire Star Public Service Award Empire Star Public Service Award recipients are informed of the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1784-certification-licensure-and-exam-fee-reimbursement-clefr-2019Examination of Pitts Management Associates, Inc. Travel Expenses
… Purpose The objective of our examination was to determine whether the travel expenses claimed for reimbursement by Pitts Management Associates, Inc. (PMA) were incurred for business … expenses. The initial contract, which was approved by the Office of the State Comptroller, required PMA to use …
https://www.osc.ny.gov/state-agencies/audits/2016/08/08/examination-pitts-management-associates-inc-travel-expensesMill Neck Manor School for the Deaf – Compliance With the Reimbursable Cost Manual
… Education Law, providers, such as the Mill Neck School, are reimbursed by the State Education Department (SED) based … billed SED $7,688 for accrued vacation expenses which are not reimbursable until they are actually paid. We identified $89,500 in inappropriate …
https://www.osc.ny.gov/state-agencies/audits/2013/03/14/mill-neck-manor-school-deaf-compliance-reimbursable-cost-manualDiNapoli: State Pays Drug Treatment Center Nearly $4 Million for Ineligible Expenses
… revealed that millions of dollars were claimed and spent on ineligible costs. Officials from the Office of Alcoholism … must recoup this money, which should have been used for cost-effective addiction services to New Yorkers.” OASAS, which oversees one of the nation’s largest programs for the prevention and treatment of alcohol and substance …
https://www.osc.ny.gov/press/releases/2019/01/dinapoli-state-pays-drug-treatment-center-nearly-4-million-ineligible-expensesMinisink Valley Central School District – Medicaid Reimbursements (2022M-80)
… would have realized revenues totaling $93,966 (50 percent of the Medicaid reimbursements). Between July 1, 2020 and … However, officials did not provide the vendor with all of the documentation needed for the vendor to properly file …
https://www.osc.ny.gov/local-government/audits/school-district/2022/08/19/minisink-valley-central-school-district-medicaid-reimbursements-2022m-80Annual Report on Revenues and Expenditures of Foreign Fire Insurance Premiums
Annual Report on Revenues and Expenditures of Foreign Fire Insurance Premiums
https://www.osc.ny.gov/files/local-government/required-reporting/pdf/foreign-fire-insurance-premiums-annual-report.pdfRichland Fire District – Board Oversight (2016M-374)
… Purpose of Audit The purpose of our audit was to examine internal controls over District … fire department. The District, which is governed by an elected five-member Board of Fire Commissioners, …
https://www.osc.ny.gov/local-government/audits/fire-district/2017/01/27/richland-fire-district-board-oversight-2016m-374Opinion 97-16
… of compensation) -- Powers and Duties (audit of claim for compensation submitted by assigned counsel) CLAIMS -- Audit (by county of claim for compensation by assigned counsel in amount fixed by court) -- Payment (without audit of claim for compensation fixed by court) COUNTY LAW, §§722, 722-b, …
https://www.osc.ny.gov/legal-opinions/opinion-97-16XIII.1 Employee Expense Reimbursement Overview – XIII. Employee Expense Reimbursement
… This chapter provides an overview of reimbursable expenses to State employees. Most employee expenses will be reimbursed … expenses are reimbursed via payroll. Tuition reimbursement to a State employee will be processed by the Governor’s … voucher in the Accounts Payable module of the SFS. Refer to the sections within Chapter XII – Expenditures of this …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiii/xiii1-employee-expense-reimbursement-overviewLakeview Public Library – Tuition Reimbursement and Procurement (2014M-104)
… Board’s control over tuition reimbursement and procurement for the period January 1, 2012 through October 31, 2013. … a five-member Board of Trustees. Budgeted appropriations for 2013 totaled approximately $1.3 million. Key Findings The … policy to solicit competition before awarding contracts for professional services. … Lakeview Public Library Tuition …
https://www.osc.ny.gov/local-government/audits/library/2014/07/18/lakeview-public-library-tuition-reimbursement-and-procurement-2014m-104