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An Analysis of Reasonable and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in the New York State Health Insurance Program
… The New York State Health Insurance Program (NYSHIP), administered by the State … medical/surgical, hospital, prescription drugs, and mental health and substance abuse services. Civil Service …
https://www.osc.ny.gov/state-agencies/audits/2020/04/01/analysis-reasonable-and-customary-out-network-reimbursement-rates-medicalsurgical-servicesOpinion 92-39
… of both landowners and tenants in the availability of public water facilities and the fact that costs of the … of general governmental authority or provision of general public services. It further noted that the costs of the …
https://www.osc.ny.gov/legal-opinions/opinion-92-39Opinion 95-10
… Laws of NY, Book 1, Statutes §94). Since section 291 does not define the word "around" and there is no evidence … care and fencing" of the cemetery. Since section 291 does not specify that the fencing must be "around" or … in a town of the second class. Since subdivision 3 does not specify the type of improvements, it is our opinion …
https://www.osc.ny.gov/legal-opinions/opinion-95-10Medicaid Program – Claims Processing Activity October 1, 2022 Through March 31, 2023
… Objective To determine whether the Department of Health’s eMedNY system reasonably ensured … and resulted in correct payments to providers. The audit covered the period October 2022 through March 2023, and certain …
https://www.osc.ny.gov/state-agencies/audits/2023/10/25/medicaid-program-claims-processing-activity-october-1-2022-through-march-31-2023Medicaid Program – Claims Processing Activity April 1, 2022 Through September 30, 2022
… Objective To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … back to January 2022. About the Program The Department of Health (Department) administers the State’s Medicaid program. … six providers were under the Office of the Medicaid Inspector General’s review. Key Recommendations We made eight …
https://www.osc.ny.gov/state-agencies/audits/2023/05/11/medicaid-program-claims-processing-activity-april-1-2022-through-september-30-2022DiNapoli Announces Fiscal Stress Scores
… municipalities (excluding New York City) twice a year. The latest round of scores announced today identified 19 local … the uncertainties created by the pandemic.” In this latest round, the city of Poughkeepsie (fiscal stress score …
https://www.osc.ny.gov/press/releases/2021/09/dinapoli-announces-fiscal-stress-scoresDiNapoli: Central NY Village Official Stole More Than $100K
… County stole more than $117,000 in public funds. The New York State Police yesterday arrested Margaret Bailey and … encourages the public to help fight fraud and abuse. New Yorkers can report allegations of fraud involving …
https://www.osc.ny.gov/press/releases/2014/03/dinapoli-central-ny-village-official-stole-more-100kDiNapoli Report Spotlights New York's Veterans
… Nearly three-quarters of the approximately 890,000 veterans living in New York … P. DiNapoli. “New York is home to nearly 900,000 men and women who have served bravely to safeguard our freedom,” … state pension fund partnered with the New York Business Development Corporation (NYBDC) Partnership to create a $5 …
https://www.osc.ny.gov/press/releases/2015/11/dinapoli-report-spotlights-new-yorks-veteransMedicaid Program – Claims Processing Activity April 1, 2023 Through September 30, 2023
… Objective To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … back to January 2022. About the Program The Department of Health (DOH) administers the State’s Medicaid program. DOH’s … payments, as follows: $9.3 million was paid for managed care premiums on behalf of Medicaid recipients who had other …
https://www.osc.ny.gov/state-agencies/audits/2024/04/24/medicaid-program-claims-processing-activity-april-1-2023-through-september-30-2023Medicaid Program – Claims Processing Activity October 1, 2023 Through March 31, 2024
… Objective To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … warranted follow-up. About the Program The Department of Health (DOH) administers the State’s Medicaid program. DOH’s … payments, as follows: $11.8 million was paid for managed care premiums on behalf of Medicaid recipients who should not …
https://www.osc.ny.gov/state-agencies/audits/2025/02/06/medicaid-program-claims-processing-activity-october-1-2023-through-march-31-2024Medicaid Program – Claims Processing Activity April 1, 2024 Through September 30, 2024
… Objective To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … back to January 2022. About the Program The Department of Health (DOH) administers the State’s Medicaid program. … 249 million claims, resulting in payments to providers of nearly $50.6 billion. The claims are processed and paid in …
https://www.osc.ny.gov/state-agencies/audits/2025/06/18/medicaid-program-claims-processing-activity-april-1-2024-through-september-30-2024MWBE Report 2020-2021 Fiscal Year
In the 2020-21 fiscal year, market disruptions from the global pandemic gradually turned to optimism that the race against the COVID-19 virus would be won, ushering in a return to “normal” times.
https://www.osc.ny.gov/files/reports/special-topics/pdf/mwbe-fiscal-2020-21.pdfUpdate on New York’s Unemployment Insurance Trust Fund: Challenges Continue
The devastating job losses caused by the COVID-19 pandemic led to a record number of unemployment insurance (UI) claims in New York, necessitating borrowing from the federal government beginning in May 2020.
https://www.osc.ny.gov/files/reports/pdf/update-unemployment-insurance-trust-fund.pdfDiNapoli: Statewide Agency Overtime Tops $337 Million Halfway Into 2015
… over the same period in 2014. If overtime continues to rise at this pace, total costs for 2015 would exceed $700 … management practices and see what changes can be made to reduce their reliance on overtime.” The Department of … state agency employees declined by more than eight percent to 251,829. Three agencies that operate institutional …
https://www.osc.ny.gov/press/releases/2015/09/dinapoli-statewide-agency-overtime-tops-337-million-halfway-2015Comptroller DiNapoli Releases State Audits
… 260,000 improper payments (totaling about $26.8 million) for people enrolled in the Medicare buy-in program. In a … and improper Medicaid payments continue to be paid for people enrolled in the Medicare buy-in program. … Medicaid Payments to Federally Qualified Health Centers for Group Therapy Services (2013-S-51) With approval from the …
https://www.osc.ny.gov/press/releases/2014/12/comptroller-dinapoli-releases-state-auditsOpinion 91-46
… the State and local governments ( Olmsted v. Meahl , 219 NY 270, 114 N.E. 393). As a clerk of the courts, the County …
https://www.osc.ny.gov/legal-opinions/opinion-91-46Medicaid Program – Medicaid Claims Processing Activity October 1, 2017 Through March 31, 2018
… entered in Medicaid settlements with 14, and needed to make a decision on the program status of the remaining 3 …
https://www.osc.ny.gov/state-agencies/audits/2019/02/05/medicaid-program-medicaid-claims-processing-activity-october-1-2017-through-march-31-2018DiNapoli: State Agency Overtime Tops $316 Million Halfway Into 2014
… $316 million on overtime in the first six months of 2014, a jump of $22 million over the same period in 2013, New York … said. “Our state agencies need to examine their practices, get to the root of what is driving high overtime and better … of state operations, including periodic reports on how overtime is managed by state agencies. The total cost of …
https://www.osc.ny.gov/press/releases/2014/08/dinapoli-state-agency-overtime-tops-316-million-halfway-2014DiNapoli: Property Tax Exemptions Top $450 Billion
… State Comptroller Thomas P. DiNapoli issued a report today … recent trends in property tax exemptions in New York State outside of New York City and the impact they have on … For a copy of the report , visit: http://www.osc.state.ny.us/localgov/pubs/research/property-tax-exemptions.pdf Find …
https://www.osc.ny.gov/press/releases/2018/02/dinapoli-property-tax-exemptions-top-450-billionDiNapoli Calls for State Procurement Reform
… Comptroller Thomas P. DiNapoli today proposed changes to the state’s procurement practices in the wake of criminal … DiNapoli said. “The state funneled taxpayer money to quasi-government organizations, avoiding scrutiny and … independent review of its contracts, which DiNapoli would change. He proposes that his office review contracts over $1 …
https://www.osc.ny.gov/press/releases/2016/12/dinapoli-calls-state-procurement-reform