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Medicaid Program – Maximizing Drug Rebates for Health and Recovery Plans
… Background In 1990, Congress created the Medicaid Drug Rebate Program to reduce state and federal expenditures for … basis, the Department of Health (Department) submits rebate invoices to the manufacturers. The Affordable Care … that HARP-related drugs were identified and processed for rebate invoicing. We determined that the Department …
https://www.osc.ny.gov/state-agencies/audits/2018/06/22/medicaid-program-maximizing-drug-rebates-health-and-recovery-plansComptroller DiNapoli Releases Municipal Audits
… did not audit individual claims before payment. However, a review of 59 claims totaling $1.2 million paid during the … obtained the required number of bids, quotes or request for proposals for seven purchases totaling $102,494, as … amount deposited, auditors identified seven instances when the composition of total cash and checks recorded in the …
https://www.osc.ny.gov/press/releases/2019/05/comptroller-dinapoli-releases-municipal-auditsProblem Gambling Treatment Program
… Given the enormous cost gambling addiction exacts on individuals and families, it is important that OASAS …
https://www.osc.ny.gov/state-agencies/audits/2019/02/05/problem-gambling-treatment-programCUNY Bulletin No. CU-550
To explain the agency procedures for reporting rate increases and adjustments for miscellaneous earnings
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-550-cuny-rate-increase-maintenance-workerMedicaid Program – Inappropriate Payments Related to Procedure Modifiers
… 31, 2017. Background The Medicaid program is a federal, state, and locally funded program that provides a wide range … (Department) administers the Medicaid program in New York State. Health care providers bill Medicaid for services … Medicaid recipients. Medicaid payments are based, in part, on procedure codes reported on claims that indicate the …
https://www.osc.ny.gov/state-agencies/audits/2018/04/17/medicaid-program-inappropriate-payments-related-procedure-modifiersSecurity and Effectiveness of the Department of Labor’s Unemployment Insurance System
… normal processing. This audit covers the period February 12, 2014 through September 23, 2014. Background The New York …
https://www.osc.ny.gov/state-agencies/audits/2015/02/24/security-and-effectiveness-department-labors-unemployment-insurance-systemUnited HealthCare – Empire Plan Drug Rebate Revenue
… remitted all drug rebate revenue to the Department of Civil Service (Department) as required by the contract … 1, 2010 through December 31, 2013. Background The New York State Health Insurance Program (NYSHIP) provides health … their dependents. The Empire Plan is the primary health benefits plan for NYSHIP, serving about 1.1 million members. …
https://www.osc.ny.gov/state-agencies/audits/2016/11/01/united-healthcare-empire-plan-drug-rebate-revenueMultiple Same-Day Procedures on Ambulatory Patient Groups Claims (Follow-Up)
… of the five recommendations made in our initial audit report, Multiple Same-Day Procedures on Ambulatory Patient Groups Claims (Report 2012-S-163). Background The State’s Medicaid program …
https://www.osc.ny.gov/state-agencies/audits/2017/01/12/multiple-same-day-procedures-ambulatory-patient-groups-claims-followLaSalle School – Compliance With the Reimbursable Cost Manual
… school provides special and regular educational services for students in grades 6 through 12. Pursuant to the State … data reported on providers' annual CFRs. To be eligible for reimbursement, the provider's reported expenses must … the guidelines specified in the RCM and the CFR Manual. For the three fiscal years ended June 30, 2011, LaSalle …
https://www.osc.ny.gov/state-agencies/audits/2014/05/19/lasalle-school-compliance-reimbursable-cost-manualAudit of the Tuition Assistance Program at Stony Brook University
… students for State-funded Tuition Assistance Program (TAP) awards. Background Stony Brook University (Stony … for New York State residents is approximately $6,200. TAP is an entitlement program designed to provide funds for … tuition costs to eligible students. Schools receiving TAP payments certify student eligibility. For the three …
https://www.osc.ny.gov/state-agencies/audits/2014/12/26/audit-tuition-assistance-program-stony-brook-universityMedicaid Program – Claims Processing Activity April 1, 2020 Through September 30, 2020
… 7, 2015. About the Program The Department administers the State’s Medicaid program. The Department’s eMedNY computer … prior to, but billed during, the Coronavirus Disease state of emergency that would have been denied had certain …
https://www.osc.ny.gov/state-agencies/audits/2021/09/21/medicaid-program-claims-processing-activity-april-1-2020-through-september-30-2020Technology Transfer Program and Royalty Payments
… Objective To determine if the Research Foundation for the State University of New York (Research Foundation) has taken the appropriate …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/technology-transfer-program-and-royalty-paymentsState Comptroller DiNapoli Releases Municipal Audits
… funds. For access to state and local government spending, public authority financial data and information on 130,000 …
https://www.osc.ny.gov/press/releases/2017/05/state-comptroller-dinapoli-releases-municipal-audits-0Medicaid Program – Claims Processing Activity October 1, 2020 Through March 31, 2021
… Objective To determine whether the Department of Health’s (Department) … Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period from October …
https://www.osc.ny.gov/state-agencies/audits/2022/04/19/medicaid-program-claims-processing-activity-october-1-2020-through-march-31-2021Technology Transfer Program and Royalty Payments (Follow-Up)
… included in our initial audit report, Technology Transfer Program and Royalty Payments (Report 2019-S-10 ). About the Program As part of its duties, the Research Foundation for the State University of New York … campuses. The initial audit covered the period January 1, 2015 through August 14, 2019. During the initial audit, we …
https://www.osc.ny.gov/state-agencies/audits/2021/02/08/technology-transfer-program-and-royalty-payments-followNew York State Health Insurance Program – Payments by Beacon Health Options for Mental Health and Substance Abuse Services for Ineligible Members (Follow-Up)
… million active and retired State, local government, and school district employees, and their dependents. The Empire …
https://www.osc.ny.gov/state-agencies/audits/2024/01/03/new-york-state-health-insurance-program-payments-beacon-health-options-mental-health-andDiNapoli: Binghamton Woman Charged With Stealing Deceased Father-in-Law's Pension Payments
… nearly $32,000 in New York State pension payments intended for her deceased father-in-law, State Comptroller Thomas P. … Broome County District Attorney Korchak, she will answer for her crimes.” LaBarr’s father-in-law, Jack Burnett, … No one from the family reported his passing. The state retirement system became aware of Burnett’s death in July …
https://www.osc.ny.gov/press/releases/2023/12/dinapoli-binghamton-woman-charged-stealing-deceased-father-laws-pension-paymentsOversight of Mental Health Education in Schools (Follow-Up)
… Objective To determine the extent of implementation of the two … 2.5 million public school students statewide. To help confront the mental health crisis among youth in New … that the Department did not require school districts to submit any documentation or other information that would …
https://www.osc.ny.gov/state-agencies/audits/2023/09/27/oversight-mental-health-education-schools-followCollection of Fines Related to Tenant Complaints
… Office of Rent Administration is appropriately accounting for and collecting fines (civil penalties) for non-compliance and harassment cases. Our audit focused on … Housing and Community Renewal (DHCR). DHCR is responsible for the supervision, maintenance, and development of …
https://www.osc.ny.gov/state-agencies/audits/2019/12/11/collection-fines-related-tenant-complaintsPrivacy and Security of Student Data (Follow-Up)
… of the three recommendations included in our initial audit report, Privacy and Security of Student Data (Report 2021-S-29 ). About the Program The State Education …
https://www.osc.ny.gov/state-agencies/audits/2024/09/26/privacy-and-security-student-data-follow