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Empire BlueCross – Controls Over Payments for Special Items (Follow-Up)
… plan for NYSHIP. Empire BlueCross (Empire) administers the hospital portion of the Empire Plan. Empire processes claims for hospital services according to contracts it negotiates with … Empire’s contracts with member hospitals include rate schedules for the payment of inpatient and outpatient …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/empire-bluecross-controls-over-payments-special-items-followMedicaid Program – Excessive Payments for Durable Medical Equipment Rentals
… paid for durable medical equipment beyond allowed rental limits, and whether the Medicaid program could achieve cost savings by implementation of a rental cap on oxygen equipment. The audit covered the period … items are available to Medicaid recipients on a monthly rental basis, subject to certain limits (or caps). A special …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/medicaid-program-excessive-payments-durable-medical-equipment-rentalsSelected Aspects of Accommodations for Passengers With Disabilities (Follow-Up)
… PANYNJ staff. Four of the PATH stations, in Manhattan (9th Street, 14th Street, 23rd Street, and Christopher Street) were not accessible for …
https://www.osc.ny.gov/state-agencies/audits/2023/05/12/selected-aspects-accommodations-passengers-disabilities-followAnnual Assessment of Market Orders for 2015 and 2016
… 2014 through June 30, 2016 for the Apple and Sour Cherry Market Orders and the period April 1, 2014 through March 31, … the Program During the audit period, the Department’s Market Order Administration was responsible for the administration of all farm product market orders, except those involving dairy products. Each …
https://www.osc.ny.gov/state-agencies/audits/2019/05/16/annual-assessment-market-orders-2015-and-2016Medicaid Overpayments for Inpatient Care Involving Mechanical Ventilation Services
… covered the period from January 1, 2014 through December 31, 2018. Background Mechanical ventilation is the use of a … Hospitals use International Classification of Diseases (ICD) procedure codes on their claims to report mechanical … ventilation services. When hospitals use a specific ICD procedure code to report a patient received 96 …
https://www.osc.ny.gov/state-agencies/audits/2019/05/16/medicaid-overpayments-inpatient-care-involving-mechanical-ventilation-servicesMedicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services
… To determine if the Department of Health overpaid health care providers’ Medicaid claims for services also covered by … in Medicare Part C, also known as Medicare Managed Care or Medicare Advantage. Under Medicare Part C, private managed care companies administer Medicare benefits and offer …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-advantage-plan-servicesRestrictions on Consecutive Hours of Work for Nurses (Follow-Up)
… Section 167 of the New York State Labor Law – referred to as the Restrictions on Consecutive Hours of Work for Nurses … July 2009, the Law limits the consecutive hours of work by Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) … declaration of an emergency. Our initial report, issued on April 23, 2018, found the Division lacked policies and …
https://www.osc.ny.gov/state-agencies/audits/2019/09/09/restrictions-consecutive-hours-work-nurses-followImplementation of the Dignity for All Students Act (Follow-Up)
… free from discrimination, harassment, and bullying on school property, on school buses, and at school functions. DASA’s initial … and reporting alleged incidents. The State Education Department (Department) provides guidance to assist school …
https://www.osc.ny.gov/state-agencies/audits/2019/11/21/implementation-dignity-all-students-act-followBrighter Choice Charter School for Boys - Payroll (2018M-139)
… Brighter Choice Charter School for Boys Payroll 2018M139 …
https://www.osc.ny.gov/local-government/audits/charter-school/2018/10/12/brighter-choice-charter-school-boys-payroll-2018m-139Medicaid Program – Improper Payments for Certain Third-Party Cost-Sharing Claims
… made overpayments to providers who reported claims with a PR 45 cost-sharing amount. The audit covered the period … sources of health care coverage, such as Medicare and group health plans (third-party insurers). Medicaid is … Medicaid members with Medicare and/or other third-party insurance must accurately reflect payments, adjustments …
https://www.osc.ny.gov/state-agencies/audits/2025/11/05/medicaid-program-improper-payments-certain-third-party-cost-sharing-claimsTown of Somerset – Budgeting for Sales Tax (2016M-419)
… of Audit The purpose of our audit was to review the Town's allocation of sales tax for the period January 1, 2015 …
https://www.osc.ny.gov/local-government/audits/town/2017/11/22/town-somerset-budgeting-sales-tax-2016m-419DiNapoli: State Needs to Improve Services for Vulnerable Adults
… The State Office of Children and Family Services is not adequately overseeing adult protective service … ensure they are handling cases properly, putting at-risk New Yorkers potentially in harm’s way, according to an audit released today by … The State Office of Children and Family Services is not adequately overseeing adult protective service …
https://www.osc.ny.gov/press/releases/2021/11/dinapoli-state-needs-improve-services-vulnerable-adultsDiNapoli: Help for Vulnerable Adults in NYC Falls Short
… fell short for vulnerable adults in New York City because Adult Protective Services (APS) experienced staff shortages … shortages and high caseloads strained New York City’s Adult Protective Services,” DiNapoli said. “Case files showed … response is available in the audit. Audit Oversight of Adult Protective Services Staffing and Case Management (New …
https://www.osc.ny.gov/press/releases/2025/10/dinapoli-help-vulnerable-adults-nyc-falls-shortDiNapoli Calls for Transparency From Companies Regarding Affordability Concerns
… of our most intimate details — our identities, interests, locations, credit histories, medical conditions, sexual …
https://www.osc.ny.gov/press/releases/2026/03/dinapoli-calls-transparency-companies-regarding-affordability-concernsMembership Milestones for Police & Fire Retirement System (PFRS) Members
… covered under, there are important milestones you need to know. Understanding your milestones will help you develop … plan from the Contents on the left or scroll down to see how your years of service affect your retirement … age. If your employer has adopted Section 384(f) and you have elected it, you will receive an additional benefit for …
https://www.osc.ny.gov/retirement/members/membership-milestones-police-fire-retirement-system-pfrs-membersRegulation for Scheduling, Adjourning and Conduct of Administrative Hearings
… duly designated by the Comptroller shall preside. A party may represent himself or herself, or be represented by … shall be the sole responsibility of the applicant or party. (e) Motions may be made to the hearing officer at any … (b) A request for an adjournment by an applicant or a party other than the retirement system before a scheduled …
https://www.osc.ny.gov/retirement/members/regulation-for-hearingsIncentives for Non-Profit Service Providers’ Recruiting and Retention Efforts
… disabilities, cerebral palsy, Down syndrome, autism spectrum disorders, Prader-Willi syndrome, and other …
https://www.osc.ny.gov/state-agencies/audits/2026/07/16/incentives-non-profit-service-providers-recruiting-and-retention-effortsMedicaid Program – Improper Payments for Laboratory and Related Services
… audit covered the period from June 2019 through December 2025 for services exceeding lifetime limits, and June 2019 through January 2025 for services while members were hospitalized. About the … are established because certain services, such as genetic testing, are generally not medically necessary to receive …
https://www.osc.ny.gov/state-agencies/audits/2026/07/16/medicaid-program-improper-payments-laboratory-and-related-servicesOpinion 90-43
… -- Death Benefits (eligibility of children) GENERAL MUNICIPAL LAW, §208-f: The special accidental death benefit … our opinion concerning section 208-f of the General Municipal Law. This provision provides for a special … ended (see sponsor's memorandum in support). General Municipal Law, §208-f(f)currently provides: f. The special …
https://www.osc.ny.gov/legal-opinions/opinion-90-43Cybersecurity Governance for Local Governments and Schools – Part 2
This webinar will focus on establishing cybersecurity governance through policies and procedures, training, IT contingency planning and other efforts key to cybersecurity risk decision-making.
https://www.osc.ny.gov/files/local-government/academy/pdf/cybersecurity-governance-part2-102423.pdf