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Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… audit report, Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Report 2014-S-5 ). … Medicaid inappropriately paid 29,289 fee-for-services pharmacy claims totaling $978,251 on behalf of 18,010 Medicaid recipients whose pharmacy benefits were covered by managed care. We …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followState Agencies Bulletin No. 783
… instructions to agencies of a new PayServ Action/Reason code to use when processing certain Management Confidential employees enrolled in the Income Protection Plan. Affected Employees Eligible … OSC Actions OSC has established a new Action/Reason code for use with Management Confidential employees enrolled …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/783-new-workers-compensation-actionreason-code-management-confidentialEffectiveness of the Information Technology Transformation
… Purpose To determine how effective the IT Transformation process has been in ensuring that the resulting Office of Information Technology Services (ITS) clusters operate … Determine how effective the IT Transformation process has been in ensuring that resulting Office of Information Technology Services clusters operate …
https://www.osc.ny.gov/state-agencies/audits/2016/08/24/effectiveness-information-technology-transformationPayments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (2012-S-11). Background Our initial audit report, … made improper payments totaling $94,460 to Davis Ethical Pharmacy. Based on information obtained from the prescribers … Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (2012-S-11) United HealthCare Insurance Program: …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacy-followUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… recommendations made in our initial audit report, United HealthCare Insurance Company of New York: Empire Plan Drug … of Civil Service (Department) contracted with United HealthCare (United) to administer the Plan’s prescription … Interest New York State Health Insurance Program: United HealthCare: Payments for Fraudulent and Improper Claims …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations made in our audit report, New York State Health Insurance Program: Empire BlueCross BlueShield Selected Payments for Special … To determine the extent of implementation of 3 recommendations made in our audit …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughInspecting Highway Bridges and Repairing Defects (Follow-Up)
… with the Department’s requirement for an annual interim inspection if the repairs are not completed. Further, we …
https://www.osc.ny.gov/state-agencies/audits/2016/06/30/inspecting-highway-bridges-and-repairing-defects-followForensic Audit of Payments to On-Board Service Managers (Follow-Up)
… Services Unit staff members were not held accountable for their work performance and time and attendance. In addition, the Assistant Vice President responsible for the Unit violated Metro-North policy by not disclosing …
https://www.osc.ny.gov/state-agencies/audits/2016/01/21/forensic-audit-payments-board-service-managers-followSelected Aspects of Inactive Hazardous Waste Site Remediation Cost Recovery
… costs related to site investigation and remediation, bill for and collect these costs from responsible parties in a … timely manner, and identify and pursue parties responsible for the contamination of inactive hazardous waste sites. This … October 17, 2014. Background The Department is responsible for the Inactive Hazardous Waste Disposal Site Program …
https://www.osc.ny.gov/state-agencies/audits/2015/01/22/selected-aspects-inactive-hazardous-waste-site-remediation-cost-recoveryPipeline Safety Oversight
… York’s pipelines transmit, gather, and distribute natural gas and hazardous liquids, including crude oil, refined … liquids. As of 2014, New York had 91,181 miles of natural gas pipelines and 1,153 miles of hazardous materials … These incidents involved evacuations, road closures, a business closure, and other situations that left businesses …
https://www.osc.ny.gov/state-agencies/audits/2016/03/08/pipeline-safety-oversightAccounts Receivable Collection and Reporting
… if the Authority’s accounts receivable collection and reporting procedures were in compliance with applicable laws and regulations for the period January 1, 2012 through June … energy solutions in ways that improve New York's economy and environment by promoting energy efficiency and the use of …
https://www.osc.ny.gov/state-agencies/audits/2015/08/05/accounts-receivable-collection-and-reportingOversight of Homeless Shelters (Follow-Up)
… excessive garbage in rooms, and missing or malfunctioning smoke detectors. Discrepancies between OTDA’s shelter …
https://www.osc.ny.gov/state-agencies/audits/2025/07/14/oversight-homeless-shelters-followOversight of Disability Services (Follow-Up)
… Objective To assess the extent of implementation of the four recommendations included in our initial audit … of Disability Services (Report 2021-S-42 ). About the Program The State University of New York (SUNY) is the … To assess the extent of implementation of the four recommendations …
https://www.osc.ny.gov/state-agencies/audits/2025/07/14/oversight-disability-services-followHomeless Services Housing Needs Assessment (Follow-Up)
… various services to individuals and families, including assessment of needs, case management, access to health care (including … must take part in a Needs Assessment (Assessment) and the development of an Individual Living Plan (ILP), administered …
https://www.osc.ny.gov/state-agencies/audits/2025/07/14/homeless-services-housing-needs-assessment-followOpinion 2003-5
… the opinion. PAID FIREFIGHTERS -- Death Benefits (line-of-duty presumption) PUBLIC OFFICERS AND EMPLOYEES -- Death … Law. 3 This inference is supported by memoranda in the bill jackets for chapter 49 of the Laws of 1997, which added … statute to retirement matters were dropped in a subsequent amendment, the Court held that the amendment was not intended …
https://www.osc.ny.gov/legal-opinions/opinion-2003-5Benefit Eligibility Assessment Process
… is determined to be ineligible, denying, reducing or terminating the Client's benefits. As a last resort, Clients … annually to administer. Key Findings We found that HRA employees apply a comprehensive assessment process when …
https://www.osc.ny.gov/state-agencies/audits/2014/05/28/benefit-eligibility-assessment-processState Agencies Bulletin No. 2346
… they will need to contact their Appropriation Section Representative in OSC’s Bureau of State Accounting Operations … should be directed to the agency’s Appropriation Section Representative or [email protected] …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2346-updating-payserv-chartfield-strings-june-lapsing-eventsOpinion 2005-5
… that bear on the issues discussed in the opinion. POLICE AND POLICE PROTECTION -- Police Chief (entitlement to increase in compensation when … Whether the police chief is entitled to a monetary payment in the amount …
https://www.osc.ny.gov/legal-opinions/opinion-2005-5Language Access Services (Follow-Up)
… Services (Report 2022-S-38 ). About the Program New York State Executive Law Chapter 18, Article 10, Section 202-A … State’s language access policy requiring translation of vital documents into the 12 most common non-English … In the remaining counties, there are 100 public-facing office locations operated by the County Clerks (County DMVs), …
https://www.osc.ny.gov/state-agencies/audits/2025/04/10/language-access-services-followOpinion 89-30
… a contract, a town may provide gasoline for a bus owned by the private organization and used to provide …
https://www.osc.ny.gov/legal-opinions/opinion-89-30