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State Comptroller DiNapoli Releases Municipal & School Audits
… opt-out payments totaling $6,000. Officials were unable to explain why the former supervisor was treated differently … occurred and were not detected or corrected due to a variety of factors including a decentralized process for … County) The board did not properly audit all claims prior to payment. Of 173 claims reviewed totaling $620,325, 96 …
https://www.osc.ny.gov/press/releases/2024/09/state-comptroller-dinapoli-releases-municipal-school-audits-1Comptroller DiNapoli Releases State Audits
… of Education (DoE): Management of General School Funds (2013-F-32) (Follow-Up) An initial report issued in May …
https://www.osc.ny.gov/press/releases/2014/10/comptroller-dinapoli-releases-state-auditsOpinion 90-8
… which are inconsistent with general laws (N.Y. Const., Art IX, §2[b][2]; see also Municipal Home Rule Law, §40; …
https://www.osc.ny.gov/legal-opinions/opinion-90-8DiNapoli: Jackson Heights Economy Energized By Immigrants and Small Businesses
… and a testament that the American Dream is an immigrant’s story.” “On the heels of Comptroller DiNapoli’s 2018 Economic …
https://www.osc.ny.gov/press/releases/2019/10/dinapoli-jackson-heights-economy-energized-immigrants-and-small-businessesSelected Publications and Reports
… Fiscal Stress Monitoring System Manual System Basics Research Reports Fiscal Stress Monitoring System - School Districts: School Year 2023-24 Results Fiscal …
https://www.osc.ny.gov/local-government/fiscal-monitoring/selected-publications-and-reportsOpinion 88-19
… (1982 Opns St Comp No. 82-336, p 426; see also Atlantic Beach P.O.A. v Town of Hempstead , 3 NY2d 434, 165 NYS2d …
https://www.osc.ny.gov/legal-opinions/opinion-88-19State Comptroller DiNapoli Releases Audits
… Service contracts with EmblemHealth Plan, Inc. (Emblem) to process and pay claims for services on behalf of the New York State Dental Insurance Program. To prevent duplicate payment of services, health insurance … January 2018 through October 2022, because Emblem failed to correctly coordinate benefits with each member’s other …
https://www.osc.ny.gov/press/releases/2024/02/state-comptroller-dinapoli-releases-auditsUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers
… and retired State, participating local government, and school district employees, as well as their dependents. The Empire …
https://www.osc.ny.gov/state-agencies/audits/2018/08/13/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryNew York State Health Insurance Program – Payments by Beacon Health Options for Mental Health and Substance Abuse Services for Ineligible Members (Follow-Up)
… Objective To assess the extent of implementation of the four … (Civil Service), provides health insurance coverage to over 1.2 million active and retired State, local …
https://www.osc.ny.gov/state-agencies/audits/2024/01/03/new-york-state-health-insurance-program-payments-beacon-health-options-mental-health-andUnited HealthCare – Empire Plan Drug Rebate Revenue
… to administer the Empire Plan’s prescription drug program from January 1, 2008 through December 31, 2013. In accordance … approximately $863 million in revenue that was derived from agreements with drug manufacturers to the Department. … Scripts to remit 100 percent of all rebates collected from the manufacturer agreements to United. United, in turn, …
https://www.osc.ny.gov/state-agencies/audits/2016/11/01/united-healthcare-empire-plan-drug-rebate-revenueComptroller DiNapoli Releases Municipal Audits
… an audit of the Town of Cohocton , a budget review for the City of Yonkers and an audit of parkland alienation … fiscal climate, budget transparency and accountability for our local communities is a top priority,” said DiNapoli. … Review (Westchester County) The city’s proposed budget for the school district has a budget gap of $25.8 million. In …
https://www.osc.ny.gov/press/releases/2015/05/comptroller-dinapoli-releases-municipal-audits-1United Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… issuance of the follow-up report to provide information on any actions that are planned to address the unresolved issues …
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)
… was issued on January 16, 2014, found that Empire did not have adequate controls to ensure special items were paid … contracts with Empire that limited the amounts that should have been charged for special items. We made three … issuance of the follow-up report to provide information on any actions that are planned to address the unresolved issues …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012 (Follow-Up)
… Program: Empire BlueCross BlueShield Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012 (Report … The Empire Plan (Plan) is the primary health benefits plan for NYSHIP. The New York State Department of Civil Service …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughComptroller DiNapoli Releases Municipal Audits
… DiNapoli today announced his office completed an audit of the Village of Brookville , Village of Canajoharie , Fairport Public Library , Ravena-Coeymans-Selkirk Community Library , Rockland County and Town of … transparency and accountability for our local communities is a top priority,” said DiNapoli. “By auditing municipal …
https://www.osc.ny.gov/press/releases/2015/06/comptroller-dinapoli-releases-municipal-auditsAn Analysis of Reasonable and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in the New York State Health Insurance Program
… Civil Service contracts with UnitedHealthcare (United) to administer the medical/ surgical portion of the Empire … cover a range of services including, but not limited to: office visits, diagnostic testing, outpatient surgery, … providers who deliver medical/surgical services to Empire Plan members at rates established by United. Empire …
https://www.osc.ny.gov/state-agencies/audits/2020/04/01/analysis-reasonable-and-customary-out-network-reimbursement-rates-medicalsurgical-servicesAnthem Blue Cross – Coordination of Benefits With Medicare
… program for people aged 65 and older and for those under age 65 with certain disabilities. Civil Service maintains …
https://www.osc.ny.gov/state-agencies/audits/2024/08/19/anthem-blue-cross-coordination-benefits-medicareEmpire BlueCross – Overpayments for Physician-Administered Drugs (Follow-Up)
… million active and retired State, local government, and school district employees, and their dependents. The Empire Plan is …
https://www.osc.ny.gov/state-agencies/audits/2025/06/04/empire-bluecross-overpayments-physician-administered-drugs-followIncorrect Payments by CVS Caremark for Medicare Rx Drug Claims That Were Improperly Paid Under the Commercial Plan (Follow-up)
… requested, but not required, to provide information about any actions planned to address the unresolved issues …
https://www.osc.ny.gov/state-agencies/audits/2025/06/18/incorrect-payments-cvs-caremark-medicare-rx-drug-claims-were-improperly-paid-underPoughkeepsie City School District - Procurement and Claims Auditing (2019M-16)
… costs. Key Recommendations Ensure purchases subject to the competitive bidding thresholds are made in accordance … service providers. Ensure that all purchases are subject to the District’s procurement process. District officials … and have initiated or indicated they planned to initiate corrective action. … Determine whether the Board …
https://www.osc.ny.gov/local-government/audits/school-district/2019/12/20/poughkeepsie-city-school-district-procurement-and-claims-auditing-2019m