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Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Empire BlueCross and BlueShield)

… Purpose To determine whether Empire BlueCross BlueShield (Empire) paid claims for special items … 2012. Background The New York State Health Insurance Program (NYSHIP) provides health coverage to active and … Interest New York State Health Insurance Program: Empire BlueCross BlueShield – Selected Payments for Special Items …

https://www.osc.ny.gov/state-agencies/audits/2014/01/16/selected-payments-special-items-period-july-1-2012-through-december-31-2012-empire

Empire BlueCross – Overpayments for Physician-Administered Drugs

… Objective To determine whether Empire BlueCross appropriately … (Civil Service), provides health insurance coverage to over 1.2 million active and retired State, participating …

https://www.osc.ny.gov/state-agencies/audits/2023/09/27/empire-bluecross-overpayments-physician-administered-drugs

NYSLRS Fact Sheet

… pension for new ERS retirees: $31,985 Tiers of membership Tier 1 joined before July 1, 1973 (0.1% of members) Tier 2 joined between July 1, 1973 and July 26, 1976 (0.1% of … January 1, 2010 and March 31, 2012 (4.1% of members) Tier 6 joined on or after April 1, 2012 (62.6% of members) PFRS …

https://www.osc.ny.gov/retirement/resources/nyslrs-fact-sheet

Implementation of the Dignity for All Students Act (2016-S-28) 90-Day Response

We evaluated the steps the State Education Department has taken to ensure that school district policies and practices comply with the Dignity for All...

https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2018-16s28-response.pdf

Opinion 2006-7

… to replace vehicles and the service provider’s need for new and different or additional equipment (1980 Opns St Comp …

https://www.osc.ny.gov/legal-opinions/opinion-2006-7

State Comptroller DiNapoli Releases Municipal & School Audits

… did not always record, deposit, remit documentation and report collections accurately and in a timely manner. As a … all collections at the golf course were properly accounted for and deposited. Officials did not maintain records … all collections were recorded, deposited or remitted. For the 2023 fiscal year, 30% of the golf course deposits …

https://www.osc.ny.gov/press/releases/2024/09/state-comptroller-dinapoli-releases-municipal-school-audits-1

Comptroller DiNapoli Releases State Audits

… mission. Among the questionable expenses were payments for meetings, memberships in professional organizations, and … authority policy or lacked sufficient justification of the business need. NFTA lacked formal policies and procedures for … the costs for special events, memberships and gifts to business officials in another country. Rochester-Genesee …

https://www.osc.ny.gov/press/releases/2014/10/comptroller-dinapoli-releases-state-audits

Opinion 90-8

… the distribution and use of foreign fire insurance tax moneys remain operative following the effective date of … the distribution and use of foreign fire insurance tax moneys remain effective following the amendment of … from sharing in some of the foreign fire insurance tax moneys. The distribution and use of foreign fire …

https://www.osc.ny.gov/legal-opinions/opinion-90-8

DiNapoli: Jackson Heights Economy Energized By Immigrants and Small Businesses

… of 4,000 private sector jobs, creating job opportunities for residents. Two thirds of the jobs added were in retail, … area still faces include school overcrowding and a need for more affordable housing. “Comptroller DiNapoli’s … Comptroller DiNapoli and his team deserve to be commended for producing this compelling report.” “Jackson Heights is …

https://www.osc.ny.gov/press/releases/2019/10/dinapoli-jackson-heights-economy-energized-immigrants-and-small-businesses

Opinion 88-19

… that bear on the issues discussed in the opinion. ACTIONS AND PROCEEDINGS -- Authority To Institute (by town to … establishment of private landfill) TOWNS -- Powers and Duties (acceptance of gift to defray expenses of lawsuit) … in part: "The town board of any town may authorize and direct any town officer or officers to institute, defend …

https://www.osc.ny.gov/legal-opinions/opinion-88-19

Selected Publications and Reports

… Risks Fiscal Stress in School Districts: Common Themes for School Year 2018-19 Fiscal Stress Monitoring System Results for Municipalities: Common Themes for Fiscal Year 2018 Fiscal Stress in School Districts: …

https://www.osc.ny.gov/local-government/fiscal-monitoring/selected-publications-and-reports

State Comptroller DiNapoli Releases Audits

… with EmblemHealth Plan, Inc. (Emblem) to process and pay claims for services on behalf of the New York State …

https://www.osc.ny.gov/press/releases/2024/02/state-comptroller-dinapoli-releases-audits

UnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers

… Purpose To determine whether UnitedHealthcare overpaid for … Surgery Centers that were contractually required to use in-network anesthesia providers. The audit covered the …

https://www.osc.ny.gov/state-agencies/audits/2018/08/13/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatory

New York State Health Insurance Program – Payments by Beacon Health Options for Mental Health and Substance Abuse Services for Ineligible Members (Follow-Up)

… of implementation of the four recommendations included in our initial audit report, New York State Health Insurance … NYBEAS disenrollment is entered after the date the change in eligibility takes effect, it is considered a retroactive … 2015 through December 2020. We identified $3.21 million in overpayments for services, which resulted primarily from …

https://www.osc.ny.gov/state-agencies/audits/2024/01/03/new-york-state-health-insurance-program-payments-beacon-health-options-mental-health-and

United HealthCare – Empire Plan Drug Rebate Revenue

… The Empire Plan is the primary health benefits plan for NYSHIP, serving about 1.1 million members. The Department … required to negotiate agreements with drug manufacturers for rebates, discounts, and other considerations and pass 100 … of the agreements on to the prescription drug program. For the audit period, January 1, 2010 through December 31, …

https://www.osc.ny.gov/state-agencies/audits/2016/11/01/united-healthcare-empire-plan-drug-rebate-revenue

Comptroller DiNapoli Releases Municipal Audits

… P. DiNapoli today announced his office completed an audit of the Town of Cohocton , a budget review for the City of … DiNapoli. “By auditing municipal finances and operations, my office continues to provide taxpayers the assurance that … examined how municipalities complied with state laws when conveying parkland to a non-public entity or using …

https://www.osc.ny.gov/press/releases/2015/05/comptroller-dinapoli-releases-municipal-audits-1

United Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)

… audit report, United HealthCare Insurance Company of New York: Empire Plan Drug Rebate Revenue ( 2013-S-41 ). Background The New York State Health Insurance Program (NYSHIP) provides health …

https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-follow