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United HealthCare – Empire Plan Drug Rebates
… credited the Department of Civil Service (Department) for all rebate revenue due under its contract with the Department for selected drug manufacturers. The audit covered the period … The Empire Plan is the primary health benefits plan for NYSHIP, serving about 1.1 million members. The Department …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/united-healthcare-empire-plan-drug-rebatesDiNapoli: Contractor Failed to Turn Over $1.5 Million in Prescription Drug Rebates to NYS
… A company that was supposed to collect rebates from drug … Plan (NYSHIP) failed to turn over nearly $1.5 million in rebates to the state over a four-year period, according to … The Empire Plan is the primary health benefits plan for NYSHIP, serving about 1.1 million of these members. Civil …
https://www.osc.ny.gov/press/releases/2016/11/dinapoli-contractor-failed-turn-over-15-million-prescription-drug-rebates-nysState Comptroller DiNapoli Releases State Audits and Examinations
… announced today the following audits and examinations have been issued: Department of Health (DOH): New York City … in the methods used by HPD staff to place applicants on development waiting lists. In a follow-up, HPD officials … education program, and adequately documented. Based on testing of about $125,000 in costs for the fiscal year …
https://www.osc.ny.gov/press/releases/2017/03/state-comptroller-dinapoli-releases-state-audits-and-examinations-0Empire BlueCross BlueShield – Payments to John T. Mather Memorial Hospital (Follow-Up)
… T. Mather Memorial Hospital (Report 2010-S-51), issued on April 23, 2012, were implemented. Background The New York … audit look-back period, and therefore, the Mather did not have to provide Empire with supporting documentation for … the provisions. Key Findings Empire and the Health Network have amended their agreement to include language that …
https://www.osc.ny.gov/state-agencies/audits/2013/06/04/empire-bluecross-blueshield-payments-john-t-mather-memorial-hospital-followDiNapoli: Oswego Teacher Charged With Stealing Over $4,000 From CiTi BOCES
… to my partnership with District Attorney Oakes and the New York State Police, he will be held accountable.” New York … Fisher worked for CiTi BOCES in the town of Mexico, NY. During an internal audit, CiTi BOCES found discrepancies …
https://www.osc.ny.gov/press/releases/2023/08/dinapoli-oswego-teacher-charged-stealing-over-4000-citi-bocesDiNapoli: New Federal Funds Give New York a Chance To Expand Broadband, Close Digital Divide
… The recent announcement that New York state will get nearly $665 million in federal …
https://www.osc.ny.gov/press/releases/2023/07/dinapoli-new-federal-funds-give-new-york-chance-expand-broadband-close-digital-divideCanarsie Childhood Center, Inc. – Compliance With the Reimbursable Cost Manual
… the costs reported by Canarsie Childhood Center (CCC) on its Consolidated Fiscal Reports (CFRs) were reasonable, … Claiming Manual (CFR Manual). The audit focused primarily on expenses claimed on CCC’s CFR for the fiscal year ended June 30, 2018 and …
https://www.osc.ny.gov/state-agencies/audits/2022/02/01/canarsie-childhood-center-inc-compliance-reimbursable-cost-manualNew York State Health Insurance Program - Empire Plan Members With Dual Family Coverage
… and members are paying excessively for dual Empire Plan Family coverage. The audit covered the period January 1, 2014 through September 30, 2019. About the Program The New York State Health Insurance Program (NYSHIP) was established …
https://www.osc.ny.gov/state-agencies/audits/2021/01/07/new-york-state-health-insurance-program-empire-plan-members-dual-family-coverageAuditory Oral Learning Center – Compliance With the Reimbursable Cost Manual
… costs reported by the Auditory Oral Learning Center (AOLC) on its Consolidated Fiscal Report (CFR) were reasonable, … established by SED. The reimbursement rates are based on the financial information that AOLC reports to SED on its annual CFR. To be eligible for reimbursement, reported …
https://www.osc.ny.gov/state-agencies/audits/2019/12/31/auditory-oral-learning-center-compliance-reimbursable-cost-manualE&D Children Center, Inc. – Compliance With the Reimbursable Cost Manual
… audit focused primarily on expenses claimed on E&D’s CFR for the fiscal year ended June 30, 2015 and certain expenses … are between the ages of 3 and 5 years. During the 2014-15 school year, E&D served approximately 275 students with … with RCM requirements, including $133,612 in legal and accounting fees, $108,000 in contracted software maintenance, …
https://www.osc.ny.gov/state-agencies/audits/2021/11/16/ed-children-center-inc-compliance-reimbursable-cost-manualNew York State Health Insurance Program – Payments by Empire BlueCross for Hospital Services for Ineligible Members
… Objective To determine whether Empire BlueCross paid hospital claims for members who were … $11.5 million and $2.1 million was beyond recoverability time frames, leaving $4.6 million to be recovered. Key …
https://www.osc.ny.gov/state-agencies/audits/2020/08/18/new-york-state-health-insurance-program-payments-empire-bluecross-hospital-servicesEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012
… January 1, 2012 through June 30, 2012. Background The New York State Health Insurance Program (NYSHIP) provides health … which includes coverage for inpatient and outpatient hospital services. Empire processes Plan claims for hospital … Other Related Audits/Reports of Interest New York State Health Insurance Program: Empire BlueCross …
https://www.osc.ny.gov/state-agencies/audits/2013/12/13/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughPositive Beginnings, Inc. – Compliance With the Reimbursable Cost Manual
… directly related to the special education program, and sufficiently documented pursuant to the State Education … primarily on expenses claimed on Positive Beginnings’ CFR for the fiscal year ended June 30, 2020 and certain expenses … Universal Pre-Kindergarten program. During the 2019–20 school year, Positive Beginnings served 538 students with …
https://www.osc.ny.gov/state-agencies/audits/2024/03/13/positive-beginnings-inc-compliance-reimbursable-cost-manualQueens Centers for Progress – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Queens Centers for Progress (QCP) on its Consolidated Fiscal … as needed. … To determine whether the costs reported by Queens Centers for Progress QCP on its Consolidated Fiscal …
https://www.osc.ny.gov/state-agencies/audits/2023/08/10/queens-centers-progress-compliance-reimbursable-cost-manualCity of Dunkirk – Budget Review (B24-1-10)
… [read complete report – pdf] Purpose The purpose of our budget review was to provide an independent evaluation of the City’s proposed budget for 2025. Background Chapter 5 6 of the Laws of 2024, Part DD (the City of Dunkirk Fiscal …
https://www.osc.ny.gov/local-government/audits/city/2024/11/27/city-dunkirk-budget-review-b24-1-10Caucus 2025: Important Information for New Yorkers
… office and view recent reports on issues that affect New Yorkers. 2024 Year in Review Fiscal Responsibility, … & Higher Education "Nation's Report Card" Underscores New York's Need for Academic Recovery (March 2023) Economic Impact: Higher …
https://www.osc.ny.gov/reports/caucus2025-0Caucus 2025: Important Information for New Yorkers
… office and view recent reports on issues that affect New Yorkers. 2024 Year in Review Fiscal Responsibility, … & Higher Education "Nation's Report Card" Underscores New York's Need for Academic Recovery (March 2023) Economic Impact: Higher …
https://www.osc.ny.gov/reports/caucus2025UnitedHealthcare Insurance Company of New York – Overpayments for Physician-Administered Drugs (Follow-Up)
… audit report, UnitedHealthcare Insurance Company of New York – Overpayments for Physician-Administered Drugs (Report 2021-S-32 ). About the Program The New York State Health Insurance Program (NYSHIP), administered by the …
https://www.osc.ny.gov/state-agencies/audits/2025/05/21/unitedhealthcare-insurance-company-new-york-overpayments-physician-administered-drugsDiNapoli: Livingston County Woman Pleads Guilty to Stealing Over $25,000 in Her Deceased Mother's State Pension Payments
… District Attorney Williams and the New York State Police, she is being held accountable for her crime. My office will … Social Services and retired in 1994. Upon her retirement, she received monthly benefits of approximately $1,000, which … pension fund payments to her personal account, from which she then withdrew and spent the money. Chatley pleaded guilty …
https://www.osc.ny.gov/press/releases/2025/06/dinapoli-livingston-county-woman-pleads-guilty-stealing-over-25000-her-deceased-mothers-state-pensionThe Arc Franklin-Hamilton d/b/a The Adirondack Arc – Compliance With the Reimbursable Cost Manual
… Franklin-Hamilton d/b/a The Adirondack Arc (Adirondack) on its Consolidated Fiscal Reports (CFRs) were reasonable, … Claiming Manual (CFR Manual). The audit focused primarily on expenses claimed on Adirondack’s CFRs for the fiscal year … $963 in compensation costs for one employee that should have been reported on Adirondack’s CFR under the 1:1 Aides …
https://www.osc.ny.gov/state-agencies/audits/2025/08/27/arc-franklin-hamilton-dba-adirondack-arc-compliance-reimbursable-cost-manual