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Medicaid Program – Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance
… have other third-party health insurance (TPHI) for pharmacy services in addition to Medicaid (e.g., … is considered the payer of last resort and, as such, FFS pharmacy providers are required to coordinate benefits with … period, Gainwell’s third-party liability recoveries on FFS pharmacy payments totaled almost $53 million. Key Findings We …
https://www.osc.ny.gov/state-agencies/audits/2023/05/11/medicaid-program-improper-fee-service-pharmacy-payments-recipients-third-party-healthMedicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims
… services that were erroneously billed as inpatient claims. The audit covered the period from January 2018 … The audit identified 34,264 fee-for-service inpatient claims, totaling $360.6 million, where hospitals reported … of admission. There is a high risk that a portion of these claims were improper if the services provided should have …
https://www.osc.ny.gov/state-agencies/audits/2023/08/30/medicaid-program-improper-medicaid-payments-outpatient-services-billed-inpatient-claimsChildren’s Unit for Treatment and Evaluation – Compliance With the Reimbursable Cost Manual
… of age. CUTE is reimbursed for these services through rates set by SED. The reimbursement rates are based on financial information, including costs, … on CUTE’s CFRs and to CUTE’s tuition reimbursement rates. Remind CUTE officials of the pertinent SED …
https://www.osc.ny.gov/state-agencies/audits/2019/07/15/childrens-unit-treatment-and-evaluation-compliance-reimbursable-cost-manualMedicaid Program – Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY
… whether Medicaid made improper payments to providers who submitted Part B cost-sharing claims directly to eMedNY. The … whether Medicaid made improper payments to providers who submitted Part B costsharing claims directly to eMedNY …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-part-b-services-billed-directly-emednyMedicaid Program – Opioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program
… Purpose To determine if the Department of Health has taken sufficient steps to … are receiving opioids while also in a Treatment Program for opioid use disorder. This audit covered the period October 1, 2013 through September 30, 2017. … To determine if the Department of Health has taken sufficient steps to …
https://www.osc.ny.gov/state-agencies/audits/2018/11/20/medicaid-program-opioid-prescriptions-medicaid-recipients-opioid-treatment-programMedicaid Program – Overpayments for Therapy Services and Prescription Drugs Covered by Medicare
… The Medicare program covers physical, occupational, and speech therapy services, as well as prescription drugs. When … $18.6 million was paid for physical, occupational, and speech therapy services provided by licensed therapists. …
https://www.osc.ny.gov/state-agencies/audits/2019/10/30/medicaid-program-overpayments-therapy-services-and-prescription-drugs-covered-medicareTown of Kingsbury – Multiyear Planning for Fund Balance and Reserves (2025M-66)
… on preparing and filing your CAP, please refer to our brochure, Responding to an OSC Audit Report , which you …
https://www.osc.ny.gov/local-government/audits/town/2025/11/21/town-kingsbury-multiyear-planning-fund-balance-and-reserves-2025m-66Exploration Elementary Charter School for Science and Technology – Non-Payroll Disbursements (2023M-100)
… sign checks with a Board of Trustees (Board) member’s stamp, and modify or delete data in the financial software, …
https://www.osc.ny.gov/local-government/audits/charter-school/2025/10/24/exploration-elementary-charter-school-science-and-technology-non-payrollWest Corners Fire Company – Accounting for Cash Receipts and Disbursements (2014M-215)
… Purpose of Audit The purpose of our audit was to determine whether Company … located in, and provides fire protection services for, the Town of Union in Broome County. The Company’s Officers …
https://www.osc.ny.gov/local-government/audits/fire-company-or-department/2014/12/05/west-corners-fire-company-accounting-cash-receipts-andDiNapoli: State Education Employment Program For New Yorkers With Disabilities Falling Short
… employment, transition to independent living, and rise out of poverty is not fulfilling its mission because it too often … employment goals. I applaud the Governor’s appointment of a chief disability officer, and hope that this will result … rehabilitation services and supports the employment goals of people with a disability. SED has 15 ACCES-VR district …
https://www.osc.ny.gov/press/releases/2022/03/dinapoli-state-education-employment-program-new-yorkers-disabilities-falling-shortDiNapoli Announces Nominee for the Commission on Ethics and Lobbying in Government
… Thomas P. DiNapoli today announced his nomination of Nancy G. Groenwegen to the Commission on Ethics and Lobbying in Government. … and accountability. Nancy’s character, knowledge and depth of experience will help New York meet those challenges and … Thomas P DiNapoli today announced his nomination of Nancy G Groenwegen to the Commission on Ethics and …
https://www.osc.ny.gov/press/releases/2022/07/dinapoli-announces-nominee-commission-ethics-and-lobbying-governmentDiNapoli: State is Slow in Disbursing Some Federal Relief Funds for Housing
… it to specific housing projects or housing relief programs could result in funds being lost. “The state … received hundreds of millions of dollars from the federal government over the past several years, including: $244 … through the Coronavirus Aid, Relief, and Economic Security Act of 2020 (CARES Act) with a HUD-HCR funding agreement …
https://www.osc.ny.gov/press/releases/2022/09/dinapoli-state-slow-disbursing-some-federal-relief-funds-housingDiNapoli: No Good Options for MTA to Manage Hole in Capital Funding
… Modernization, $5.65 billion. Network Expansion: Second Avenue Subway (SAS), $5.23 billion. Administrative and …
https://www.osc.ny.gov/press/releases/2024/06/dinapoli-no-good-options-mta-manage-hole-capital-fundingDiNapoli: State Pension Fund Investments Return 5.84% for State Fiscal Year 2024-25
… 31, 2025. The Fund closed the year with an estimated value of $272.8 billion. (Note: In July 2025, following the annual audit of the Fund's financials, that value was revised upward to … “Market volatility has been pronounced in the first half of 2025, with unpredictable actions out of Washington and …
https://www.osc.ny.gov/press/releases/2025/06/dinapoli-state-pension-fund-investments-return-584-state-fiscal-year-2024-25State Comptroller DiNapoli Statement on Arrest of Muge Ma for COVID-Related Scam
… this scammer accountable.” Press Release Chinese National Arrested For $20 Million Scheme To Fraudulently Obtain Loans …
https://www.osc.ny.gov/press/releases/2020/05/state-comptroller-dinapoli-statement-arrest-muge-ma-covid-related-scamDiNapoli: State Needs to Help Addiction Support Providers Better Prepare for Emergencies
… treatment programs may not be adequately prepared in an emergency to prevent gaps in care, which could compromise patient progress or safety, … “The COVID-19 pandemic led to significant disruptions in addiction care and services, leaving many vulnerable New … treatment programs may not be adequately prepared in an emergency to prevent gaps in care which could …
https://www.osc.ny.gov/press/releases/2023/11/dinapoli-state-needs-help-addiction-support-providers-better-prepare-emergenciesDiNapoli: New York May Be Paying Medicaid Premiums for People Living Out-of-State
… An audit released today by State Comptroller Thomas P. DiNapoli found multiple issues with how the state identified out-of-state Medicaid members, and … An audit released today by State Comptroller Thomas P DiNapoli found multiple issues with how the state identified outofstate Medicaid members and …
https://www.osc.ny.gov/press/releases/2025/09/dinapoli-new-york-may-be-paying-medicaid-premiums-people-living-out-stateState Pension Fund Adds $30 Million for Investments in New York Companies
… investments will help grow the pension fund and expand businesses and jobs across New York state," said DiNapoli. … "With $293 million in returns from 71 exited companies, I am proud of how well the In-State Program is performing. As trustee of …
https://www.osc.ny.gov/press/releases/2015/03/state-pension-fund-adds-30-million-investments-new-york-companiesDiNapoli: State Pension Fund Investments Return 11.55% for State Fiscal Year 2023-24
… the state fiscal year that ended March 31, 2024. The Fund closed the year with an estimated value of $267.7 billion. … and long-term approach, is well positioned to weather any storms and continue to provide retirement security to the … retirement and death benefits of $16.07 billion paid out during the fiscal year. Employer contribution rates are …
https://www.osc.ny.gov/press/releases/2024/06/dinapoli-state-pension-fund-investments-return-1155-state-fiscal-year-2023-24DiNapoli Warns Changing Fiscal Landscape Could Increase Budget Challenges for Local Governments
… The expiration of one-time federal pandemic aid, combined with state aid that has not kept pace with inflation and slower growth in local … The expiration of onetime federal pandemic aid combined with state aid that …
https://www.osc.ny.gov/press/releases/2025/02/dinapoli-warns-changing-fiscal-landscape-could-increase-budget-challenges-local-governments