Search
Recovering Managed Care Payments for Inpatient Services on Behalf of Recipients With Third-Party Health Insurance (Follow-Up)
… Services on Behalf of Recipients With Third-Party Health Insurance (Report 2021-S-24 ). About the Program Many of the … and when Medicaid recipients have other third-party health insurance (TPHI) in addition to Medicaid (e.g., Medicare Part A hospital insurance, commercial health insurance), Medicaid providers …
https://www.osc.ny.gov/state-agencies/audits/2026/02/26/recovering-managed-care-payments-inpatient-services-behalf-recipients-third-party-healthImproper Payments for Recipients No Longer Enrolled in Managed Long Term Care Partial Capitation Plans (Follow-Up)
… Payments for Recipients No Longer Enrolled in Managed Long Term Care Partial Capitation Plans (Report 2015-S-9 ). Background Enrollment in a Managed Long Term Care (MLTC) plan is mandatory for Medicaid … are age 21 or older, and who need community-based long term care services for more than 120 days. The Partial …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/improper-payments-recipients-no-longer-enrolled-managed-long-term-care-partial-capitationCosts to Administer the Insurance Division Operations for the Three Fiscal Years Ended March 31, 2012
… expenses accurately pursuant to Section 332 Article 3 of th …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/costs-administer-insurance-division-operations-three-fiscal-years-ended-march-31-2012Medicaid Program – Eye Care Provider and Family Inappropriately Enroll as Recipients and Overcharge for Vision Services
… in New York State. Medicaid provides a wide range of medical services, including vision care, to individuals who … income information to secure Medicaid coverage and other medical assistance benefits. During the period of enrollment … owner and the owner’s family, the State paid $68,483 in medical benefits on their behalf. The Provider received over …
https://www.osc.ny.gov/state-agencies/audits/2016/03/21/medicaid-program-eye-care-provider-and-family-inappropriately-enroll-recipients-andWorkers' Compensation Program: Statement of Assessable Expenses for the Three Fiscal Years Ended March 31, 2011
… Compensation Program Statement of Assessable Expenses for the three fiscal years ended March 31, 2011. Background … and non-occupational disability and sickness. Coverage for these benefits, with limited exception, is to be provided … the costs to administer the Workers' Compensation Program for the three fiscal years ended March 31, 2011, in …
https://www.osc.ny.gov/state-agencies/audits/2013/05/13/workers-compensation-program-statement-assessable-expenses-three-fiscal-years-ended-marchRecovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance (Follow-Up)
… Medicaid Program: Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party … the Medicaid services their recipients require, such as pharmacy services. Many recipients have other third-party … 2022, was to determine whether Medicaid overpayments for pharmacy services on behalf of managed care recipients who …
https://www.osc.ny.gov/state-agencies/audits/2024/01/31/recovering-managed-care-overpayments-pharmacy-services-behalf-recipients-third-party-healthImproper Medicaid Payments for Claims Not in Compliance With Ordering, Prescribing, Referring, and Attending Requirements (Follow-Up)
… Additionally, the provider's National Provider Identifier (NPI) must be included on Medicaid claims. The objective of … federal and State regulations that require an appropriate NPI for OPRA health care providers. The audit covered the … for Medicaid claims that did not contain an appropriate NPI in the OPRA fields. We determined Medicaid made over $1.5 …
https://www.osc.ny.gov/state-agencies/audits/2023/09/13/improper-medicaid-payments-claims-not-compliance-ordering-prescribing-referring-andPractices Used by the Transit Adjudication Bureau to Collect and Account for Fines and Fees (Follow-Up)
… of implementation of the 11 recommendations included in our initial report, Practices Used by the Transit Adjudication Bureau to Collect and Account for Fines … and interest are added if the summons is not satisfied in a timely manner. From September 1, 2016 through August 31, …
https://www.osc.ny.gov/state-agencies/audits/2019/03/07/practices-used-transit-adjudication-bureau-collect-and-account-fines-and-fees-followDiNapoli Takes Action to Hold Corporate America Accountable for Failing to Address Diversity, Equity and Inclusion
… While many corporations pledged to confront inequity head on, too many have failed to live up to their … companies that failed to respond to DiNapoli’s diversity letter; 443 board director nominees at 97 companies that had …
https://www.osc.ny.gov/press/releases/2021/08/dinapoli-takes-action-hold-corporate-america-accountable-failing-address-diversity-equity-andBenefits Advisement Services for Individuals With Disabilities Seeking Employment (Follow-Up) (2023-F-11) 30-Day Response
To assess the extent of implementation of the four recommendations included in our initial audit report, Benefits Advisement Services for Individuals With Disabilities Seeking Employment (2020-S-41).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-23f11-response.pdfImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up) (2022-F-37) 30-Day Response
To assess the extent of implementation of the five recommendations included in our initial audit report, Improper Payments of Medicare Buy-In Premiums for Ineligible Recipients (Report 2020-S-35).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22f37-response.pdfNew York City Department for the Aging: Oversight of the Home Delivered Meals Program (2020-N-5)
To determine whether the New York City Department for the Aging (DFTA) effectively oversees the provision of home delivered meals.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-20n5.pdfUnitedHealthcare Insurance Company of New York – Overpayments for Physician-Administered Drugs (2021-S-32) 180-Day Response
To determine whether UnitedHealthcare Insurance Company of New York appropriately reimbursed physician-administered drugs.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21s32-response.pdfApplication Review and Site Permitting for Major Renewable Energy Projects (2023-S-52) 180-Day Response
To determine whether the Office of Renewable Energy Siting is fulfilling its obligations under State law to issue siting permits for major renewable energy projects within the required time frames.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2024-23s52-response.pdfQueens Centers for Progress – Compliance With the Reimbursable Cost Manual (2022-S-41) 180-Day Response
To determine whether the costs reported by Queens Centers for Progress (QCP) on its Consolidated Fiscal Reports (CFRs) were reasonable, necessary, directly related to the special education program, and sufficiently documented pursuant to the State Education Department’s (SED) Reimbursable Cost ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22s41-response.pdfEmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits (2022-S-27) 180-Day Response
To determine whether EmblemHealth Plan, Inc. overpaid dental claims for members covered by two subscriber plans under the New York State Dental Insurance Program.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2024-22s27-response.pdfImproper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers (Follow-Up) (2022-F-2)
To determine the extent of implementation of the six recommendations included in our initial audit report, Improper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers (Report 2019-S-22).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-22f2.pdfDecennial Population Counts for New York State Counties, Cities, Towns and Villages, 1970 to 2020
Decennial Population Counts for New York State Counties, Cities, Towns and Villages, 1970 to 2020
https://www.osc.ny.gov/files/local-government/data/excel/decennial-populations-nys-cctvs-1970-2020.xlsxLife Skills Home Training Tutorial Program for Preschoolers, Inc. - Compliance With the Reimbursable Cost Manual
Preschoolers, Inc. on its Consolidated Fiscal Reports were reasonable, necessary, directly related to the special education programs, and sufficiently documented pursuant to the State Education Department’s Reimbursable Cost Manual and the Consolidated Fiscal Reporting and ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/2020-S-37.pdfImproper Managed Care Payments for Recipients With Duplicate Client Identification Numbers (Follow-Up) 90-Day Response
To determine whether improper Medicaid managed care premiums were paid on behalf of recipients with duplicate Client Identification Numbers
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20f22-response.pdf