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Medicaid Program – Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits
… whether the Department of Health paid pharmacy providers for controlled substances in compliance with the New York … risk of drugs ordered in this manner being diverted for inappropriate or unauthorized use. The supply limits that … Medicaid program paid pharmacy providers through the fee-for-service method and the managed care method. Under …
https://www.osc.ny.gov/state-agencies/audits/2015/02/06/medicaid-program-improper-payments-controlled-substances-exceed-allowed-dispensing-limitsOpinion 98-6
… county board member as sole proprietor) GENERAL MUNICIPAL LAW, §§800(3), 801, 802(1)(h), (2)(e), 803: A county … would not have a prohibited interest in a contract with a firm of which the supervisor's spouse is the sole proprietor … prior county board approval (see Municipal Home Rule Law, §§10, 23[2][f], 24[2][b]; cf . County Law, §408; …
https://www.osc.ny.gov/legal-opinions/opinion-98-6Medicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… reasonably ensured that Medicaid claims were submitted by approved providers, were processed in accordance with … eMedNY computer system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible … hospital, clinic, transportation, and eye care services. By the end of the audit fieldwork, auditors recovered about …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014State Agencies Bulletin No. 1212
… An explanation of the ADJ calculation must be provided. Removal of Members Members Removed from the Payroll in Pay … 19C : If a Member does not serve through 12/31/12 and the removal transaction is effective and reported in Pay Period … received their statutory salary in the 12/19/12 check, the removal effective date must be 12/20/12. Control-D Report …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1212-2012-year-end-adjustment-members-nys-legislatureState Agencies Bulletin No. 1089
… Supervision employees represented by the New York State Correctional Officers and Police Benevolent Association … between the State of New York and the New York State Correctional Officers and Police Benevolent Association Inc., …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1089-new-vacation-lump-sum-payment-earnings-code-employees-bargaining-unitState Agencies Bulletin No. 1116
… An explanation of the ADJ calculation must be provided. Removal of Members Members Removed from the Payroll in Pay … 19C : If a Member does not serve through 12/31/11 and the removal transaction is effective and reported in Pay Period … received their statutory salary in the 12/21/11 check, the removal effective date must be 12/22/11. Control-D Report …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1116-2011-year-end-adjustment-members-nys-legislatureState Agencies Bulletin No. 768
… the appropriate prorated statutory salary, based on the number of calendar days actually served in the calendar year. … who were appointed after January 1, 2007 (Action of New Hire or Concurrent Hire) and who are still Active on December 31, 2007 and did …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/768-2007-year-end-adjustment-members-nys-legislatureMedicaid Program – Medicaid Claims Processing Activity April 1, 2014 Through September 30, 2014
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … 2014, eMedNY processed about 164 million claims, resulting in payments to providers of about $25 billion. The claims are …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-medicaid-claims-processing-activity-april-1-2014-through-september-30-2014Overpayments to Cabrini Medical Center (Follow-Up)
… $1.9 million in Medicaid overpayments to Cabrini Medical Center. The overpayments occurred because a billing … Interest Department of Health: Overpayments to Cabrini Medical Center (2011-S-8) …
https://www.osc.ny.gov/state-agencies/audits/2013/11/07/overpayments-cabrini-medical-center-followState Agencies Bulletin No. 861
… the appropriate prorated statutory salary, based on the number of calendar days actually served in the calendar year. … who were appointed after January 1, 2008 (Action of New Hire or Concurrent Hire) and are still Active on December 31, 2008 and did not …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/861-2008-year-end-adjustment-members-nys-legislatureMedicaid Program – Medicaid Claims Processing Activity October 1, 2012 Through March 31, 2013
… ensured that Medicaid claims were submitted by approved providers, were processed in accordance with Medicaid … requirements, and resulted in correct payments to the providers. The audit covered the period October 1, 2012 … computer system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible …
https://www.osc.ny.gov/state-agencies/audits/2014/05/22/medicaid-program-medicaid-claims-processing-activity-october-1-2012-through-march-31-2013DiNapoli: As State Tax Check-Off Options Increase, Spending Lags for Most
… York state offers many worthy causes for income tax filers to donate to on their income tax forms, but money from less than … last six years,” DiNapoli said. “Donors expect their funds to serve the causes they support. Agencies need to comply …
https://www.osc.ny.gov/press/releases/2024/01/dinapoli-state-tax-check-off-options-increase-spending-lags-mostRipley Central School District – Financial Management (2021M-23)
… and District officials properly managed fund balance in accordance with statute. Key Findings The Board and … District officials did not properly manage fund balance in accordance with statute. The Board and District officials: … appropriations and appropriated fund balance, resulting in surplus fund balance exceeding the 4 percent statutory …
https://www.osc.ny.gov/local-government/audits/school-district/2021/08/13/ripley-central-school-district-financial-management-2021m-23Access Controls Over Selected Critical Systems (Follow-Up)
… the implementation of the two recommendations included in our original audit report, Access Controls Over Selected … of children, youth, families, and vulnerable populations in New York State. Its responsibilities encompass a wide … were able to perform. Key Findings OCFS has made progress in correcting the problems we identified in our initial …
https://www.osc.ny.gov/state-agencies/audits/2020/12/29/access-controls-over-selected-critical-systems-followMilford Central School District – Fund Balance Management (2022M-94)
… and District officials properly managed fund balance in accordance with statute. Key Findings The Board and … District officials did not properly manage fund balance in accordance with statute. As of June 30, 2021, surplus fund … comply with the statutory limit and use the excess funds in a manner beneficial to taxpayers. Develop and adopt a …
https://www.osc.ny.gov/local-government/audits/school-district/2022/08/26/milford-central-school-district-fund-balance-management-2022m-94Assessment Roll Verification (ARV) for School Districts
… the State Education Department (SED) each year to assist in the calculation of school state aid. School districts can … have different assessment roll years used to levy taxes in a given fiscal year. SED uses only assessment roll year … data to calculate state aid, so the values being verified in a given year may apply to more than one school fiscal …
https://www.osc.ny.gov/local-government/required-reporting/assessment-roll-verification-arv-school-districtsDiNapoli Op-Ed in the NY Daily News Cautions NYC Leaders to Prepare for Challenging Fiscal Times Ahead
… The New York Daily News published an op-ed from New York State Comptroller … The New York Daily News published an oped from New York State Comptroller …
https://www.osc.ny.gov/press/releases/2021/09/dinapoli-op-ed-ny-daily-news-cautions-nyc-leaders-prepare-challenging-fiscal-times-aheadTown of Marion – Misappropriation of Justice Court Cash Collections (2023M-149)
… Town Board provided adequate oversight of the Justice Court Court to ensure cash collections were properly …
https://www.osc.ny.gov/local-government/audits/town/2024/01/26/town-marion-misappropriation-justice-court-cash-collections-2023m-149DiNapoli: Queens Woman Pleads Guilty to Stealing $85,000 in NYS Pension Payments Meant for Her Deceased Father
… Queens woman pleaded guilty today to felony grand larceny for stealing nearly $85,000 in New York state pension payments meant for her deceased father, State Comptroller Thomas P. DiNapoli … the defendant assumed her deceased father’s identity for personal gain,” Soares said. “I hope this resolution …
https://www.osc.ny.gov/press/releases/2024/06/dinapoli-queens-woman-pleads-guilty-stealing-85000-nys-pension-payments-meant-her-deceased-fatherMedicaid Program – Improper Payments for Recipients No Longer Enrolled in Managed Long Term Care Partial Capitation Plans
… Appropriateness of Medicaid Eligibility Determined by the New York State of Health System (2014-S-4) Department of …
https://www.osc.ny.gov/state-agencies/audits/2016/03/30/medicaid-program-improper-payments-recipients-no-longer-enrolled-managed-long-term-care