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Improper 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-capitation

Costs 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-31-2012

Medicaid 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-and

Workers' 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-march

Recovering 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-health

Improper 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-and

Practices 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-follow

DiNapoli 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-and

New York’s Labor Force: Assessing 10-Year Trends and Pandemic Setbacks

… Message from the Comptroller A robust labor force is critically important for employers to succeed and grow in New York, and it matters for the fiscal health of the … of unemployment in New York was the second highest among the states; Nevada was first with 30.1 weeks. Another reason …

https://www.osc.ny.gov/reports/new-yorks-labor-force-assessing-10-year-trends-and-pandemic-setbacks

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