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Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (2020-F-4)
To determine the extent of implementation of the five recommendations included in our initial audit report, Medicaid Overpayments for Medicare Part B...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-20f4.pdfMedicaid Program - Medicaid Overpayments for Medicare Advantage Plan Services (2017-S-46)
To determine if the Department of Health overpaid health care providers’ Medicaid claims for services also covered by Medicare Advantage plans.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2019-17s46.pdfMedicaid Program – Improper Medicaid Payments During Permissible Overlapping Medicaid and Essential Plan Coverage
… individuals who, generally, don’t otherwise qualify for Medicaid. As income, household makeup, and other factors … Essential Plan eligibility and enrollment rules can result in Department-authorized periods of overlapping insurance … Plan coverage because the Department did not account for the Essential Plan as a liable third-party health …
https://www.osc.ny.gov/state-agencies/audits/2023/09/14/medicaid-program-improper-medicaid-payments-during-permissible-overlapping-medicaid-andMedicaid Program – Claims Processing Activity October 1, 2022 Through March 31, 2023
… Objective To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … going back to June 2022. About the Program The Department of Health (Department) administers the State’s Medicaid … 233 million claims, resulting in payments to providers of nearly $45 billion. The claims are processed and paid in …
https://www.osc.ny.gov/state-agencies/audits/2023/10/25/medicaid-program-claims-processing-activity-october-1-2022-through-march-31-2023Medicaid Program – Claims Processing Activity October 1, 2021 Through March 31, 2022
… Objective To determine whether the Department of Health’s (Department’s) eMedNY system … were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period from October 2021 … To determine whether the Department of Healths Departments eMedNY system …
https://www.osc.ny.gov/state-agencies/audits/2022/12/13/medicaid-program-claims-processing-activity-october-1-2021-through-march-31-2022Straight Talk About Financial Planning For Your Retirement
… it’s good to know your retirement benefit is one of them. You can be confident that when you are ready to retire, your … based on what you spend now and what you think you will need to supplement your pension. Experts tell us you will … and over who aren’t receiving Social Security benefits and do not yet have an online account. You can view your …
https://www.osc.ny.gov/retirement/publications/straight-talk-about-financial-planning-your-retirementEducators for Children, Youth and Families, Inc. – Use of Contract Funds (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial audit … (Educators) appropriately used State funds received from the State Education Department (SED) and the Office of … Determine the extent of implementation of the 3 recs included in our …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/educators-children-youth-and-families-inc-use-contract-funds-followState Agencies Bulletin No. 1037
… taxes and reporting wages when an overpayment originated in a prior calendar year. Affected Employees All employees … to Internal Revenue Code Section 1341 as explained in IRS Publication 525, the repayment of wages in the current year that were originally overpaid in a prior …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1037-taxation-recovered-salary-overpaymentsComptroller DiNapoli, A.G. Schneiderman & Acting Tax Commissioner Manion Announce $4.3 Million Settlement With Owners of For-Profit School Network for Overcharging State; Failing To Pay Taxes
… DiNapoli, Attorney General Eric T. Schneiderman and Acting Tax Commissioner Nonie Manion announced today a settlement … failing to pay millions in personal and corporate income tax. Following a coordinated investigation with the … New York State and its honest taxpayers,” said NYS Tax Department Acting Commissioner Nonie Manion. “We’ll …
https://www.osc.ny.gov/press/releases/2016/10/comptroller-dinapoli-ag-schneiderman-acting-tax-commissioner-manion-announce-43-million-settlementMonterey Fire Company, Inc. – Misappropriation of Funds (2013M-17)
… audit was to evaluate the Company’s financial operations for the period January 1, 2007, to July 31, 2012. Background The Monterey Fire Company, Inc. is a not-for-profit organization incorporated in 1952. The Company, … paid bills, wrote checks, and made ATM cash withdrawals for personal purposes with no oversight. As a result, the …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/03/27/monterey-fire-company-inc-misappropriation-funds-2013m-17State Comptroller DiNapoli Releases Audits
… office had taken steps to meet the requirements of EO 95 for the collection and public dissemination of state data. … Department of Education refers students to CCC and pays for its services using rates established by SED. For the … Department (Preschool Special Education Audit Initiative): Kids First Evaluation & Advocacy Center – Compliance with the …
https://www.osc.ny.gov/press/releases/2022/03/state-comptroller-dinapoli-releases-audits-0Early Childhood Education Center – Compliance With the Reimbursable Cost Manual
… ECEC provides preschool special education services to children with disabilities between the ages of three and five … we audited. Key Finding We identified $3,501 in costs that did not comply with SED’s requirements for reimbursement. The … (2012-S-18) State Education Department: All Services for Kids, Inc. - Compliance With the Reimbursable Cost Manual …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/early-childhood-education-center-compliance-reimbursable-cost-manualTown of Babylon – Financial Condition and Internal Controls Over Selected Town Operations (2013M-115)
… an operating surplus of almost $1.5 million in 2011, this surplus resulted from $4.5 million of questionable … insurance premiums to nine officials and employees and $30,751 to four other employees and officials who opted out of the health insurance plan during the audit period, who …
https://www.osc.ny.gov/local-government/audits/town/2013/11/22/town-babylon-financial-condition-and-internal-controls-over-selected-town-operationsDiNapoli: Special Education Pre-K Provider Claimed Nearly $1 Million in Ineligible Expenses
… Learning Center Inc., claimed nearly $1 million in expenses that did not qualify for reimbursement from … ended June 30, 2013, DiNapoli’s auditors found $942,998 in reported costs that did not meet the state’s requirements … for reimbursement. The ineligible costs included $621,356 in personal service costs and $321,642 in other than personal …
https://www.osc.ny.gov/press/releases/2016/10/dinapoli-special-education-pre-k-provider-claimed-nearly-1-million-ineligible-expensesAnnual Assessment of Market Orders for 2015 and 2016
… Purpose To determine whether the Department of Agriculture and Markets (Department) had adequate … its assessable expenses related to its administration of Article 25 of the Agriculture and Markets Law. Our audit covered the … To determine whether the Department of Agriculture and Markets had adequate procedures in place …
https://www.osc.ny.gov/state-agencies/audits/2019/05/16/annual-assessment-market-orders-2015-and-2016Improper Managed Care Payments for Misclassified Patient Discharges (Follow-Up)
… our initial audit report, Improper Managed Care Payments for Misclassified Patient Discharges (Report 2021-S-8 ). … pays managed care organizations (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs arrange for the provision of services for recipients and reimburse …
https://www.osc.ny.gov/state-agencies/audits/2023/12/06/improper-managed-care-payments-misclassified-patient-discharges-followInterdisciplinary Center for Child Development – Compliance With the Reimbursable Cost Manual
… to children with disabilities who are between the ages of three and five years. During the 2014-15 school year, ICCD … in Queens and Nassau County. The New York City Department of Education (DoE) and local school districts refer students … local school districts are reimbursed by SED for a portion of their payments to ICCD. For the three fiscal years ended …
https://www.osc.ny.gov/state-agencies/audits/2018/04/05/interdisciplinary-center-child-development-compliance-reimbursable-cost-manualChildren’s Center for Early Learning – Compliance With the Reimbursable Cost Manual
… covered the two fiscal years ended June 30, 2009. In addition, we examined selected costs from fiscal years … 30, 2009, the Center claimed approximately $10.7 million in reimbursable expenses for the programs we audited … ended on May 5, 2014. Key Findings We identified $797,438 in reported costs that should not have been reimbursed, as …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/childrens-center-early-learning-compliance-reimbursable-cost-manualImproper Medicaid Payments for Outpatient Services Billed as Inpatient Claims (Follow-Up)
… audit report, Medicaid Program: Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims (Report … program. The Medicaid program reimburses hospitals for inpatient and outpatient services. A recipient’s status … versus outpatient—affects Medicaid’s reimbursement for services provided. Inpatient care generally requires …
https://www.osc.ny.gov/state-agencies/audits/2025/03/12/improper-medicaid-payments-outpatient-services-billed-inpatient-claims-followState Agencies Bulletin No. 1050
… Purpose To inform agencies of the 2011 tax related changes Affected Employees Employees … in 2011 the tax rate for calculating the employee share of social security tax withholdings has been reduced to 4.2%. … has been established in PayServ, OASDI/ER. The amount of the employer share of social security tax will be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1050-summary-tax-related-changes-tax-year-2011