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Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance (2020-S-39)
To determine whether Medicaid overpayments for pharmacy services on behalf of managed care recipients who had third-party health insurance were appropriately recovered.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-20s39.pdfDiNapoli: Limited Regulation of Adult Day Care Programs Poses Potential Risks to Vulnerable Adults
… Many social adult day services programs (SADS) in New York operate without … more vulnerable New Yorkers. Too many providers of these services operate with little or no regulatory oversight.” … programs providing functionally impaired adults with services such as socialization, supervision and monitoring, …
https://www.osc.ny.gov/press/releases/2015/12/dinapoli-limited-regulation-adult-day-care-programs-poses-potential-risks-vulnerable-adultsMaintenance and Tuition Payments to the Lake Grove School and Mountain Lake Children's Residence
… Purpose To determine whether costs reported by the Lake Grove School (Lake Grove) and Mountain Lake Children's Residence (Mountain Lake) to the State … To determine whether costs reported by the Lake Grove School and Mountain Lake Childrens Residence to the SED and OCFS …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/maintenance-and-tuition-payments-lake-grove-school-and-mountain-lake-childrens-residenceDiNapoli: Proposed Congressional Cuts to SNAP Program Mean More New Yorkers Without Enough Food
… Action Under Consideration Would Be Detrimental The House approved the “One Big Beautiful Bill Act” and the … been funded by the federal government. Under the House reconciliation bill, states would be required to make a … cost New York up to $1.2 billion in new costs, while the House proposal would cost the state up to $2 billion …
https://www.osc.ny.gov/press/releases/2025/07/dinapoli-proposed-congressional-cuts-snap-program-mean-more-new-yorkers-without-enough-foodDiNapoli: Audits Lead to Millions of Dollars in Medicaid Savings from Drug Rebate Collections
… million in rebates due from drug manufacturers. DOH sought collection of $4.7 million of the drug rebates before the … DOH identified as 340B providers that were not on the official federal list of such providers. This … found DOH had made significant progress, having sought the collection of $159 million in rebates since the initial …
https://www.osc.ny.gov/press/releases/2017/06/dinapoli-audits-lead-millions-dollars-medicaid-savings-drug-rebate-collectionsCVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service
… Objective To determine if CVS Health invoiced and remitted commercial rebate revenue related to Empire Plan drug … health insurance coverage to over 1.2 million active and retired State, participating local government, and school … To determine if CVS Health invoiced and remitted commercial rebate revenue related to Empire Plan …
https://www.osc.ny.gov/state-agencies/audits/2019/06/06/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-serviceState Agencies Bulletin No. P-982
Cancellation of Retirement Information for Retirees Returning to Employment with NYS Under Sec 21/212 Ret & SS Law
https://www.osc.ny.gov/files/state-agencies/payroll-bulletins/pdf/agencies-p-982.pdfState Agencies Bulletin No. P-804
Sal Withhold Inst for Emp Appt to Certain Positions from SUNY NU 08 AND NU 41 Positions
https://www.osc.ny.gov/files/state-agencies/payroll-bulletins/pdf/agencies-p-804.pdfWyandanch Union Free School District - Budget Review (B22-7-1)
The objective of the review was to provide an independent evaluation of the proposed budget for 2022-23.
https://www.osc.ny.gov/files/local-government/audits/2022/pdf/wyandanch-2022-b22-7-1.pdfChautauqua County – Court and Trust (2020-C&T-1)
Determine whether County officials have established appropriate controls to safeguard and account for court and trust funds.
https://www.osc.ny.gov/files/local-government/audits/pdf/chautauqua-2020-ct-1.pdfWyoming County Court and Trust Funds - (2020-C&T-2)
Determine whether County officials have established appropriate controls to safeguard and account for court and trust funds.
https://www.osc.ny.gov/files/local-government/audits/pdf/wyoming-2020-ct-2.pdfWindham-Ashland-Jewett Central School District - Claims Audit Process (2019M-242)
Determine if claims were adequately documented, for appropriate purposes and properly audited and approved prior to payment.
https://www.osc.ny.gov/files/local-government/audits/pdf/windham-ashland-jewett-2019-242.pdfVillage of Windsor - Water Operations (2019M-210)
Determine whether Village officials accurately billed customers for water usage and reconciled water produced to water billed.
https://www.osc.ny.gov/files/local-government/audits/pdf/windsor-2019-210.pdfTown of Hounsfield - Claims Auditing (2019M-215)
Determine whether claims were adequately documented, for appropriate purposes and properly audited and approved prior to payment.
https://www.osc.ny.gov/files/local-government/audits/pdf/hounsfield-2019-215.pdfRecord of Activities Sample
An example record of activities (ROA) for NYSLRS employers and their elected and appointment officials to reference.
https://www.osc.ny.gov/files/retirement/members/pdf/record-of-activities-sample.pdfUnitedHealthcare: Out-of-Network Providers Upcoding Selected Evaluation and Management Services (2017-S-34) 90-Day Response
To determine whether UnitedHealthcare sufficiently monitors out-of-network providers who routinely bill for higher-level Evaluation and Management services ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2019-17s34-response.pdfUnitedHealthcare: Out-of-Network Providers Upcoding Selected Evaluation and Management Services (2017-S-34)
To determine whether UnitedHealthcare sufficiently monitors out-of-network providers who routinely bill for higher-level Evaluation and Management services ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2019-17s34.pdfVillage of Lyons Falls - Board Oversight (2018M-174)
Determine whether the Board provided adequate oversight to ensure Village funds are properly accounted for and safeguarded.
https://www.osc.ny.gov/files/local-government/audits/pdf/lyons-falls.pdfDiNapoli: State Pension Fund Adds Another $20 Million to Investing in New York Program
… The New York State Common Retirement Fund (Fund) has committed … funds since 2014. About the NYS Common Retirement Fund The New York State Common Retirement Fund is the third largest … The New York State Common Retirement Fund has committed $20 million to the Tribeca Venture …
https://www.osc.ny.gov/press/releases/2018/04/dinapoli-state-pension-fund-adds-another-20-million-investing-new-york-programMedicaid Program: Excessive Payments for Durable Medical Equipment Rentals (2021-S-36) 180-Day Response
To determine whether Medicaid managed care organizations inappropriately paid for durable medical equipment beyond allowed rental limits, and whether the Medicaid program could achieve cost savings by implementation of a rental cap on oxygen equipment.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21s36-response.pdf