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Medicaid Program – Claims Processing Activity October 1, 2021 Through March 31, 2022
… had been recovered by the end of the audit fieldwork. We also identified 11 providers in the Medicaid program who … or regulations governing certain health care programs. We advised Department officials of the providers, and the … them from the Medicaid program. Key Recommendations We made seven recommendations to the Department to recover …
https://www.osc.ny.gov/state-agencies/audits/2022/12/13/medicaid-program-claims-processing-activity-october-1-2021-through-march-31-2022New York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (2020-S-34)
To determine whether UnitedHealthcare Insurance Company of New York paid claims for Empire Plan members who were not eligible.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20s34.pdfDiNapoli: Audit Finds $6.8 Million in Medicaid Overpayments
… sure claims are being paid appropriately and to determine if improvements are needed and whether money should be …
https://www.osc.ny.gov/press/releases/2016/11/dinapoli-audit-finds-68-million-medicaid-overpaymentsState Contract and Payment Actions in August
… Comptroller approved 1,631 contracts for state agencies and public authorities valued at $2.3 billion and approved … childhood education and social services under the Agri-Business Child Development Program. Department of Civil … & Substance Abuse Program. Empire State Development Corporation $35.6 million to Tappan Zee Constructors LLC for …
https://www.osc.ny.gov/press/releases/2019/09/state-contract-and-payment-actions-augustState Contract and Payment Actions in August
In August the Office of the State Comptroller approved 1555 contracts for state agencies and public authorities valued at $27 billion and approved more than 2 million payments worth nearly $103 billion
https://www.osc.ny.gov/press/releases/2022/09/state-contract-and-payment-actions-augustNew York’s Economy and Finances in the COVID-19 Era
… a high likelihood of transitioning into a business with payroll.” Such applications from New York totaled 4,223 in …
https://www.osc.ny.gov/reports/covid-19-july-22-2020State Contract and Payment Actions in April
… USA Inc. for service and support of Siemens medical equipment at Upstate Medical University. $1.5 million with … a multi-use Veterans Resource Center in Onondaga County. Gaming Commission $7.7 million for gaming revenue … services, administrative and clerical services, and tent rentals. Division of Homeland Security and Emergency Services …
https://www.osc.ny.gov/press/releases/2021/05/state-contract-and-payment-actions-aprilTown of Elbridge – Payroll and Leave Accruals (2024M-141)
… and that leave accrual records were maintained accurately. We determined that: The Town Supervisor (Supervisor) … The audit report includes nine recommendations that, if implemented, will help the Board and Town officials …
https://www.osc.ny.gov/local-government/audits/town/2025/03/14/town-elbridge-payroll-and-leave-accruals-2024m-141State Comptroller DiNapoli Releases School Audits
… announced his office completed audits of Berlin Central School District , Galway Central School District , Hudson Falls Central School District , Mount Sinai Union Free School District , …
https://www.osc.ny.gov/press/releases/2018/06/state-comptroller-dinapoli-releases-school-auditsWhat Not to Report – Legacy Reporting
… taxable by the IRS constitute salary as defined by the Retirement and Social Security Law. The following payments … taken from these payments) and will be excluded from the retirement calculation if reported: The value of employee use …
https://www.osc.ny.gov/retirement/employers/legacy-reporting/what-not-reportComptroller DiNapoli Releases State Audits
… fellowship leaves granted instructional staff were awarded for authorized purposes and in compliance with all applicable … the responsibility of managers at the individual agencies. For additional progress to occur, OGS needs to perform a … meet agency missions. Department of Health (DOH): Payments for Fraudulent and Improper Claims Submitted by Davis Ethical …
https://www.osc.ny.gov/press/releases/2016/03/comptroller-dinapoli-releases-state-auditsState Comptroller DiNapoli Releases Audits
… Schools (Follow-Up) (2023-F-34) The New York Education Law mandates that all schools ensure that their health …
https://www.osc.ny.gov/press/releases/2024/05/state-comptroller-dinapoli-releases-auditsDiNapoli Announces State Contract & Payment Actions for May 2014
… $222.5 million, 20-year lease renewal for CUNY at 230 West 41st St., Manhattan, with 230 West 41st Street LLC, … Authority reservoir in Niagara County. $2.4 million to National Railroad Passenger Corp. for equipment and capital … 50,000 state contracts, visit http://www.openbooknewyork.com/ . The easy-to-use website was created by Comptroller …
https://www.osc.ny.gov/press/releases/2013/06/dinapoli-announces-state-contract-payment-actions-may-2014Medicaid Program – Opioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program
… Medicaid recipients who are receiving opioids while also in a Treatment Program for opioid use disorder. This audit … I-STOP is a tool to assist prescribers in determining the most appropriate prescription(s) for an individual. To … may have received inappropriate, unnecessary, and/or dangerous opioid prescriptions if Treatment Programs did not …
https://www.osc.ny.gov/state-agencies/audits/2018/11/20/medicaid-program-opioid-prescriptions-medicaid-recipients-opioid-treatment-programMedicaid Program – Appropriateness of Payments to Transportation Management Contractors and Providers
… reduce Medicaid costs and improve the delivery of health care services. As part of this initiative, in January 2012, … reimburses transportation managers monthly based on the number of Medicaid recipients who are eligible for … for the New York State of Health (Insurance Marketplace) Customer Service Center ( 2015-S-80 ) … To determine whether …
https://www.osc.ny.gov/state-agencies/audits/2017/12/15/medicaid-program-appropriateness-payments-transportation-management-contractors-andState Contract and Payment Actions in November
… and payments is available at www.openbooknewyork.com . Major Contracts Approved Department of Agriculture & … Services $6.6 million with the New York Council on Problem Gambling for statewide problem gambling prevention services. City University of New York …
https://www.osc.ny.gov/press/releases/2019/01/state-contract-and-payment-actions-novemberState Contract and Payment Actions in January
… and prime contractors. Find out how your government money is spent at Open Book New York . Track municipal …
https://www.osc.ny.gov/press/releases/2021/02/state-contract-and-payment-actions-januaryLong Island Association for AIDS Care, Inc.
… Purpose The objective of our examination was to determine whether the Long Island … for AIDS Care, Inc. (LIAAC) charged and the Department of Health AIDS Institute (Institute) reimbursed for appropriate expenses under the terms of contract C023121. We examined select expenses during the …
https://www.osc.ny.gov/state-agencies/audits/2014/09/30/long-island-association-aids-care-incNew York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members (Follow-Up) 30-Day Response
To assess the extent of implementation of the six recommendations included in our initial audit report, Payments by CVS Health for Pharmacy Services for Ineligible Members (Report 2020-S-17).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22f29-response.pdfOpinion 88-12
… to provide services "one for the other" is an express statement by the Legislature that such contracts are not …
https://www.osc.ny.gov/legal-opinions/opinion-88-12