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Fare Evasion
… the appropriate fare. Passengers on Regular Bus Service (RBS) pay their fare on the bus. Select Bus Service (SBS) … is responsible for generating random samples of Transit RBS bus trips and subway stations for traffic checkers …
https://www.osc.ny.gov/state-agencies/audits/2021/04/15/fare-evasionOpinion 2005-5
… when employer contribution to retirement system for the next subordinate officer is increased) GENERAL … New York State and Local Police and Fire Retirement System for the plan of which the next subordinate police officer in … is in reply to your inquiry concerning the requirements for compensating a village police chief under General …
https://www.osc.ny.gov/legal-opinions/opinion-2005-5Opinion 2010-3
… views of the Office of the State Comptroller at the time it was rendered. The opinion may no longer represent those … has been held by the town board (Town Law § 184 [2]). It is well-established, however, that a question may not be … hand, consistent with the "definite sum" requirement, it is our view that the fire company's expenses for that debt …
https://www.osc.ny.gov/legal-opinions/opinion-2010-3Comptroller DiNapoli Releases Municipal Audits
… New York State Comptroller Thomas P. DiNapoli today announced … The board has not taken sufficient action to initiate new projects and encourage the creation or expansion of new business, significantly affecting CIDA’s viability. CIDA …
https://www.osc.ny.gov/press/releases/2015/08/comptroller-dinapoli-releases-municipal-audits-0Opinion 93-14
… procedure for town districts). Further, it is a general rule that, since the construction of sewers involves the … v Syracuse , 184 NY 1; 54 NY Jur, Sewers and Sewage §2; 13 McQullin, Municipal Corporations, §37.27). We note, … Union v Greco , 1988, 137 AD2d 816, 525 NYS2d 279, the Appellate Division, Second Department, reversed a lower …
https://www.osc.ny.gov/legal-opinions/opinion-93-14Opinion 2000-7
… views of the Office of the State Comptroller at the time it was rendered. The opinion may no longer represent those … 802(1)(j) (2) literally applies only to "purchases", it is apparent, when read in context with the rest of paragraph j, that it was intended to apply to "public work" as well (see …
https://www.osc.ny.gov/legal-opinions/opinion-2000-7MetroPlus Health Plan: COVID-19 Enrollment Trends
… and Medicare Advantage plans, plans for eligible New York City employees and day care workers of City agencies, and … Health and Human Services (HHS) declared a public health emergency (PHE) for COVID-19 which permits the Centers for … its current membership, while focusing on better care management. To maximize revenues from MetroPlus, H+H is …
https://www.osc.ny.gov/reports/osdc/metroplus-health-plan-covid-19-enrollment-trendsUnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services
… of Civil Service (Civil Service) administers NYSHIP. In carrying out its responsibilities, Civil Service contracts … E/M services. Key Findings Improvements are needed in United’s method for monitoring out-of-network providers …
https://www.osc.ny.gov/state-agencies/audits/2018/12/31/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesJune 2002: GASB Statement 34
… by the governmental units. This project culminated in June 1999 with the issuance of Statement 34 of the … (phase 1) will implement for fiscal years ending after June 15, 2002; those with revenues between $10 million and $100 million (phase 2) for fiscal years ending after June 15, 2003; and those with revenues less than $10 million …
https://www.osc.ny.gov/local-government/publications/june-2002-gasb-statement-34Empire BlueCross BlueShield – Payments to John T. Mather Memorial Hospital (Follow-Up)
… were implemented. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, participating … Related Audits/Reports of Interest New York State Health Insurance Program: Empire BlueCross Blue Shield - Payments to …
https://www.osc.ny.gov/state-agencies/audits/2013/06/04/empire-bluecross-blueshield-payments-john-t-mather-memorial-hospital-followCity of Dunkirk – Budget Review (B24-1-10)
… budget for 2025. Background Chapter 5 6 of the Laws of 2024, Part DD (the City of Dunkirk Fiscal Recovery Act; “Act” … and capital projects fund existing at the close of its 2024 fiscal year. During the effective period of the Act, the … 30 days before the date scheduled for the City Council’s vote on the adoption of the final budget or the last date on …
https://www.osc.ny.gov/local-government/audits/city/2024/11/27/city-dunkirk-budget-review-b24-1-10United HealthCare – Empire Plan Drug Rebates
… Purpose To determine if United HealthCare Insurance Company of New York (United) credited the Department of Civil Service (Department) for all rebate revenue due … 1, 2011 through December 31, 2013 and included a review of revenue from five drug manufacturers. Background The New …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/united-healthcare-empire-plan-drug-rebatesUnitedHealthcare Insurance Company of New York – Overpayments for Physician-Administered Drugs (Follow-Up)
… included in our initial audit report, UnitedHealthcare Insurance Company of New York – Overpayments for … 2021-S-32 ). About the Program The New York State Health Insurance Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance coverage to about 1.2 million active and retired …
https://www.osc.ny.gov/state-agencies/audits/2025/05/21/unitedhealthcare-insurance-company-new-york-overpayments-physician-administered-drugsUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… and includes prescription drug coverage. The Department of Civil Service (Department) contracts with United … to administer the prescription drug benefit portion of the Plan. Based on the primary contract, the Department … Davis, a licensed pharmacist. Pursuant to allegations of improper billing practices, there have been several …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012
… Empire processes Plan claims for hospital services in accordance with agreements they negotiate with member … above the amount Empire should have paid for the items in question. For one hospital, Empire paid $68,382 for three …
https://www.osc.ny.gov/state-agencies/audits/2013/12/13/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughPositive Beginnings, Inc. – Compliance With the Reimbursable Cost Manual
… full-day and half-day Special Class programs to children with disabilities who are between the ages of 3 and 5 years. … school year, Positive Beginnings served 538 students with disabilities in the SED preschool cost-based programs. … identified $663,830 in reported costs that did not comply with the requirements in the RCM and the CFR Manual, as …
https://www.osc.ny.gov/state-agencies/audits/2024/03/13/positive-beginnings-inc-compliance-reimbursable-cost-manualQueens Centers for Progress – Compliance With the Reimbursable Cost Manual
… Special Class in an Integrated Setting program to children with disabilities who are between the ages of 3 and 5 years. … identified $257,297 in reported costs that did not comply with the requirements in the RCM and the CFR Manual, as … $123,328 in non-allowable compensation costs associated with a licensed physician. According to the CFR Manual, the …
https://www.osc.ny.gov/state-agencies/audits/2023/08/10/queens-centers-progress-compliance-reimbursable-cost-manualDiNapoli: Contractor Failed to Turn Over $1.5 Million in Prescription Drug Rebates to NYS
… $1,498,719 in NYSHIP rebates that Express Scripts did not remit. The audit recommended United work to get that …
https://www.osc.ny.gov/press/releases/2016/11/dinapoli-contractor-failed-turn-over-15-million-prescription-drug-rebates-nysE&D Children Center, Inc. – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by E&D Children Center, Inc. (E&D) on its … (CFRs) were reasonable, necessary, directly related to the special education program, and sufficiently documented, pursuant to the State Education Department’s (SED) Reimbursable Cost …
https://www.osc.ny.gov/state-agencies/audits/2021/11/16/ed-children-center-inc-compliance-reimbursable-cost-manualCanarsie Childhood Center, Inc. – Compliance With the Reimbursable Cost Manual
… to the costs reported on CCC’s CFRs and to CCC’s tuition reimbursement rates, as warranted. Remind CCC officials of …
https://www.osc.ny.gov/state-agencies/audits/2022/02/01/canarsie-childhood-center-inc-compliance-reimbursable-cost-manual