Search
DiNapoli: DOH Needs to Improve Drug Rebate Collections
… audit’s fieldwork and changed policies that would allow for the collection of additional rebates. DiNapoli’s auditors … Rebate Program to reduce state and federal expenditures for Medicaid prescription costs. Since January 1991, New York … in the MCO. DOH uses information from eMedNY to identify drugs that are eligible for rebates and calculates the …
https://www.osc.ny.gov/press/releases/2016/01/dinapoli-doh-needs-improve-drug-rebate-collectionsNew Yorkers in Need: The Housing Insecurity Crisis
… housing costs constitute more than 30 percent of household income, the most commonly used threshold of affordability. In … insecurity among New York’s seniors exceeds the national average. Forty-three percent of New York households with a … in 2022. New York’s rate of homelessness, at about 5 per 1,000 people, was highest among states and more than …
https://www.osc.ny.gov/reports/new-yorkers-need-housing-insecurity-crisisHomeless Services Housing Needs Assessment
… are receiving services needed to transition to permanent housing. The audit covered the period from January 2018 … childcare services, and assistance with finding permanent housing. Local departments of social services (Local … across the State. Each client who receives temporary housing in a certified shelter must take part in a Needs …
https://www.osc.ny.gov/state-agencies/audits/2023/08/15/homeless-services-housing-needs-assessmentDiNapoli: SED Makes Progress on Implementation of Dignity for All Students Act
… The State Education Department (SED) made progress in ensuring school districts across New York are protecting students from harassment and … according to a follow-up report released today by State Comptroller Thomas P. DiNapoli. “Bullying is a … The State Education Department SED made progress in ensuring …
https://www.osc.ny.gov/press/releases/2019/11/dinapoli-sed-makes-progress-implementation-dignity-all-students-actOpinion 94-13
… for engaging in prohibited employment) GENERAL MUNICIPAL LAW, §207-a(6): Subject to any applicable collective … pursuant to section 207-a(2) of the General Municipal Law to certify periodically that they are not engaged in any … section 207-a. Section 207-a(1) of the General Municipal Law requires a city (other than New York City), town, village …
https://www.osc.ny.gov/legal-opinions/opinion-94-13Medicaid Program – Mainstream Managed Care Organizations: Administrative Costs Used in Premium Rate Setting
… of Health (Department) and whether the Department is appropriately applying the administrative costs in … 31, 2015. Background The New York State Medicaid program is a federal, state, and locally funded program that provides … for nearly 5.2 million Medicaid enrollees. The Department is responsible for setting the monthly managed care premium …
https://www.osc.ny.gov/state-agencies/audits/2016/10/13/medicaid-program-mainstream-managed-care-organizations-administrative-costs-used-premiumNew York's Prison Population Continues Decline, But Share of Older Adults Keeps Rising
… of older incarcerated individuals has grown from 7,511 in March 2008 to 7,586 in March 2021. As a percentage of the state’s shrinking … however, the older population has doubled. Nearly 1-in-4 (24.3%) of the state’s 31,262 incarcerated individuals …
https://www.osc.ny.gov/press/releases/2022/01/new-yorks-prison-population-continues-decline-share-older-adults-keeps-risingDiNapoli Announces State Contract and Payment Actions for August 2014
… their money. The independent audits ensure payments are free from fraud, waste and improprieties. The Comptroller’s … Division of Criminal Justice Services $6.3 million to the Legal Aid Society for Aid to Defense for impoverished New … to various labor organizations. Office of Indigent Legal Services $637,000 in grants to five upstate counties …
https://www.osc.ny.gov/press/releases/2014/09/dinapoli-announces-state-contract-and-payment-actions-august-2014UnitedHealthcare: Improper Payments for Medical Services Designated By Modifier Code 59 (2013-S-82)
To determine whether UnitedHealthcare improperly paid for medical services designated with modifier code 59 that were not distinct and independent from other se
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-13s82.pdfOrdinary Disability – Forest Rangers Plan
… percent) of your FAS for each year of credited service, plus 1/60th of your FAS for each year of service you might …
https://www.osc.ny.gov/retirement/publications/1864/ordinary-disabilityUnited HealthCare – Overpayments for Services Provided by Orthopedic Associates of Long Island
… waived Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments made by United HealthCare … LLP waived Empire Plan members outofpocket costs and if so to quantify the overpayments made by …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-orthopedic-associates-long-islandMedicaid Program – Cost Saving Opportunities on Payments of Medicare Part C Claims
… December 31, 2020. About the Program The Department of Health administers the New York State Medicaid program. Many of the State’s Medicaid recipients are enrolled in both … Legislature approved a plan for Medicaid to pay 85 percent of dual-eligibles’ copayment or coinsurance on Medicare Part …
https://www.osc.ny.gov/state-agencies/audits/2021/09/21/medicaid-program-cost-saving-opportunities-payments-medicare-part-c-claimsReducing Medicaid Costs for Recipients With End Stage Renal Disease (Follow-Up)
… Purpose To determine the implementation status of the five recommendations made in our initial audit report, Reducing Medicaid Costs for … audit objective was to determine whether the Department of Health (Department) took sufficient steps to control the … To determine the implementation status of the five recommendations made in our initial audit report …
https://www.osc.ny.gov/state-agencies/audits/2018/09/05/reducing-medicaid-costs-recipients-end-stage-renal-disease-followImproper Fee-for-Service Payments for Services Covered by Managed Care (Follow-Up)
… ). About the Program The Department of Health (Department) pays Medicaid providers using the fee-for-service (FFS) or … through its Medicaid claims processing and payment system, pays providers directly for services rendered to Medicaid … recipients. Under the managed care method, the Department pays managed care plans a monthly premium for each Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2021/02/11/improper-fee-service-payments-services-covered-managed-care-followImproper Medicaid Managed Care Payments for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies on Behalf of Recipients in Nursing Homes. (2020-S-61) 180-Day Response
To determine whether Medicaid managed care organizations inappropriately paid for durable medical equipment, prosthetics, orthotics, and supplies while recipients were residing in nursing homes.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-20s61-response.pdfUpstate Medical Center - Selected Employee Travel Expenses (2012-S-147)
We recently audited the travel expenses of two people who received travel payments from the State University of New York (SUNY) Upstate Medical Center (Center).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2012-12s147.pdfContract Participation of Minority- and Women-Owned Business Enterprises
… of Economic Development. The audit covers the period April 1, 2013 through September 30, 2015. Background WCHCC is a … a different quarter and 39 payments (33 percent) totaling $1.06 million were reported in fiscal years other than when … of Minority- and Women-Owned Business Enterprises (2014-S-6 ) Dormitory Authority of the State of New York: Contract …
https://www.osc.ny.gov/state-agencies/audits/2016/11/04/contract-participation-minority-and-women-owned-business-enterprisesHuman Resource Practices (Follow-Up) (2021-F-7)
To determine if State University of New York (SUNY) Upstate Medical University has developed and consistently applied policies and procedures related to select human resource functions.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-21f7.pdfOrdinary Disability (Section 362) – New Career Plan
New Career Plan information for PFRS Tier 1 2 3 Article 11 5 and 6 members under Sections 375h and 375i Ordinary Disability Section 362
https://www.osc.ny.gov/retirement/publications/1515/ordinary-disability-section-362DiNapoli: Medicaid Redesign Presents Opportunities and Risks
… The state’s efforts to limit Medicaid spending are showing measurable progress with annual growth at less than 2 percent. Still, state spending … and fifth years of the waiver, the state has agreed to limit the growth in total Medicaid spending –excluding growth …
https://www.osc.ny.gov/press/releases/2015/03/dinapoli-medicaid-redesign-presents-opportunities-and-risks