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Medicaid Program – Improper Medicaid Payments for Childhood Vaccines
… enrolled in Medicaid, the Medicaid program pays the vaccine administration fee. Key Findings Auditors identified …
https://www.osc.ny.gov/state-agencies/audits/2018/12/06/medicaid-program-improper-medicaid-payments-childhood-vaccinesState Comptroller DiNapoli Releases State Audits and Examinations
… Authority (Centro): Compliance With Payment Card Industry (PCI) Standards (2016-S-31) Auditors reviewed select … some students as eligible for state financial aid awards. Incorrect certifications included four students who … serving in conflicting roles or follow its policies and industry practices when calculating $245.9 million in …
https://www.osc.ny.gov/press/releases/2017/02/state-comptroller-dinapoli-releases-state-audits-and-examinationsOrdinary Disability – En-Con Police Officers Plan
… or more years of service credit, you may be eligible for an ordinary disability retirement benefit. The Benefit If … medical leave of absence for up to two years (which may be extended for an additional two years), as long as you have not resigned or been terminated while …
https://www.osc.ny.gov/retirement/publications/1822/ordinary-disabilityDiNapoli and Schneiderman Announce Arrest in $87K Contractor Theft
… credits and other expenses. DiNapoli also announced he is rejecting a $133,860 extension of a related contract due … any money taken illegally will be returned. Contractors who cheat the state will be appropriately punished.” … issues. The falsified vouchers sought payment for hotel stays, employee fringe benefits and continuing medical …
https://www.osc.ny.gov/press/releases/2014/02/dinapoli-and-schneiderman-announce-arrest-87k-contractor-theftImproper Payments for Controlled Substances That Exceed Allowed Dispensing Limits (Follow-Up)
… Purpose To determine the extent of implementation of the six … of health care services, including prescription drugs, to individuals who are economically disadvantaged and/or have …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-payments-controlled-substances-exceed-allowed-dispensing-limits-followOverpayments of Certain Medicare Crossover Claims (Follow-Up)
… Generally, Medicare is the primary payer for medical services provided to dual-eligibles. Medicaid then … crossover system. Under this system, providers submit medical claims for dual-eligible individuals to Medicare. … to self-report accurate information to eMedNY regarding how much Medicare paid and how much Medicaid owed, which …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/overpayments-certain-medicare-crossover-claims-followAccounts Payable Advisory No. 37
… Subject: The Importance of Reconciling Credit Card Charges Guidance: Timely reconciliation of credit card … have not reconciled their credit card charges timely. In fact, some unreconciled charges date back to April 2012. …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/37-reconciliation-credit-card-transactionsImproper Payments to a Physical Therapist (Follow-Up)
… in our initial audit report, Improper Payments to a Physical Therapist ( Report 2013-S-15 ). Background The … and operated Madison Physical Therapy located in Brooklyn, New York, billed Medicaid in accordance with its policies and …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/improper-payments-physical-therapist-followState Agencies Bulletin No. 1225
… Purpose To remind agencies of the 2012 processing of retroactive … Uniform Allowance for Bargaining Units 21, 31 and 91, and to explain the appearance of a negative amount under code UTA (Uniform or Tool Allowance) in Box 14 (Other) of affected employees’ 2012 Form W-2’s. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1225-information-relating-negative-uniform-allowance-amounts-appearing-2012SUNY Bulletin No. SU-183
… Purpose To provide instructions to agencies for processing United University Professions …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-183-2011-uup-1-discretionary-increaseMedicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
… Objective To determine whether Medicaid overpayments for pharmacy services on behalf of managed care recipients who … Medicaid services their recipients require, which includes pharmacy services. Many recipients have other third-party … audit period, HMS’ third-party liability recoveries on MCO pharmacy payments totaled about $118 million. Key Findings We …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/medicaid-program-recovering-managed-care-overpayments-pharmacy-services-behalf-recipientsXIII.2 Overview – XIII. Employee Expense Reimbursement
… SECTION OVERVIEW AND POLICY Agencies are responsible for ensuring employees adhere to all employee expense … listing of expense types. Expense reports must contain all required information and documentation, including receipts …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiii/xiii2-overviewTown of Sullivan – Internal Controls Over Selected Financial Operations (2013M-267)
… Purpose of Audit The purpose of our audit was to evaluate the selected Town financial operations for the … 31, 2012. Background The Town of Sullivan is located in Madison County and has a population of approximately … resulted from unrealistic budget estimates. The Board has not developed a financial and/or capital plan or established …
https://www.osc.ny.gov/local-government/audits/town/2013/12/27/town-sullivan-internal-controls-over-selected-financial-operations-2013m-267An Analysis of Reasonable and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in the New York State Health Insurance Program
… The New York State Health Insurance Program (NYSHIP), administered by the State … its members with four types of health insurance coverage: medical/surgical, hospital, prescription drugs, and mental health and substance abuse services. Civil Service …
https://www.osc.ny.gov/state-agencies/audits/2020/04/01/analysis-reasonable-and-customary-out-network-reimbursement-rates-medicalsurgical-servicesDiNapoli Releases April State Cash Report
… of $10.9 billion, which was $28.7 million higher than the latest projection and $549.1 million higher than last April …
https://www.osc.ny.gov/press/releases/2016/05/dinapoli-releases-april-state-cash-reportState Comptroller DiNapoli Releases State Audits
… Metropolitan Transportation Authority: Access-A-Ride (AAR) Accident Claims (Follow-Up) (2015-F-27) An initial report … by traditional carriers decreased with reliance on black car services and taxis increasing. Auditors found AAR and the carriers were generally in compliance with federal motor carrier standards, but noted …
https://www.osc.ny.gov/press/releases/2016/05/state-comptroller-dinapoli-releases-state-audits-0State Comptroller DiNapoli Releases Municipal Audits
… was negative $370,229, and the water fund owes $490,922 to other funds. Loans from other funds were not repaid by the … paid $300,000 during the audit period ($200,000 annually) to the St. Lawrence County Industrial Development Agency without a written agreement detailing the services to be provided and the basis for the payment. Track state and …
https://www.osc.ny.gov/press/releases/2022/01/state-comptroller-dinapoli-releases-municipal-audits-0Medicaid Program – Improper Supplemental Maternity Capitation Payments to Managed Care Organizations
… (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs pay for services their members require. In addition to the monthly premiums, MCOs can receive a one-time Supplemental Maternity Capitation … Medicaid SMCPs totaled almost $4.7 billion. Key Findings We identified about $55 million in improper and questionable …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-supplemental-maternity-capitation-payments-managed-careWestchester County Chapter NYSARC, Inc. – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Westchester County Chapter NYSARC, Inc. (WARC) on its … WARC is reimbursed for these services through rates set by SED. The reimbursement rates are based on financial … 2016, we identified $49,605 in ineligible costs reported by WARC on its CFRs for the Programs. The ineligible costs …
https://www.osc.ny.gov/state-agencies/audits/2021/09/29/westchester-county-chapter-nysarc-inc-compliance-reimbursable-cost-manualAccounts Payable Advisory No. 1
… Subject: Making PCard, TCard, and NET-Card Payments to JPMorgan Chase Bank, N.A. Filling the Invoice Number Field on the Voucher: In order for JPMorgan Chase … References: For additional guidance, access SFS Secure to find job aids related to paying a credit card. SIGN UP TO …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/1-complex-entity-jpmorgan-chase-bank-na