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Medicaid Program – Cost Saving Opportunities on Payments of Medicare Part C Claims
… Medicaid and Medicare. Medicare is the primary payer for medical services provided to these dual-eligible recipients. … by offering different health care plans (known as Medicare Advantage Plans) and processing and paying claims for … or coinsurance) was no more than the typical Medicaid fee, it could have saved over $419 million from July 1, 2016 to …
https://www.osc.ny.gov/state-agencies/audits/2021/09/21/medicaid-program-cost-saving-opportunities-payments-medicare-part-c-claimsOversight of Managed Long-Term Care Member Eligibility (Follow-Up)
… services, such as home health care and nursing home care, for people who are chronically ill or disabled. For the year ended December 31, 2022, Medicaid paid MLTC plans $15.7 billion in premiums for 338,186 recipients enrolled in MLTC. The Department …
https://www.osc.ny.gov/state-agencies/audits/2024/03/13/oversight-managed-long-term-care-member-eligibility-followLicensing and Monitoring of Proprietary Schools (Follow-Up)
… Department (Department), the Bureau of Proprietary School Supervision (Bureau) is responsible for overseeing … in New York State. When initially granted, a proprietary school’s license is valid for 2 years. Thereafter, license renewals …
https://www.osc.ny.gov/state-agencies/audits/2023/06/21/licensing-and-monitoring-proprietary-schools-followUnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services
… through December 31, 2016. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage … each category, there are either three or five levels of care that providers bill. The amount of United’s …
https://www.osc.ny.gov/state-agencies/audits/2018/12/31/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesCity of Newburgh – Budget Review (B22-6-10)
… New York Office of the State Comptroller City of Newburgh Budget …
https://www.osc.ny.gov/local-government/audits/city/2022/11/18/city-newburgh-budget-review-b22-6-10State Agencies Bulletin No. 560
… Purpose To review Recall Overtime payment procedures and introduce the new Earn Code ROU to be used to pay Recall Standby Overtime to SUNY Unclassified employees. … of the basic 40-hour work week. An employee eligible for Recall Overtime may or may not be on Standby. An employee who …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/560-review-and-update-recall-overtime-pay-eligible-employees-classified-andState Agencies Bulletin No. 1243
… new enrollment into the Optional Retirement Plan (7Z TIAA/CREF) Affected Employees Employees with a Retirement Plan Type of 7Z (TIAA/CREF) with an election date of 4/1/12 or later Effective … continue their employee contributions after 10 years. The TIAA/CREF Suspense/NRI page will temporarily continue to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1243-tier-6-tiaa-retirement-contribution-rate-changesNY State Comptroller Announces Appointment of Emerging Managers Director
… announced the appointment of Sylvester (Sly) McClearn as director of the New York State Common Retirement Fund’s … (Fund) Emerging Manager Program. He was appointed Interim Director of the Program in February 2023. “Sylvester McClearn … announced the appointment of Sylvester Sly McClearn as director of the New York State Common Retirement Funds Fund …
https://www.osc.ny.gov/press/releases/2024/02/ny-state-comptroller-announces-appointment-emerging-managers-directorState Comptroller DiNapoli Releases Municipal Audits
… policies and procedures for enforcing unresolved traffic tickets. Town of Hempstead Sanitary District Number 14 – …
https://www.osc.ny.gov/press/releases/2017/06/state-comptroller-dinapoli-releases-municipal-audits-1NY State Comptroller DiNapoli: Wells Fargo Needs to Pull Back the Curtain on Its Incentive Pay Program
… (the Fund), today announced that he has written to fellow Wells Fargo shareholders urging them to support his call for … been identified as contributing to the multiple crises at Wells Fargo," DiNapoli said. "Investors need to know whether … and investors at risk. If investors don't hear from Wells Fargo, we will be left to wonder when the next headline …
https://www.osc.ny.gov/press/releases/2018/04/ny-state-comptroller-dinapoli-wells-fargo-needs-pull-back-curtain-its-incentive-pay-programState Comptroller DiNapoli Releases School Audits
… School District , Dover Union Free School District , Mamaroneck Union Free School District , Mattituck-Cutchogue … the risk for unauthorized access to the network. Mamaroneck Union Free School District – Extra-Classroom …
https://www.osc.ny.gov/press/releases/2018/10/state-comptroller-dinapoli-releases-school-auditsState Comptroller DiNapoli Releases Audits
… of General Services (OGS): Compliance With Executive Order 95 (Open Data) (2019-S-39) EO 95, issued in March 2013, established an Open Data Website … found OGS has taken steps to meet the requirements of EO 95; however, certain aspects of the order have not been fully …
https://www.osc.ny.gov/press/releases/2020/04/state-comptroller-dinapoli-releases-auditsState Comptroller DiNapoli Releases School Audits
… School District and the Wells Central School District . "In an era of limited resources and increased accountability, … through 2015-16 that appropriated a total of $19 million in fund balance to finance operations. However, because the … accounted for and used only for district purposes. In addition, there is an increased risk that fuel leaks or …
https://www.osc.ny.gov/press/releases/2017/07/state-comptroller-dinapoli-releases-school-auditsState Comptroller DiNapoli Releases Municipal Audits
… Sanitary District No. 14 and the Village of Morris . "In today's fiscal climate, budget transparency and accountability for our local communities is a top priority," said DiNapoli. "By auditing municipal … or did not comply with the district's purchasing policy. In addition, credit card charges for conferences totaling …
https://www.osc.ny.gov/press/releases/2017/06/state-comptroller-dinapoli-releases-municipal-auditsComptroller DiNapoli Releases Municipal Audits
… office completed audits of the Clarence Fire District , Town of East Hampton , Town of Elmira , City of Lockport and the City of Troy . “In today’s fiscal climate, budget … his office completed audits of the Clarence Fire District Town of East Hampton Town of Elmira City of Lockport and the …
https://www.osc.ny.gov/press/releases/2016/11/comptroller-dinapoli-releases-municipal-auditsDiNapoli: New York’s Employee Stock Ownership Plans Lead Nation in Assets
… retirement security. “Employee ownership can help improve company performance, increase employees’ morale and … and provide opportunities for workers and the communities they live in. State leaders have the opportunity to provide … communities; and Develop ways to educate the public on what EO is and which companies around the state and in their …
https://www.osc.ny.gov/press/releases/2022/10/dinapoli-new-yorks-employee-stock-ownership-plans-lead-nation-assetsState Agencies Bulletin No. 856
… Earnings Begin Date: Last day of pay period being paid or the last day the employee is in Active status if the … End Date: Same as Earnings Begin Date Earn Code: D40 or DH4 Hours Enter the number of hours to be paid Payroll … description will appear on the employee’s paycheck stub or direct deposit advice. Questions Questions about this …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/856-2008-csea-pef-and-rrsu-over-40-compensatory-time-ii-cash-outDiNapoli: 16 School Districts Designated in Fiscal Stress
… as one-time federal funds are depleted and state aid is uncertain.” In response to the COVID-19 pandemic, the … by school districts (excluding New York City and the Big Four) increased from $15.1 billion in SY 2021-22, to … DiNapoli’s report also found that twenty-two districts are considered to be chronically stressed, having been designated …
https://www.osc.ny.gov/press/releases/2024/01/dinapoli-16-school-districts-designated-fiscal-stressTown of Spencer – Procurement (2025M-100)
… [read complete report – pdf] Audit Objective Did the Town of Spencer (Town) Board (Board) and officials seek competition for purchases? Audit Period January 1, 2023 – September 30, 2024 We extended the audit period through April 25, 2025, to analyze a … Did the Town of Spencer Town Board Board and officials seek …
https://www.osc.ny.gov/local-government/audits/town/2026/05/08/town-spencer-procurement-2025m-100Town of Middlesex – Board Oversight – Code Enforcement Revenues (2026M-4)
… Town of Middlesex (Town) Town Board (Board) ensure that code enforcement revenues were accurately billed, collected, … Audit Area A town board is responsible for ensuring that code enforcement revenues are properly billed, collected, … From January 1, 2015, through August 13, 2025, the Town’s code enforcement office processed 784 building permits and …
https://www.osc.ny.gov/local-government/audits/town/2026/05/29/town-middlesex-board-oversight-code-enforcement-revenues-2026m-4