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Medicaid Program – Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care
… disadvantaged and/or have special health care needs. In general, the Medicaid program pays medical providers … a monthly premium for every Medicaid recipient enrolled in the MCO, and the MCO arranges for the provision of … was no longer appropriate for recipients enrolled in managed care. As of December 2013, approximately 4 million …
https://www.osc.ny.gov/state-agencies/audits/2015/01/05/medicaid-program-improper-fee-service-payments-pharmacy-services-covered-managed-careInvestors Ask SEC to Reject Exxon's Attempt to Silence Questions on Climate Change
… will be impacted by public policies seeking to rein in climate change. DiNapoli, as trustee of the New York State … other ExxonMobil investors filed a shareholder proposal in December, asking the company to publish an annual … the proposal from a shareholder vote at its annual meeting in the spring. Investors responded to ExxonMobil’s move in a …
https://www.osc.ny.gov/press/releases/2016/02/investors-ask-sec-reject-exxons-attempt-silence-questions-climate-changeDiNapoli: Energy Companies Agree to Report on Impact of Paris Agreement Goals
… . The Paris agreement sets a goal to limit the increase in global average temperature to well below 2°C above … pursue efforts to limit temperature increases to 1.5°C. In order to meet the 2°C goal, climate scientists estimate that a 55 percent reduction in GHG emissions globally is needed by 2050 (relative to 2010 …
https://www.osc.ny.gov/press/releases/2018/04/dinapoli-energy-companies-agree-report-impact-paris-agreement-goalsOpinion 91-24
… or statutory amendments that bear on the issues discussed in the opinion. SEWERS AND SEWER SYSTEMS -- Contracts (to … cost of such a contract would be financed by the county in the same manner as other operation and maintenance costs incurred by the district. This is in reply to your inquiry concerning the authority of a town …
https://www.osc.ny.gov/legal-opinions/opinion-91-24Medicaid Program – Improper Fee-for-Service Payments for Services Covered by Managed Care
… a monthly premium for each Medicaid recipient enrolled in managed care, and the managed care plans pay providers for … types of managed care. Most recipients are enrolled in mainstream managed care plans (Plans), which provide … eMedNY edits determine whether recipients are enrolled in Plans and will deny FFS claim payments unless the services …
https://www.osc.ny.gov/state-agencies/audits/2019/01/10/medicaid-program-improper-fee-service-payments-services-covered-managed-careUnited HealthCare – Overpayments for Services Provided by Long Island Bone and Joint, LLP
… provided to Empire Plan members. United contracts with in-network (participating) providers who agree to accept … co-insurance) when they use non-participating providers. In accordance with the Empire Plan’s requirements, when … waives) the member’s out-of-pocket costs, it will result in United making an excessive payment on the claim. Our audit …
https://www.osc.ny.gov/state-agencies/audits/2017/03/01/united-healthcare-overpayments-services-provided-long-island-bone-and-joint-llpState Authority Contracts on Open Book NY
… $1 million and which are awarded noncompetitively or paid in whole or part with moneys appropriated by the State. … contracts is limited by the thresholds established in the Act, fewer State authority contracts are reported on Open Book New York in comparison to State agency contracts. In addition, Open …
https://www.osc.ny.gov/public-authorities/state-authority-contracts-open-book-nyOpinion 88-12
… or statutory amendments that bear on the issues discussed in the opinion. PUBLIC CONTRACTS -- Contracts Not Requiring … 119-o lists several subjects which may be addressed in a cooperation agreement. For example, the cooperation … equitable basis (General Municipal Law, §119-o[2][a]). In addition, the agreement may provide for the manner of …
https://www.osc.ny.gov/legal-opinions/opinion-88-12Improper Medicaid Payments for Recipients Diagnosed With Severe Malnutrition (Follow-Up)
… extent of implementation of the two recommendations made in our initial audit report, Improper Medicaid Payments for … 1, 2013 through December 31, 2017. We identified $416,237 in Medicaid overpayments on inpatient claims that contained a … Key Finding Department officials made some progress in addressing the problems we identified in the initial audit …
https://www.osc.ny.gov/state-agencies/audits/2020/09/02/improper-medicaid-payments-recipients-diagnosed-severe-malnutrition-followXII.8.H Voucher Mass Approval – XII. Expenditures
… Payable (AP) Mass Upload Tool; and Lease vouchers created in the Real Estate Management (REM) Module. In limited circumstances it may be appropriate for agencies … Agencies must have sufficient internal controls in place to ensure payment(s) meet certification requirements …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii8h-voucher-mass-approvalDiNapoli Releases Report on State Spending to Implement Raise the Age Law
… the provisions of the “Raise the Age” (RTA) law enacted in 2017, with $658.8 million disbursed so far, according to a … as an adult from 16- to 18-years-old. The law was phased in over two years. As a result, most 16- and 17-year-old … offenders are now adjudicated through procedures in family court, rather than the adult criminal justice …
https://www.osc.ny.gov/press/releases/2025/05/dinapoli-releases-report-state-spending-implement-raise-age-lawDiNapoli Issues Report on Public-Private Partnerships
… plagued P3 projects elsewhere in the country. “New York’s aging infrastructure needs to be rebuilt and repaired but the … DiNapoli said. “If New York allows private companies to finance public infrastructure projects, they should protect …
https://www.osc.ny.gov/press/releases/2013/06/dinapoli-issues-report-public-private-partnershipsDiNapoli: NYC's Property Tax Bills Rise Along With Burden on Working- and Middle-Class Homeowners
… pandemic has caused property tax disparity to worsen in New York City, driving housing costs higher for many, … to rise. The State Comptroller determined this was due in part to market volatility and aspects of how the city … single or multifamily homes with more than three units. In addition, co-ops and condos are generally not assessed …
https://www.osc.ny.gov/press/releases/2023/09/dinapoli-nycs-property-tax-bills-rise-along-burden-working-and-middle-class-homeownersDiNapoli Urges Focus on Addressing Rural Challenges
… demographic, economic and quality of living trends in 10 rural counties in New York state. Most of the counties had population … access to health care and other services. Yet the shift in remote work and migration from urban areas could offer …
https://www.osc.ny.gov/press/releases/2023/09/dinapoli-urges-focus-addressing-rural-challengesReport on the State Fiscal Year 2019-20 Enacted Budget Financial Plan and Capital Program and Financing Plan, July 2019
The Enacted Budget Financial Plan for State Fiscal Year (SFY) 2019-20 projects tax receipts will grow by $5.7 billion or 7.6 percent this year.
https://www.osc.ny.gov/files/reports/budget/pdf/budget-enacted-financial-plan-2019-20.pdfMedicaid Program: Overpayments for Medicare Part C Claims (2023-S-13)
To determine whether Medicaid made improper payments on Medicare Part C claims for recipients covered by Medicare Advantage Plans.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2025-23s13.pdfContract Advisory No. 26
… Subject : Statement on Sexual Harassment Prevention in Bids Guidance : Statement on Sexual Harassment Prevention in Bids: Every bid made to … of this bid, each bidder and each person signing on behalf of any bidder certifies, and in the case of a joint … Statement on Sexual Harassment Prevention in Bids …
https://www.osc.ny.gov/state-agencies/advisories/contract-advisory/26-statement-sexual-harassment-prevention-bidsOpinion 88-26
… or statutory amendments that bear on the issues discussed in the opinion. BONDS AND NOTES -- Permissible Uses … State so long as the town retains an ownership interest in the building during the term of the bonds. You ask whether … a building for State Police use on State land located in the town and finance the cost by the issuance of town …
https://www.osc.ny.gov/legal-opinions/opinion-88-26XIII.4.C Travel Mileage Rates – XIII. Employee Expense Reimbursement
… State reimburses employees for business use of a personal vehicle based on the standard mileage allowance established by the Internal Revenue Service (IRS) … IRS and GSA mileage information: GSA Privately Owned Vehicle Milage Reimbursement Rates: … State reimburses employees for business use of a personal vehicle based on the standard mileage allowance established …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiii/xiii4c-travel-mileage-ratesOpinion 94-22
… or statutory amendments that bear on the issues discussed in the opinion. BUSINESS IMPROVEMENT DISTRICTS -- Assessments … improvement district is based on a district plan prepared in accordance with General Municipal Law, §980-d. The plan … and the association, subject, as noted, to audit of claim and competitive bidding requirements (see General …
https://www.osc.ny.gov/legal-opinions/opinion-94-22