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Medicaid Program – Improper Payments for Certain Third-Party Cost-Sharing Claims
… Claims with a CARC PR 45 are currently configured to pay in eMedNY, while claims with a CARC CO 45 are not. All claims … of the coordination of benefits process, resulting in Medicaid overpayments to providers who misapplied CARC PR … and identified billing issues on each claim that resulted in Medicaid overpayments of $1,778,546, as follows: 17 claims …
https://www.osc.ny.gov/state-agencies/audits/2025/11/05/medicaid-program-improper-payments-certain-third-party-cost-sharing-claimsDiNapoli Announces State Contract & Payment Actions For March 2014
… million Department of Transportation contract with DeFoe Corp. for bridge rehabilitation on I-87 over Mosholu Parkway … million, Flex Electrical Constructors $852,000 and Gozzer Corp. $461,000. Gaming Commission Approved a $4.9 million … to United Way of New York City to provide emergency food assistance. Approved a $485,000 OTDA award to Flemister …
https://www.osc.ny.gov/press/releases/2014/04/dinapoli-announces-state-contract-payment-actions-march-2014Medicaid Program - Medicaid Overpayments for Certain Medicare Part C Claims
… Purpose To identify Medicaid overpayments made to medical providers for services rendered to recipients enrolled in UnitedHealthcare’s Medicare Advantage plan: UnitedHealthcare Dual Complete. The … Advantage Plans typically have networks of participating providers they reimburse directly for services provided to …
https://www.osc.ny.gov/state-agencies/audits/2015/01/16/medicaid-program-medicaid-overpayments-certain-medicare-part-c-claimsDiNapoli Releases New Tool for Monitoring NYC 311 Complaints
… State Comptroller Thomas P. DiNapoli launched the NYC311 Monitoring Tool , an interactive dashboard that will let people see service requests in their neighborhood and help identify where resources may be needed. … Tool maps complaints and breaks down the information by neighborhood. Being able to see where complaints are heaviest …
https://www.osc.ny.gov/press/releases/2025/05/dinapoli-releases-new-tool-monitoring-nyc-311-complaintsDiNapoli Report Finds Medicaid Costs for Treating Asthma Rising
… Point and Longwood-Morrisania neighborhoods in the Bronx; East Harlem in Manhattan; Carroll Gardens-Red Hook in … from asthma. Children in Hunts Point, Mott Haven, and East Harlem are hospitalized for asthma at more than twice … This report by Comptroller DiNapoli is a great step." NYC Health Commissioner Dr. Mary Bassett: "I want to thank …
https://www.osc.ny.gov/press/releases/2014/04/dinapoli-report-finds-medicaid-costs-treating-asthma-risingSubway Service Diversions for Maintenance and Capital Projects (Follow-Up)
… in our initial audit report, Subway Service Diversions for Maintenance and Capital Projects ( 2010-S-34 ). … that while Transit has a number of policies and procedures for managing and controlling subway diversions, more needed … not planned using current ridership data, and the budget for diversion advertisements to communicate information about …
https://www.osc.ny.gov/state-agencies/audits/2015/09/16/subway-service-diversions-maintenance-and-capital-projects-followThe Survivor’s Benefit Program for New York State Employees
… at the time of your death: You were on the State payroll for at least 90 days out of the 120 days immediately … one-half of your annual salary or if you do not qualify for any ordinary death benefit payment. The maximum total … payable is $2,000. (Return to Top) Who is my beneficiary for this benefit? If you are a member of a State retirement …
https://www.osc.ny.gov/retirement/publications/survivors-benefit-program-nys-employeesEmpire BlueCross BlueShield – Controls Over Payments for Special Items
… Purpose To determine if Empire BlueCross BlueShield: implemented sufficient controls … and school district employees, and their dependents. The Empire Plan is the primary health benefits plan for NYSHIP, serving about 1.1 million members. The Empire Plan covers a comprehensive range of services …
https://www.osc.ny.gov/state-agencies/audits/2017/06/22/empire-bluecross-blueshield-controls-over-payments-special-itemsOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… Purpose To determine the extent of implementation of the two recommendations made in our audit report, Overpayments for Services Also Covered by Medicare Part B (Report 2012-S-27). Background Many of the … To determine the extent of implementation of the two recommendations made in our …
https://www.osc.ny.gov/state-agencies/audits/2015/06/26/overpayments-services-also-covered-medicare-part-b-followImproper Managed Care Payments for Certain Medicaid Recipients (Follow-Up)
… made in our audit report, Improper Managed Care Payments for Certain Medicaid Recipients (Report 2010-S-66). … which was issued on July 24, 2012, determined that, for the five years ended June 30, 2010, Medicaid made $15.6 … Department of Health: Improper Managed Care Payments for Certain Medicaid Recipients ( 2010-S-66 ) …
https://www.osc.ny.gov/state-agencies/audits/2015/01/20/improper-managed-care-payments-certain-medicaid-recipients-followUnnecessary Medicaid Payments for Children at Voluntary Agencies (Follow-Up)
… made in our audit report, Unnecessary Medicaid Payments for Children at Voluntary Agencies (2010-S-47). Background … and procedures in place to ensure proper Medicaid payments for foster care children placed in voluntary agencies. The … (known as voluntary agencies) are enrolled in Medicaid. For these children, the State establishes a “Daily Child Care …
https://www.osc.ny.gov/state-agencies/audits/2014/10/23/unnecessary-medicaid-payments-children-voluntary-agencies-followOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial audit report, Overpayments for Services Also Covered by Medicare Part B (2010-S-50). Background Many of the State's … To determine the extent of implementation of the three recommendations included in …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followDiNapoli Announces State Contract & Payment Actions for July 2014
… million) and longevity payments ($500,000). Empire State Development Corporation $5.2 million for capital improvements … $557,000 to Camelot Global Services North America Inc. for market research. $375,000 to Taft Stettinius & Hollister LLP … 50,000 state contracts, visit http://www.openbooknewyork.com/ . The easy-to-use website was created by Comptroller …
https://www.osc.ny.gov/press/releases/2014/08/dinapoli-announces-state-contract-payment-actions-july-2014DiNapoli: Bombay Clerk Sentenced for Pocketing Justice Court Fees
… Thomas P. DiNapoli. Eric Fleury, 44, was sentenced in Dickinson Town Court to three years’ probation and ordered … nearly a year, investigators found. Since taking office in 2007, DiNapoli has committed to fighting public corruption … easy-to-use website was created to promote transparency in government and provide taxpayers with better access to …
https://www.osc.ny.gov/press/releases/2017/05/dinapoli-bombay-clerk-sentenced-pocketing-justice-court-feesArea #4 – Contracts and Service Level Agreements for IT Services – Information Technology Governance
… the protection of specific type(s) of data (for example, PII or electronic health records) should also be considered, … involves sharing student, teacher or principal (shared) PII with the third-party contractor: 11 A requirement to maintain the confidentiality of shared PII. A bill of rights supplement that specifies (among other …
https://www.osc.ny.gov/local-government/publications/it-governance/area-4-contracts-and-service-level-agreements-it-servicesImproper Managed Care Payments for Misclassified Patient Discharges (Follow-Up)
… our initial audit report, Improper Managed Care Payments for Misclassified Patient Discharges (Report 2021-S-8 ). … pays managed care organizations (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs arrange for the provision of services for recipients and reimburse …
https://www.osc.ny.gov/state-agencies/audits/2023/12/06/improper-managed-care-payments-misclassified-patient-discharges-followMedicaid Program – Excessive Payments for Durable Medical Equipment Rentals
… Objectives To determine whether Medicaid managed care organizations inappropriately paid for durable medical equipment beyond allowed rental limits, … for Medicaid services: fee-for-service (FFS) and managed care. Under the FFS method, the Department pays health care …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/medicaid-program-excessive-payments-durable-medical-equipment-rentalsEmployment Recovery Is Slow for New Yorkers with Disabilities
… who do not have a disability in 2022, a disparity that is also greater than the 4.7 percentage point gap nationwide. … 6 According to the Executive, the Office of the CDO is also intended to make “specific, action-oriented” … . 3 In this report, the employment-to-population ratio is the number of working-age (16 to 64) people with a …
https://www.osc.ny.gov/reports/employment-recovery-slow-new-yorkers-disabilitiesXI.10 Third Party Contracting - Contracting "for" the State – XI. Procurement and Contract Management
… A Third Party Contract is one in which a state agency enters into a … or services for the State through a contract with a third party (the “Third Party Contractor”). In many cases, these … A Third Party Contract is one in which a state agency enters into a …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi10-third-party-contracting-contracting-stateXI.11.H Early Pay Discounts for Procurement Contract Purchases – XI. Procurement and Contract Management
… when feasible. If early pay discount terms are included in a contract, the awarding agency should add the payment terms to the contract’s PO defaults in the Statewide Financial System (SFS). Please note: … Contractor offers an early payment discount, at any point in time, that is more advantageous to the State than the …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi11h-early-pay-discounts-procurement-contract-purchases