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Medicaid Program – Maximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program
… to inaccurate or incomplete claim information submitted by managed care organizations and providers. $12.8 million in … $7.4 million in rebates missed due to processing errors by the Department and the rebate contractor. Key …
https://www.osc.ny.gov/state-agencies/audits/2023/04/05/medicaid-program-maximizing-drug-rebates-under-federal-medicaid-drug-rebate-programDiNapoli: Middletown Chiropractor Sentenced to Nine Years for Insurance Fraud
… State Comptroller Thomas P. DiNapoli announced James “Jay” Spina was sentenced in federal court for running a … the state and country. Thanks to my partnership with U.S. Attorney Audrey Strauss, the FBI, the U.S. Department of …
https://www.osc.ny.gov/press/releases/2021/04/dinapoli-middletown-chiropractor-sentenced-nine-years-insurance-fraudState Agencies Bulletin No. 1808
… is to inform agencies of the content information for the 2019 Form W-2. Affected Employees All employees who received … a Form W-2 Wage and Tax Statement for calendar year 2019 are affected. Background According to IRS Publication 5, (Circular E) for 2019, and the Instructions for Form W-2 (Wage and Tax …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1808-form-w-2-wage-and-tax-statement-calendar-year-2019Medicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… for which eMedNY did not correctly deduct the recipients’ Net Available Monthly Income (NAMI); and Claims with improper …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014State Agencies Bulletin No. 949
… Program or CUNY Transit Benefit Transportation Spending Account for benefit months March and/or April 2009 Effective … regarding the CUNY Transit Benefit Transportation Spending Account may be directed to 1-866-399-1494. … To inform …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/949-nys-ride-transportation-benefit-program-and-cuny-transit-benefitMedicaid Program – Improper Medicaid Payments to a Transportation Provider
… Purpose To determine whether Medicaid made inappropriate payments to a transportation provider. The audit covered the period …
https://www.osc.ny.gov/state-agencies/audits/2018/09/05/medicaid-program-improper-medicaid-payments-transportation-providerSelected Employee Travel Expenses
… New York State's executive agencies spend between $100 million and $150 million each year on travel expenses. … of eight University employees whose expenses exceeded $100,000 or had outliers in the area of train fare. In total, …
https://www.osc.ny.gov/state-agencies/audits/2013/07/10/selected-employee-travel-expensesEmpire BlueCross – Controls Over Payments for Special Items (Follow-Up)
… items (implants, drugs, and blood) that are not covered by fee schedules. Contracts with many of Empire’s member …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/empire-bluecross-controls-over-payments-special-items-followControls Over Selected Expenditures (Follow-Up)
… directly reimbursing State-licensed providers for forensic rape examination (FRE) services. The FRE Direct Reimbursement …
https://www.osc.ny.gov/state-agencies/audits/2020/09/02/controls-over-selected-expenditures-followTravel/Conference Claim Requirements – Travel and Conference Expense Management
… employee has returned from his or her travel, an itemized claim or voucher 8 must be submitted for audit. The claim should be submitted in a timely manner and include … Cross-references to other claims if the total travel claim is spread among multiple vouchers. For example, a …
https://www.osc.ny.gov/local-government/publications/travel-conference-expense/travelconference-claim-requirementsState Government Accountability - Special Reports
… and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in the New York State Health …
https://www.osc.ny.gov/state-agencies/audits/state-government-accountability-special-reportsImproper Payments Related to the Medicare Buy-In Program (Follow-Up) (2014-F-12)
We have followed up on the actions taken by officials of the Department of Health to implement the recommendations contained in our audit report, Improper
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-14f12.pdfState Comptroller DiNapoli Releases Audits
… respectively. New York City Health and Hospitals Corp. (HHC) (2017-N-2) Auditors reviewed files for a random sample … of 200 direct hire and 98 temporary nurses from five HHC facilities or organizations to verify that these nurses … not completed before hire. None of the facilities followed HHC procedures for maintaining documentation of all screening …
https://www.osc.ny.gov/press/releases/2018/07/state-comptroller-dinapoli-releases-auditsState Comptroller DiNapoli Releases Audits
… sites (86 percent) as of October 2018. Auditors also found about $5.1 million in expenses charged to the program that … services, which resulted in Medicaid overpayments totaling about $2.6 million. In a follow-up, auditors found DOH made …
https://www.osc.ny.gov/press/releases/2019/09/state-comptroller-dinapoli-releases-auditsState Comptroller DiNapoli Releases State Audits
… issued: City University of New York (CUNY): Medgar Evers College: Controls Over Bank Accounts (2015-S-92) CUNY … monitoring of bank accounts, which increase the risk that college personnel could conduct transactions using … Services Corporation: Tuition Assistance Program Wagner College (2015-T-3) Auditors determined Wagner was overpaid …
https://www.osc.ny.gov/press/releases/2016/06/state-comptroller-dinapoli-releases-state-auditsDiNapoli Audit Finds Western Regional OTB Lacks Accountability and Gave Out Lucrative Perks
… today by New York State Comptroller Thomas P. DiNapoli. A second audit released found the OTB’s CEO did not reimburse … tickets given out. Auditors identified specific instances when board members received tickets, but no business purpose … for the distribution of tickets and who is eligible to get them. Seek reimbursement for tickets and food and …
https://www.osc.ny.gov/press/releases/2021/09/dinapoli-audit-finds-western-regional-otb-lacks-accountability-and-gave-out-lucrative-perksQuality Services for the Autism Community – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Quality Services for the Autism Community (QSAC) on its … in Manhattan. QSAC was established in 1978 and is approved by SED to provide Preschool Special Education (SC) and … in both Programs. QSAC has 13 SC classrooms attended by children from various school districts in New York City’s …
https://www.osc.ny.gov/state-agencies/audits/2019/12/31/quality-services-autism-community-compliance-reimbursable-cost-manualOpinion 94-28
… in the opinion. COUNTIES -- Powers and Duties (authority to pay expenses associated with advance planning undertaken … or extension) SEWER DISTRICTS -- Powers and Duties (duty to reimburse county general fund for costs associated with advance planning to study feasibility of county-wide wastewater treatment) …
https://www.osc.ny.gov/legal-opinions/opinion-94-28State Agencies Bulletin No. 2289
… purpose of this bulletin is to provide agency instructions for processing the 2024 CSEA ASU Work-Related Clothing … Relations (OER) memorandum dated 10/11/2024 provides for a Work-Related Clothing Allowance. Effective Dates: The … and who returns on or before 03/31/2025 is eligible for the payment upon the return from leave. Note: Payroll …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2289-2024-csea-work-related-clothing-allowance-asu-employees-representedState Agencies Bulletin No. 2291
… purpose of this bulletin is to provide agency instructions for processing the 2024 CSEA OSU Work-Related Clothing … Relations (OER) memorandum dated 10/11/2024 provides for a Work-Related Clothing Allowance. Effective Dates: The … hourly employees must have worked in Bargaining Unit 03 for at least nine continuous months at half-time or greater …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2291-2024-work-related-clothing-allowance-osu-employees-represented-civil