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Medicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
… enrolled recipient, and in turn, the MCOs are required to pay for the Medicaid services their recipients require, which …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/medicaid-program-recovering-managed-care-overpayments-pharmacy-services-behalf-recipientsMedicaid Program – Excessive Payments for Durable Medical Equipment Rentals
… Medicaid program. The Department uses two methods to pay for Medicaid services: fee-for-service (FFS) and managed …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/medicaid-program-excessive-payments-durable-medical-equipment-rentalsState Agencies Bulletin No. 1984
… bulletin is to inform agencies of the content information for the 2021 Form W-2. Affected Employees All employees who receive a Form W-2 Wage and Tax Statement for calendar year 2021 are affected. Background According to IRS Publication 15 (Circular E) for 2021, and the Instructions for Form W-2 (Wage and Tax …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1984-form-w-2-wage-and-tax-statement-calendar-year-2021State Agencies Bulletin No. 2198
… Reprinted W-2s, either through New York State Payroll Online (NYSPO) or by agencies, will have the employee’s full …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2198-form-w-2-wage-and-tax-statement-tax-year-2023Managed Care Organizations – Payments to Ineligible Providers (Follow-Up)
… Objective To determine the extent of implementation of the eight recommendations made in our initial audit …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/managed-care-organizations-payments-ineligible-providers-followState Agencies Bulletin No. 2308
… bulletin is to inform agencies of the content information for the 2024 Form W-2. Affected Employees: All employees who receive a Form W-2 Wage and Tax Statement for calendar year 2024 are affected. Background: According …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2308-form-w-2-wage-and-tax-statement-tax-year-2024Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance (Follow-Up)
… Objective To determine the extent of implementation of the six recommendations included in our initial audit report, … Third-Party Health Insurance (Report 2020-S-39 ). About the Program Many of the State’s Medicaid recipients receive …
https://www.osc.ny.gov/state-agencies/audits/2024/01/31/recovering-managed-care-overpayments-pharmacy-services-behalf-recipients-third-party-healthMaximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program (Follow-Up)
… inaccurate or incomplete claim information submitted by MCOs and providers, exclusions of Program of All-Inclusive … from the rebate process, and claim processing errors made by DOH and the rebate contractor. Key Findings DOH made …
https://www.osc.ny.gov/state-agencies/audits/2024/12/20/maximizing-drug-rebates-under-federal-medicaid-drug-rebate-program-followNew York’s Balance of Payments in the Federal Budget: Federal Fiscal Year 2019
… the wake of the COVID-19 pandemic, New Yorkers have seen how the immense fiscal resources of the federal government can help everyday Americans in times of real need. Unfortunately, we have also seen how … essentials, and providing vitally important support for many thousands of businesses and nonprofit organizations. Yet …
https://www.osc.ny.gov/reports/new-yorks-balance-payments-federal-budget-federal-fiscal-year-2019DiNapoli: Billing and Reimbursement Flaws Allowed $16.6 Million in Inappropriate Payments to Home Health Care Providers
… 2012 through Dec. 31, 2015, DiNapoli’s auditors identified about $16.6 million in improper Medicaid payments to 95 CHHAs. About 93 percent ($15.4 million) of the overpayments went to …
https://www.osc.ny.gov/press/releases/2016/12/dinapoli-billing-and-reimbursement-flaws-allowed-166-million-inappropriate-payments-home-health-careNew York’s Balance of Payments in the Federal Budget: Federal Fiscal Year 2020
… a similar level of federal taxes regardless of where they live, but their purchasing power may vary widely depending on …
https://www.osc.ny.gov/reports/new-yorks-balance-payments-federal-budget-federal-fiscal-year-2020State Comptroller DiNapoli Releases Audits
… information is recorded in the Equine Breakdown, Death, Injury and Incident Database; and ensure adherence to drug … reimbursement. These ineligible costs included $338,175 in personal service costs, $246,707 in administrative overhead costs, and $165 in other than personal service costs. State Education Department (SED): …
https://www.osc.ny.gov/press/releases/2018/12/state-comptroller-dinapoli-releases-auditsDiNapoli: Fairport Audits Reveal Unauthorized Practices for Economic Development Agencies
… to take over the FIDA’s unauthorized revolving loan fund. In May 2013, the FIDA transferred the value of seven … capital” to cover two new FLDC loans that began in early 2014. FIDA also improperly gifted $143,000 to the … Payments FIDA made a $42,000 contribution to the village in 2014 but had no basis for the budgeted amount or contract …
https://www.osc.ny.gov/press/releases/2016/03/dinapoli-fairport-audits-reveal-unauthorized-practices-economic-development-agenciesIX.7.E Disaster Assistance – IX. Federal Grants
… event. This process requires the participation of staff in the Division of Budget (DOB), Department of Homeland … costs from the Federal government. When a disaster occurs in New York State, immediate response by State agencies is … Project Costing (PC) and Commitment Control (KK) Modules in the SFS are used to meet disaster accounting and budgeting …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix7e-disaster-assistanceImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up) (2022-F-37)
To assess the extent of implementation of the five recommendations included in our initial audit report, Improper Payments of Medicare Buy-In Premiums for Ineligible Recipients (Report 2020-S-35).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22f37.pdfCost Saving Opportunities on Payments of Medicare Part C Claims (Follow-Up) (2022-F-14)
To assess the extent of implementation of the recommendation included in our initial audit report, Cost Saving Opportunities on Payments of Medicare Part C Claims (Report 2020-S-65).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-22f14.pdfOverpayments of Certain Medicare Crossover Claims (Follow-Up) (2014-F-17), 30-Day Response
We have followed up on the actions taken by officials of the Department of Health (Department) to implement the recommendations contained in our audit report,
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-14f17-response.pdfMedicaid Overpayments for Certain Medicare Part C Claims (2013-S-35), 90-Day Response
We conducted an audit of the Department of Health (Department) to determine if Medicaid overpaid Medicare Part C claims on behalf of Medicaid recipients enrolle
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-13s35-response.pdfPrior Year Social Security and Medicare Tax Refund Certification (Form AC 3206)
Attachment from Payroll Bulletin No. CU-461
https://www.osc.ny.gov/files/state-agencies/payroll-bulletins/pdf/cuny-461-attachment-2.pdfState Comptroller DiNapoli Releases Audits
… and Supplies Provided to Medicaid Recipients, Including Sex Offenders (Follow-Up) (2020-F-15) An audit released in … to treat ED. Of that amount, Medicaid paid $63,301 for 47 sex offenders. Medicaid also made payments of $13.5 million … million in payments were made without verifying recipient sex offender status through DOH’s system, as …
https://www.osc.ny.gov/press/releases/2021/03/state-comptroller-dinapoli-releases-audits