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Medicaid Program – Improper Medicaid Payments for Misclassified Patient Discharges
… a patient was transferred to another facility may result in a lower payment than if a patient was simply discharged … status codes. Key Recommendations Review the $252,107 in overpayments and recover as appropriate. Review the … 2,017 high-risk claims totaling $28 million identified in this audit and recover overpayments as appropriate. Ensure …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/medicaid-program-improper-medicaid-payments-misclassified-patient-dischargesBenefits Advisement Services for Individuals With Disabilities Seeking Employment
… related to benefits advisement in the New York State Employment First Commission report. The audit covers … adults (ages 21-64) with disabilities in New York State. The employment rate of working-age people with … more than twice as likely to live in poverty. The New York State Employment First Commission (Commission), established …
https://www.osc.ny.gov/state-agencies/audits/2021/07/20/benefits-advisement-services-individuals-disabilities-seeking-employmentDiNapoli: Former School District Treasurer Sentenced for Stealing Funds
… State Comptroller Thomas P. DiNapoli announced Kristina Hand was … court for stealing $34,000 from the Morris Central School District in Otsego County. Hand, 47, of Morris, pled guilty … , or by mailing a complaint to: Office of the State Comptroller, Division of Investigations, 8th Floor, 110 State …
https://www.osc.ny.gov/press/releases/2021/05/dinapoli-former-school-district-treasurer-sentenced-stealing-fundsDiNapoli: Westchester Sisters Sentenced for Stealing Deceased Mother's Pension
… nearly $22,000 from the New York State and Local Employees Retirement System, which DiNapoli administers, from 2013 to … Nash hid their mother’s death and tried to cheat the state retirement system,” DiNapoli said. “Now they have been … whether the victim is a person or an entity like the state retirement system,” Rocah said. “Theft like this from the …
https://www.osc.ny.gov/press/releases/2021/02/dinapoli-westchester-sisters-sentenced-stealing-deceased-mothers-pensionManagement of Indoor Air Quality for Individuals With Asthma
… admission and is responsible for a high number of missed school and/or work days. According to the Centers for Disease …
https://www.osc.ny.gov/state-agencies/audits/2022/08/02/management-indoor-air-quality-individuals-asthmaDiNapoli Announces State Contract & Payment Actions for October 2014
… As the state’s chief financial officer, DiNapoli’s office reviews contracts for all state agencies and certain contracts for state public … with NYSTEC for project management for medical marijuana law implementation. Department of Corrections $6.6 million …
https://www.osc.ny.gov/press/releases/2014/11/dinapoli-announces-state-contract-payment-actions-october-2014Improper Medicaid Payments for Recipients in Hospice Care (Follow-Up)
… extent of implementation of the 11 recommendations made in our initial audit report, Improper Medicaid Payments for Recipients in Hospice Care ( 2017-S-76 ). About the Program Hospice is a … However, if a Medicaid recipient is also enrolled in Medicare, Medicare is the primary payer and Medicaid is …
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/improper-medicaid-payments-recipients-hospice-care-followMaximizing Drug Rebates for Health and Recovery Plans (Follow-Up)
… of the two recommendations made in our initial audit report, Maximizing Drug Rebates for Health and Recovery Plans (Report 2017-S-61 ). About the … of the two recommendations made in our initial audit report Maximizing Drug Rebates for Health and Recovery Plans …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/maximizing-drug-rebates-health-and-recovery-plans-followImplementation of the Dignity for All Students Act (Follow-Up)
… our initial audit report, Implementation of the Dignity for All Students Act (Report 2016-S-28 ). About the Program New York State’s Dignity for All Students Act (DASA) seeks to provide students in New … July 1, 2013 defined cyberbullying and added requirements for investigating and reporting alleged incidents. The State …
https://www.osc.ny.gov/state-agencies/audits/2019/11/21/implementation-dignity-all-students-act-followEmpire BlueCross – Controls Over Payments for Special Items (Follow-Up)
… Items (Report 2016-S-57 ). About the Program The New York State Health Insurance Program (NYSHIP) covers active and retired State, participating local government and school district … have such limitations. Our initial audit report, issued on June 22, 2017, examined whether Empire implemented …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/empire-bluecross-controls-over-payments-special-items-followUnitedHealthcare – Reasonable and Customary Reimbursement Rates for Delayed Claims
… The Empire Plan is the primary health benefits plan for NYSHIP, covering nearly 1.1 million members. Civil … from out-of-network providers. United’s reimbursement for certain out-of-network claims is 80 percent of the R&C rate for the service. R&C rates are updated every six months. From …
https://www.osc.ny.gov/state-agencies/audits/2019/12/12/unitedhealthcare-reasonable-and-customary-reimbursement-rates-delayed-claimsDiNapoli Calls for Transparency From Companies Regarding Affordability Concerns
… but fewer than half had challenged an unexpected bill. At a time when AI is increasingly used by insurance companies …
https://www.osc.ny.gov/press/releases/2026/03/dinapoli-calls-transparency-companies-regarding-affordability-concernsNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up) (2022-F-30)
To assess the extent of implementation of the three recommendations included in our initial audit report, Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Report 2020-S-34).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22f30.pdfNew York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members (2020-S-17)
To determine whether CVS Health paid pharmacy claims for Empire Plan members who were not eligible.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20s17.pdfEmpire BlueCross BlueShield Selected Payments for Special Items for the Period July 1, 2011 Through December 31, 2011 (2012-S-3)
To determine whether Empire BlueCross BlueShield (Empire) paid claims for special items according to the provisions of the agreements between Empire and its mem
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2012-12s3.pdfMember Salary & Service Detail Request (RS2413)
For NYSLRS employers to request salary and service details for members.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs2413.pdfTax Levies and Tax Rates - Supplementary Information for 2003
Explanation of Tables for Tax Levies and Tax Rates for 2003
https://www.osc.ny.gov/files/local-government/data/pdf/suppinfo.pdfTax Levies and Tax Rates - Supplementary Information for 2004
Explanation of Tables for Tax Levies and Tax Rates for 2004
https://www.osc.ny.gov/files/local-government/data/pdf/narrative.pdfTax Levies and Tax Rates - Supplementary Information for 2005
Explanation of Tables for Tax Levies and Tax Rates for 2005
https://www.osc.ny.gov/files/local-government/data/pdf/narrative05.pdfTax Levies and Tax Rates - Supplementary Information for 2006
Explanation of Tables for Tax Levies and Tax Rates for 2006
https://www.osc.ny.gov/files/local-government/data/pdf/narrative06.pdf