Search
Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance (Follow-Up)
… audit report, Medicaid Program – Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health … recovery process to ensure all available recoveries on FFS pharmacy payments were made. The audit also found claim … not taken steps to look into and recover most of the FFS pharmacy payments identified in the initial report. Also, …
https://www.osc.ny.gov/state-agencies/audits/2025/06/18/improper-fee-service-pharmacy-payments-recipients-third-party-health-insurance-followOversight of Select High-Technology Projects (Follow-Up)
… 2017-S-60 ). About the Program Empire State Development (ESD) is the chief agency responsible for the coordination of the State’s economic development programs. ESD undertakes projects intended to generate employment and … companies locating or expanding in New York. According to ESD officials, high-technology (high-tech) sectors are highly …
https://www.osc.ny.gov/state-agencies/audits/2025/04/15/oversight-select-high-technology-projects-followExecutive Order 111 – Requirements to Purchase Renewable Energy Summary of Implementation of Recommendations at 15 Audited Entities (Follow-Up)
… as of January 10, 2013, of the 57 recommendations included in our series of 15 audits conducted in 2008. These audits assessed compliance with Executive … Key Findings Each of the 15 State entities made progress in correcting the problems we originally identified, but more …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/executive-order-111-requirements-purchase-renewable-energy-summary-implementationState Agencies Bulletin No. 1232
… on the Job Data Page using the Action/Reason code of Pay Rt Chg/MSC (Pay Rate Change/Military Stipend Change). …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1232-extension-military-and-training-leave-benefits-and-stipendsUnited HealthCare Insurance Company of New York – Empire Plan Drug Rebates (Follow-Up)
… of rebates offered by drug manufacturers. In 2012, Express Scripts Holding Company (Express Scripts) acquired Medco. Our initial audit report, issued on … We also recommended that United formally instruct Express Scripts to remit 100 percent of all rebate revenues …
https://www.osc.ny.gov/state-agencies/audits/2017/05/24/united-healthcare-insurance-company-new-york-empire-plan-drug-rebates-followState Agencies Bulletin No. 1126
… on the Job Data Page using the Action/Reason code of Pay Rt Chg/MSC (Pay Rate Change/Military Stipend Change). These …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1126-extension-military-and-training-leave-benefits-and-stipendsState Agencies Bulletin No. 854
… to Article 39 of the 2007-2011 Agreement between the State of New York, the DMNA Unit and the Civil Service Employees …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/854-division-military-and-naval-affairs-dmna-bu46-and-bu47-uniformAccountability for Traffic Ticket Surcharges
… adjudication function. There are currently ten TVBs, eight in New York City and one each in Rochester and Buffalo; each is responsible for processing … audit period, the Department reported over $341 million in revenue collected from the TVBs, including about $147 …
https://www.osc.ny.gov/state-agencies/audits/2015/08/10/accountability-traffic-ticket-surchargesOversight of Transportation Services and Expenses (Follow-Up)
… trucks) and large transportation (e.g., inmate buses, tractor trailers) vehicles. Many of DOCCS’s employees operate …
https://www.osc.ny.gov/state-agencies/audits/2024/07/31/oversight-transportation-services-and-expenses-followExcessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans (Follow-Up)
… included in our initial audit report, Excessive Premium Payments for Dual-Eligible Recipients Enrolled in … effective April 1, 2021. IB-Dual pays lower MMC and HARP premium rates for Medicaid recipients in MMC or HARP who … included in our initial audit report Excessive Premium Payments for DualEligible Recipients Enrolled in …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/excessive-premium-payments-dual-eligible-recipients-enrolled-mainstream-managed-care-andNew York State Health Insurance Program – Incorrect Payments by CVS Caremark for Medicare Rx Drug Claims That Were Improperly Paid Under the Commercial Plan
… the issue and develop a process to reconcile the data in their respective systems to reduce the risk of processing … To Civil Service and CVS Caremark: Review the $12,358,531 in claims identified in this report as incorrectly paid under the Commercial Plan …
https://www.osc.ny.gov/state-agencies/audits/2023/09/13/new-york-state-health-insurance-program-incorrect-payments-cvs-caremark-medicare-rx-drugImproper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up)
… in our initial audit report, Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by … to as dual-eligibles), Medicare is the primary payer for Medicare-covered hospice services, while Medicaid is the … to delivering services, hospice providers are responsible for developing a comprehensive plan of care and coordinating …
https://www.osc.ny.gov/state-agencies/audits/2023/02/13/improper-medicaid-payments-individuals-receiving-hospice-services-covered-medicare-followAdministration and Collection of Real Estate Transfer Taxes (Follow-Up)
… Objective To determine the extent of implementation of the two … 31 as a tax on the transfer of real property, applies to sales or conveyances of New York real property or … must pay the tax. An additional RETT of 1% applies to conveyances of residential real property when the …
https://www.osc.ny.gov/state-agencies/audits/2021/10/27/administration-and-collection-real-estate-transfer-taxes-followUnitedHealthcare: Improper Payments for Acupuncture and Acupuncture-Related Services
… Objective To determine whether UnitedHealthcare Insurance Company of New York appropriately reimbursed … 31, 2019. About the Program The New York State Health Insurance Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance coverage to over 1.2 million active and retired …
https://www.osc.ny.gov/state-agencies/audits/2021/10/27/unitedhealthcare-improper-payments-acupuncture-and-acupuncture-related-servicesOversight of the Farm-to-School Program
… We generally attribute these findings to a breakdown in monitoring functions as well as a lack of policies and … February 2020. We found about $1.17 million (68 percent) in expenses for 17 contracts either lacked sufficient … to track the recipient’s progress and are a critical tool in determining whether contractors are performing as they …
https://www.osc.ny.gov/state-agencies/audits/2021/04/19/oversight-farm-school-programMedicaid Program – Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare
… To determine whether Medicaid made improper payments to providers on behalf of dual-eligible individuals receiving hospice care covered by Medicare. This audit covered the period January 1, 2015 … To determine whether Medicaid made improper payments to providers on behalf of dualeligible individuals receiving …
https://www.osc.ny.gov/state-agencies/audits/2020/12/28/medicaid-program-improper-medicaid-payments-individuals-receiving-hospice-services-coveredEfforts to Collect Delinquent Taxes (Follow-Up)
… Objective To determine the extent of implementation of the two … included in our initial audit report, Efforts to Collect Delinquent Taxes (Report 2019-S-61 ). About the … To determine the extent of implementation of the two …
https://www.osc.ny.gov/state-agencies/audits/2023/03/01/efforts-collect-delinquent-taxes-followNew NY Broadband Program
… (ESD) has effectively monitored and managed the New NY Broadband Program and whether the Program has achieved … 2016 through November 2021. About the Program In 2015, New York State established the $500 million New NY Broadband Program (Program). The goal of the Program …
https://www.osc.ny.gov/state-agencies/audits/2022/07/01/new-ny-broadband-programEmpire BlueCross BlueShield Selected Payments for Special Items for the Period January 1, 2011 Through March 31, 2011
… Empire processes Plan claims for hospital services in accordance with agreements they negotiate with member …
https://www.osc.ny.gov/state-agencies/audits/2013/05/09/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2011-throughLow-Income Housing Trust Fund Program (Follow-Up)
… Objective To determine the extent to which Homes and Community Renewal (HCR) implemented the recommendations in … the Program. The Corporation’s mission is to further community development through the construction, development, … that scored lower than others based on criteria such as community impact/revitalization, financial leveraging, and …
https://www.osc.ny.gov/state-agencies/audits/2020/04/02/low-income-housing-trust-fund-program-follow