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New 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.pdfDiNapoli: IDA Audits Reveal Need For Improved Project Oversight
… and Wyoming counties failed to adequately monitor project approvals or results, according to audits issued … to be done.” The Comptroller’s audits, which focused on project approval and oversight, revealed: Niagara County IDA … the board failed to provide adequate oversight of the project approval process and could not verify that staff …
https://www.osc.ny.gov/press/releases/2015/09/dinapoli-ida-audits-reveal-need-improved-project-oversightState Comptroller DiNapoli Launches Academy for Local Government Officials
… State Comptroller Thomas P. DiNapoli has launched a new Academy for New York State Local Officials that will provide an enhanced training program to help local administrators and employees … State Comptroller Thomas P DiNapoli has launched a new Academy for New York State Local Officials that will provide …
https://www.osc.ny.gov/press/releases/2015/12/state-comptroller-dinapoli-launches-academy-local-government-officialsDiNapoli Announces State Contract & Payment Actions for November 2014
… Yonkers Partners in Education, New York City Outward Bound Center and Harlem Center for Education. Department of … to sell prison meals to Saratoga County. Division of Criminal Justice Services $5.2 million in grants to crime labs and …
https://www.osc.ny.gov/press/releases/2014/12/dinapoli-announces-state-contract-payment-actions-november-2014Subway Service Diversions for Maintenance and Capital Projects (Follow-Up)
… report, issued on July 29, 2011, determined that while Transit has a number of policies and procedures for managing … often started late and ended early. As a result, Transit could not justify why diversion costs exceeded … a ridership of 2.3 billion annually. Key Finding The MTA-Transit officials have made some progress in correcting the …
https://www.osc.ny.gov/state-agencies/audits/2015/09/16/subway-service-diversions-maintenance-and-capital-projects-followEmpire 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)
… Medicaid and Medicare, Medicare is generally the primary payer while Medicaid is a secondary payer. As a secondary payer, Medicaid pays the balance not covered by Medicare …
https://www.osc.ny.gov/state-agencies/audits/2015/06/26/overpayments-services-also-covered-medicare-part-b-followPension Contribution Rates to Decrease for Fiscal Year 2015-16
… Employer contribution rates for the New York State and Local Retirement System (NYSLRS) will decline in Fiscal Year 2015-16, New York State Comptroller Thomas P. DiNapoli announced … Employer contribution rates for the New York State and Local Retirement System NYSLRS will …
https://www.osc.ny.gov/press/releases/2014/09/pension-contribution-rates-decrease-fiscal-year-2015-16Overpayments for Services Also Covered by Medicare Part B (Follow-Up)
… Part B (2010-S-50). Background Many of the State's Medicaid recipients are also eligible for Medicare Part B, … eligible." Generally, Medicare is the primary payer of claims for services provided to dual-eligible recipients. … to provide information on any actions that are planned to address the unresolved issues discussed in this report. Other …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followImproper Managed Care Payments for Certain Medicaid Recipients (Follow-Up)
… recommendations made in our audit report, Improper Managed Care Payments for Certain Medicaid Recipients (Report 2010-S-66). … 30, 2010, Medicaid made $15.6 million in improper managed care payments on behalf of 14,899 recipients who, by State … recommendations made in our audit report Improper Managed Care Payments for Certain Medicaid Recipients …
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)
… in place to ensure proper Medicaid payments for foster care children placed in voluntary agencies. The Department … the New York State Medicaid program. Many foster care children who are placed in private welfare agencies … For these children, the State establishes a “Daily Child Care Rate” (Daily Rate), which is the basis for Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2014/10/23/unnecessary-medicaid-payments-children-voluntary-agencies-followDiNapoli Announces State Contract & Payment Actions for July 2014
… State Comptroller Thomas P. DiNapoli announced today his … million due to fraud, waste or other improprieties. As the state’s chief financial officer, DiNapoli’s office reviews contracts for all state agencies and certain contracts for state public … State Comptroller Thomas P DiNapoli announced today his …
https://www.osc.ny.gov/press/releases/2014/08/dinapoli-announces-state-contract-payment-actions-july-2014DiNapoli: Special Education Contractor Convicted for $2 Million Fraud
… charged New York City’s Department of Education for salaries, vehicle leases and items such as cosmetics and … were also a number of questionable issues related to staff salaries. For a copy of the audit, visit: …
https://www.osc.ny.gov/press/releases/2014/09/dinapoli-special-education-contractor-convicted-2-million-fraudDiNapoli Announces State Contract & Payment Actions for January 2014
… State Comptroller Thomas P. DiNapoli announced today his … valued at nearly $1.1 million due to fraud, was As the state’s chief financial officer, DiNapoli’s office reviews contracts for all state agencies, certain contracts for state public … State Comptroller Thomas P DiNapoli announced today his …
https://www.osc.ny.gov/press/releases/2014/02/dinapoli-announces-state-contract-payment-actions-january-2014DiNapoli Finds Opportunities for Improved NYPD Hate Crimes Reporting
… the audits, said. “I commend State Comptroller DiNapoli for undertaking the first-ever audit of New York’s Hate Crimes Act, which is a crucial tool for understanding why these insidious crimes are on the rise. … diversity. A hate crime is an offense against all we stand for as a city – and the NYPD will do everything possible to …
https://www.osc.ny.gov/press/releases/2014/09/dinapoli-finds-opportunities-improved-nypd-hate-crimes-reportingDiNapoli Announces State Contract and Payment Actions for November
… or other improprieties. Cumulatively through November for calendar year 2016, DiNapoli’s office has approved 17,541 … not-for-profits to do state business, make procurement requirements uniform, and toughen ethics and transparency … with Morvillo Abramowitz Grand Iason & Anello, PC for legal services related to the U.S. Attorney’s Office …
https://www.osc.ny.gov/press/releases/2016/12/dinapoli-announces-state-contract-and-payment-actions-novemberMedicaid Program - Medicaid Overpayments for Certain Medicare Part C Claims
… Part C cost-sharing liabilities (deductibles, coinsurance, and copayments). Key Finding From a review of Medicare Part C … copayments, or deductibles. Ten providers adjusted and re-submitted their claims to eMedNY resulting in Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2015/01/16/medicaid-program-medicaid-overpayments-certain-medicare-part-c-claimsDiNapoli Report Finds Medicaid Costs for Treating Asthma Rising
… Comptroller DiNapoli for his efforts to illustrate the very real human toll that asthma continues to have on New …
https://www.osc.ny.gov/press/releases/2014/04/dinapoli-report-finds-medicaid-costs-treating-asthma-risingMedicaid Program – Excessive Payments for Durable Medical Equipment Rentals
… equipment, such as wheelchairs or oxygen equipment, that can withstand repeated use and have been ordered by a …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/medicaid-program-excessive-payments-durable-medical-equipment-rentals