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Medicaid Program – Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits
… the supporting documentation for the prescriptions did not indicate the orders were authorized for emergency …
https://www.osc.ny.gov/state-agencies/audits/2015/02/06/medicaid-program-improper-payments-controlled-substances-exceed-allowed-dispensing-limitsEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… three recommendations made in our audit report, New York State Health Insurance Program: Empire BlueCross BlueShield … 31, 2012 (Report 2013-S-28). Background The New York State Health Insurance Program (NYSHIP) provides health … Payments for hospital services are generally based on standard fee schedules that are negotiated between Empire …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012 (Follow-Up)
… three recommendations made in our audit report, New York State Health Insurance Program: Empire BlueCross BlueShield … June 30, 2012 (Report 2012-S-132). Background The New York State Health Insurance Program (NYSHIP) provides health … Payments for hospital services are generally based on standard fee schedules that are negotiated between Empire …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughOversight of Residential Domestic Violence Programs (Follow-Up)
… ). About the Program With the rates of homelessness on the rise, the plight of the homeless in New York State has been in the forefront of public attention. In his 2016 State of the State address, the Executive declared …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/oversight-residential-domestic-violence-programs-followOpinion 96-13
… -- Service Award Programs (simultaneous participation in retirement system) VOLUNTEERS -- Ambulance Workers … (simultaneous participation in service award program and retirement system) CIVIL SERVICE LAW, §150; GENERAL MUNICIPAL …
https://www.osc.ny.gov/legal-opinions/opinion-96-13United HealthCare – Overpayments for Services Provided by Long Island Laparoscopic Surgery
… Long Island Laparoscopic Surgery, PLLC waived Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments made by United HealthCare resulting from this practice. The audit covered the period July 1, 2011 …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-laparoscopic-surgeryUnited HealthCare – Overpayments for Services Provided by Long Island Spine Specialists
… whether Long Island Spine Specialists, P.C. waived Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments made by United HealthCare resulting from this practice. The audit covered the period January 1, …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-spine-specialistsOther Bulletin No. 75
… the Approved Salary Rate field. Position and Job Do Not Match - If the Position Number equals the NYS Position Number … Has Both Equated Grade and NTE Position and Job Do Not Match Increment Code Missing See Control-D Report Available …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/suny-construction-fund/other-75-april-2024-state-university-construction-fund-scf-civil2021 Financial Condition Report – 2021 Financial Condition Report
… Message from the Comptroller State Fiscal Year (SFY) 2020-21 will long be remembered for … of challenges. The impact of the economic shutdown on the State’s financial plan was sudden and dramatic; …
https://www.osc.ny.gov/reports/finance/2021-fcrMatter of Merton Simpson v. Department of Civil Service
… Current or former New York State employees who are … of individuals owed a monetary award Settled in 2011, the case resulted in monetary awards to class members. … learn if you’re entitled to an award and how to claim it. Search tips To display the search/find toolbar choose Edit > …
https://www.osc.ny.gov/unclaimed-funds/claimants/matter-merton-simpson-v-department-civil-serviceMedicaid Program – Administrative Costs Used in Premium Rate Setting of Mainstream Managed Care Organizations
… 31, 2016. Background The Medicaid program is a federal, state, and locally funded program that provides a wide range … and/or have special health care needs. The New York State Medicaid program is administered by the Department. For … managed care premium rates, which are based, in part, on allowable MCO administrative costs. For this purpose, the …
https://www.osc.ny.gov/state-agencies/audits/2017/09/13/medicaid-program-administrative-costs-used-premium-rate-setting-mainstream-managed-careOther Bulletin No. 67
… not processed automatically. Affected Employees Employees in Bargaining Unit 97 who meet the eligibility criteria are … Increase: Employees with a Comp Rate Code of ANN who are in an NS position (Grade 600) Employees with a Comp Rate Code of ANN who are in an NS position (Grade 600) which is equated to a grade …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/suny-construction-fund/other-67-april-2023-state-university-construction-fund-scf-civilDiNapoli: Former Clerk/Treasurer of Village of Norwood Pleads Guilty to Stealing Over $70K From Village
… Clerk/Treasurer of the Village of Norwood, pleaded guilty to grand larceny in the second degree for stealing $73,725 … account and abused the public’s trust,” DiNapoli said. “I thank District Attorney Pasqua and the New York State … the funds between 2018 and 2022 by writing village checks to herself. Her theft was initially uncovered by the village …
https://www.osc.ny.gov/press/releases/2023/03/dinapoli-former-clerktreasurer-village-norwood-pleads-guilty-stealing-over-70k-villageXII.8.C Payment Intercepts – XII. Expenditures
… from the Business Unit and offset a portion of that payment to another entity. This section provides Business … Units with guidance on how to request OSC to intercept a payment from a Business Unit and divert it to another entity. … on how to proceed. If you have questions regarding payment diversions, please contact the Bureau of State …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii8c-payment-interceptsState Comptroller DiNapoli Releases Municipal Audits
… or monitored. Town officials did not adequately segregate online banking duties and did not dedicate a separate computer for online transactions to limit access to online bank accounts. In addition, auditors found the town …
https://www.osc.ny.gov/press/releases/2017/07/state-comptroller-dinapoli-releases-municipal-auditsState Comptroller DiNapoli Releases School Audits
… and effectively." Morris-Eaton Central School District – Online Banking (Madison County) The board did not adopt an online banking policy defining authorization and monitoring of online banking transactions. District officials did not …
https://www.osc.ny.gov/press/releases/2017/08/state-comptroller-dinapoli-releases-school-auditsContract Award and Performance
… Purpose To determine whether the New York State Energy Research and Development Authority (NYSERDA) … appointed by the Governor. Its earliest efforts focused on research and development with the goal of reducing the …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/contract-award-and-performanceXI.2.F Timely Submittal of Contracts – XI. Procurement and Contract Management
… OVERVIEW It is the State agency's responsibility to properly plan its … of contract transactions submitted to the Office of the State Comptroller (OSC). RISKS IN PROVIDING GOODS OR SERVICES … NFP and the State. For the NFP, financial strain is placed on their limited resources. For the State, there are …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi2f-timely-submittal-contractsDiNapoli: Inflation in NYC Metro Area Up 6.1% in March, Growing at Highest Rate in 30 Years
… lagging inflation growth nationally and in other large metro areas, NYC metro area price increases appear poised to outstrip earnings … and public health environment.” Consumer costs in the NYC metro area have grown most steeply for energy, …
https://www.osc.ny.gov/press/releases/2022/04/dinapoli-inflation-nyc-metro-area-march-growing-highest-rate-30-yearsDiNapoli: Thruway Authority Toll Increases Should Be Last Option
… tolling and TBM issues . Before asking system users to pay more, the Thruway should address its implementation …
https://www.osc.ny.gov/press/releases/2023/02/dinapoli-thruway-authority-toll-increases-should-be-last-option