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Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance (Follow-Up)
… for Recipients With Third-Party Health Insurance (Report 2021-S-20 ). About the Program The Department of Health (DOH) … The audit covered the period from July 2016 through June 2021. The audit determined DOH and OMIG lacked adequate …
https://www.osc.ny.gov/state-agencies/audits/2025/06/18/improper-fee-service-pharmacy-payments-recipients-third-party-health-insurance-followMedicaid Program – Managed Care Organizations’ Readiness for the Encounter Intake System
… institutional, dental, and pharmacy encounters). The EIS then processes the data and sends it to a data warehouse. Key …
https://www.osc.ny.gov/state-agencies/audits/2016/03/29/medicaid-program-managed-care-organizations-readiness-encounter-intake-systemDiNapoli Urges Parents to Open a College Savings Account for Their Children
… and the Higher Education Services Corp., is designed to help parents save for college and offers tax deductions up … to begin saving for your child’s future," DiNapoli said. "I encourage parents and loved ones to take advantage of this … 13 additional investment options that account owners can choose from based on risk tolerance. The Advisor Plan is for …
https://www.osc.ny.gov/press/releases/2014/05/dinapoli-urges-parents-open-college-savings-account-their-childrenManaged Care Premium Payments for Recipients With Comprehensive Third-Party Insurance (Follow-Up)
… extent of implementation of the seven recommendations made in our initial audit report, Managed Care Premium Payments … (the managed care program most Medicaid recipients enroll in) provides comprehensive medical services that range from … policy is to exclude Medicaid recipients from enrollment in mainstream managed care when they also have comprehensive …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/managed-care-premium-payments-recipients-comprehensive-third-party-insurance-followDiNapoli: Local Sales Tax Collections Drop for Second Quarter of 2020
… Sales tax revenue for local governments in New York state dropped 27.1 percent in the second quarter compared to the same period last year, … Collections for the month of June showed some improvement in most regions. Total collections were down 25.4 percent … Sales tax revenue for local governments in New York state dropped 271 percent in the second quarter …
https://www.osc.ny.gov/press/releases/2020/07/dinapoli-local-sales-tax-collections-drop-second-quarter-2020Monitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Follow-Up)
… recommendations included in our initial audit report, Monitoring of Medicaid Payments for Nursing Home Bed Reserve … prescribed limits and that it sufficiently coordinates its monitoring activities to provide appropriate accountability … Related Audit/Report of Interest Department of Health: Monitoring of Medicaid Payments for Nursing Home Bed Reserve …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/monitoring-medicaid-payments-nursing-home-bed-reserve-days-followMedicaid Program – Improper Medicaid Payments for Recipients Diagnosed With Severe Malnutrition
… Malnutrition can result from the general deterioration of an individual’s health, inadequate treatment or neglect, … medical record, and that meet existing standards of professional practice. For the five-year period ended … medical record. Other Related Audits/Reports of Interest Department of Health: Improper Fee-for-Service Payments for …
https://www.osc.ny.gov/state-agencies/audits/2019/04/08/medicaid-program-improper-medicaid-payments-recipients-diagnosed-severe-malnutritionOpioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program (Follow-Up)
… Objective To determine the extent of implementation of the three recommendations included in our initial audit … Tracking Over-Prescribing (I-STOP), which contains records of controlled substance prescriptions. I-STOP is a tool to … To determine the extent of implementation of the three recommendations included in …
https://www.osc.ny.gov/state-agencies/audits/2020/05/07/opioid-prescriptions-medicaid-recipients-opioid-treatment-program-followMedicaid Program – Improper Payments for Drugs Without a Federal Drug Rebate Agreement
… Department of Health and Human Services in exchange for state Medicaid coverage of most of the manufacturer’s drugs. Manufacturers then pay states rebates on those drugs for which Medicaid payments were made. Covered …
https://www.osc.ny.gov/state-agencies/audits/2024/02/23/medicaid-program-improper-payments-drugs-without-federal-drug-rebate-agreementImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial audit … which was issued on January 5, 2015, determined that, for the 27-month period October 1, 2011 through December 31, … To determine the extent of implementation of the three recommendations …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followMonroe County Airport Authority – Board Oversight of County Chargebacks and Professional Services (2019M-226)
… chargebacks and paid $128,603 for non-Authority costs in 2018. The Board did not adopt clear professional service … Appendix B includes our comments on issues raised in the Authority’s response (Appendix A). …
https://www.osc.ny.gov/local-government/audits/county/2021/11/24/monroe-county-airport-authority-board-oversight-county-chargebacks-andMedicaid Program – Improper Payments of Medicare Buy-in Premiums for Ineligible Recipients
… active cases of Buy-in Program coverage for individuals without a benefit eligibility period in eMedNY and remove …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-payments-medicare-buy-premiums-ineligible-recipientsDiNapoli: As State Tax Check-Off Options Increase, Spending Lags for Most
… years, less than half of the 27 check-off funds this report examines showed disbursements. Of these, only the … agencies administering tax check-off funds are required to report annually to the Legislature, the State Comptroller, … Tax Check-Offs Increase in Number, Disbursements Lag for Most Funds Related Reports 2021 Tax Check-Off Donations Report …
https://www.osc.ny.gov/press/releases/2024/01/dinapoli-state-tax-check-off-options-increase-spending-lags-mostMedicaid Program – Overpayments of Hospitals' Claims for Lengthy Acute Care Admissions
… hospitals for patients admitted for 50 or more days for high levels of care and without any ALC. Key Findings For the … Medicaid about $750 million per year. Given the relatively high incidence (32 percent) of overpayments from the sample that was reviewed, there is high risk that Medicaid overpaid many other inpatient claims …
https://www.osc.ny.gov/state-agencies/audits/2013/07/25/medicaid-program-overpayments-hospitals-claims-lengthy-acute-care-admissionsAstor Services for Children & Families – Compliance With the Reimbursable Cost Manual
… were allocated to the Programs. We also identified two teachers and seven teacher’s assistants who did not have the …
https://www.osc.ny.gov/state-agencies/audits/2015/09/02/astor-services-children-families-compliance-reimbursable-cost-manualExcessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)
… to Recipients Receiving Medicare Benefits (Report 2009-S-64). Background Our initial audit report, which was issued on … Services to Recipients Receiving Medicare Benefits (2009-S-64) …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/excessive-medicaid-payments-services-recipients-receiving-medicare-benefits-followDiNapoli: State Tax Collections Outperform Projections for State Fiscal Year 2024-25
… Budget (DOB) in the SFY 2025-26 Executive Budget Financial Plan, according to the March State Cash Report released by … year. PIT collections exceeded Executive Budget Financial Plan projections by $238.8 million. Consumption and use … Budget DOB in the SFY 202526 Executive Budget Financial Plan according to the March State Cash Report released by New …
https://www.osc.ny.gov/press/releases/2025/04/dinapoli-state-tax-collections-outperform-projections-state-fiscal-year-2024-25Course Offerings
… City University of New York (CUNY) is effectively matching course offerings to student demand. Our audit covered the … there is no system-wide policy specifying when additional course sections should be added. Instead, departments at each … officials at the five senior colleges and were told that course schedules are established using enrollment data from …
https://www.osc.ny.gov/state-agencies/audits/2020/09/01/course-offeringsThe Importance of Responsible Debt Management: Poor State Bond Structuring Choices Lead to Greater Costs for Taxpayers
In the throes of the economic uncertainty and fiscal turbulence caused by the COVID crisis, legislation was enacted as part of the SFY 2021-22 budget authorizing the use of State-supported bonding with final maturities up to 50 years for capital purposes for the MTA.
https://www.osc.ny.gov/files/reports/pdf/importance-of-responsible-debt-management.pdfDiNapoli: Mount Vernon Officials Failed to Establish Basic and Routine Financial Policies
… The City Council of Mount Vernon did not have adequate financial information … for the effective management and fiscal oversight of city operations because officials failed to file annual … provide guidance for a more transparent financial account of the city’s finances during this difficult time. It is my …
https://www.osc.ny.gov/press/releases/2020/09/dinapoli-mount-vernon-officials-failed-establish-basic-and-routine-financial-policies