Search

Adjustment Report for Pension Integrity Bureau (RS5527)

For NYSLRS employers to correct a member’s previously reported earnings and/or service.

New York State Health Insurance Program - Payments by CVS Health for Pharmacy Services for Ineligible Members (Follow-Up) (2022-F-29)

To assess the extent of implementation of the six recommendations included in our initial audit report, Payments by CVS Health for Pharmacy Services for Ineligible Members (Report 2020-S-17).

New York State Health Insurance Program – Payments by Empire BlueCross for Hospital Services for Ineligible Members (Follow-Up) (2021-F-17)

To assess the extent of implementation of the five recommendations included in our initial audit report, Payments by Empire BlueCross for Hospital Services for Ineligible Members (Report 2019-S-32).

Request for Retirement Allowance Data for Firefighters Paid Pursuant to Section 207-a of the General Municipal Law (PF6302)

To obtain information concerning the Accidental and Performance of Duty Disability Retirement Benefits as a basis to adjust the salary being paid to a firefighter pursuant to Section 207-a of the General Municipal Law, NYSLRS employers use form PF6302.

West Corners Fire Company – Accounting for Cash Receipts and Disbursements (2014M-215)

… ensured that the Treasurer was properly accounting for cash receipts and disbursements for the period January 1, 2013 through May 16, 2014. … that is located in, and provides fire protection services for, the Town of Union in Broome County. The Company’s …

DiNapoli: State Pays Drug Treatment Center Nearly $4 Million for Ineligible Expenses

… revealed that millions of dollars were claimed and spent on ineligible costs. Officials from the Office of Alcoholism …

DiNapoli Audit Highlights Need for Better Compliance with School Violence Reporting Law

… its enforcement of the Safe Schools Against Violence in Education Act (SAVE Act) after a state audit found schools … today. “The SAVE Act was passed by the state Legislature in 2000 to boost school safety and address violence in our … designate schools on the 2014-15 persistently dangerous list. While SED has used this data in the past to identify …

Monitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance (Follow-Up)

To determine the extent of implementation of the four recommendations included in our initial audit report Monitoring of NotforProfit Cemeteries for Fiscal Stability and Adequate Facility Maintenance 2016S79

Medicaid Program – Opioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program

… are receiving opioids while also in a Treatment Program for opioid use disorder. This audit covered the period … in the 1990s with the over-prescribing of opioid drugs for pain-related conditions. Opioid treatment programs … coupled with counseling and behavioral therapies for people diagnosed with an opioid use disorder. New York …

Medicaid Program – Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY

… Medicaid made improper payments to providers who submitted Part B cost-sharing claims directly to eMedNY. The audit covered … of the State’s Medicaid recipients are also eligible for Medicare, the federal health insurance program for people age …

School for Language and Communication Development – Compliance With the Reimbursable Cost Manual

… Purpose To determine whether the costs reported by the School for Language and Communication Development (SLCD) … not-for-profit special education provider located in Nassau County, New York. SLCD provides preschool special …

UnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers

… Purpose To determine whether UnitedHealthcare overpaid for out-of-network anesthesia services provided at Ambulatory … The Empire Plan is the primary health benefits plan for NYSHIP. The Empire Plan provides its members with four … processes and pays claims from health care providers for services provided to Empire Plan members, and Civil …

Children’s Unit for Treatment and Evaluation – Compliance With the Reimbursable Cost Manual

… the costs reported by Children’s Unit for Treatment and Evaluation (CUTE) on its Consolidated Fiscal Reports … (CFR) were properly calculated, adequately documented, and allowable under the State Education Department’s (SED) … on CUTE’s CFR for the fiscal year ended June 30, 2016 and certain costs reported on its CFRs for the two fiscal …

Educators for Children, Youth and Families, Inc. – Use of Contract Funds (Follow-Up)

… Purpose To determine the extent of implementation of the three … three administered by OCFS. We found that Educators could not support or justify $883,530 of expenditures claimed. Of … Key Finding We determined that SED and OCFS officials have made some progress in addressing the matters in our …

Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 3, 4, 5 and 6 Members – Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 3, 4, 5 and 6 Members

Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 1 and 2 Members – Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 1 and 2 Members

Medicaid Program – Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance

… As of August 2017, 4.4 million people were enrolled in mainstream managed care plans – about 2.5 million were … have additional sources of health care coverage. In accordance with the New York State Social Services Law, … the audit period, the Department paid about $1.28 billion in Medicaid managed care premium payments on behalf of …

UnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59 (Follow-Up)

… Code 59 (Report 2013-S-82 ). Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, …

Changes in Federal Policies Pose Significant Risks for New York City's Budget

… Projected budget gaps for New York City in the coming years appear manageable, but tax changes and … by State Comptroller Thomas P. DiNapoli. "Major shifts in federal fiscal policies constitute the greatest risk to … may lie ahead, depending on the effects of what happens in Washington." The November update to the city’s four-year …

Medicaid Program – Medicaid Payments for Pharmacy Claims: Joia Pharmacy and a Related Prescriber

… to matters addressing the Doctor’s prescribing activity for the period January 1, 2013 through June 30, 2016. Background The Department is responsible for administering New York State’s Medicaid program. Medicaid … disadvantaged and/or have special health care needs. For the State fiscal year ended March 31, 2016, New York’s …