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Medicaid Program – Overpayments for Therapy Services and Prescription Drugs Covered by Medicare
… Objective To determine if the Department of Health overpaid health care providers’ Medicaid claims for therapy services and prescription drugs that are covered by … To determine if the Department of Health overpaid health care providers Medicaid claims for …
https://www.osc.ny.gov/state-agencies/audits/2019/10/30/medicaid-program-overpayments-therapy-services-and-prescription-drugs-covered-medicareUlster County Community College - Retiree Health Insurance and Payroll (2018M-123)
… insurance billings. Ensure the continued eligibility of retirees, and inappropriately paid $2,092 in premiums for … Ensure that comparisons are performed to determine status of retiree health insurance accounts. Attempt to recover … health insurance provider. Establish adequate segregation of duties within the College’s payroll process. Ensure that …
https://www.osc.ny.gov/local-government/audits/community-college/2018/10/26/ulster-county-community-college-retiree-health-insurance-and-payrollMedicaid – Federal Funding and New York
… Medicaid (Assistance Listing Number 93.778) is a health insurance entitlement program for low-income adults … (DOE) and Early Intervention services in the Department of Health and Mental Hygiene (DOHMH). FIGURE 1 – NYC Medicaid Enrollment Sources: NYS Department of Health; OSC analysis FIGURE 2 – Medicaid Revenue by …
https://www.osc.ny.gov/reports/budget/fed-funding-ny/medicaid-nycIV.3.B Miscellaneous Receipts – IV. Accounting Codes - Uses and Descriptions
… Click here to download the table below as a Microsoft Excel file . Reporting Class SFS Account Product Code … on beverage containers. 31021 Uncashed Pari-Mutuel Tickets Uncashed winning tickets. 31022 Uncashed OTB Tickets Uncashed winning …
https://www.osc.ny.gov/state-agencies/gfo/chapter-iv/iv3b-miscellaneous-receiptsState Comptroller DiNapoli Releases Audits
… of Weights and Measures Programs (Follow-Up) (2019-F-11) An initial report, issued in December 2017, identified … percent) as of October 2018. Auditors also found about $5.1 million in expenses charged to the program that did not … that require DOH’s prompt attention, including $123.9 million in Medicaid managed care premiums paid on behalf of …
https://www.osc.ny.gov/press/releases/2019/09/state-comptroller-dinapoli-releases-auditsState Comptroller DiNapoli Releases Audits
… Funding for Election Technology and Security (2020-S-18) Generally, the BOE has utilized available funding from … . Under State Comptroller DiNapoli’s open data initiative, search millions of state and local government financial …
https://www.osc.ny.gov/press/releases/2021/10/state-comptroller-dinapoli-releases-auditsDiNapoli: Audit Shows Health Department Overpaid Certain Medicaid Managed Care Premiums
… in recent years, it is of the utmost importance that DOH do all it can to make sure MCOs are being paid only what they …
https://www.osc.ny.gov/press/releases/2016/10/dinapoli-audit-shows-health-department-overpaid-certain-medicaid-managed-care-premiumsMedicaid Program – Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY
… June 1, 2012 through May 31, 2017. Background Many of the State’s Medicaid recipients are also eligible for Medicare, … B cost-sharing amounts (e.g., deductibles and coinsurance) on behalf of dual-eligibles. In December 2009, the Department … $2.3 million to providers for the Part B coinsurance on services Medicaid did not cover. Overpayments totaling …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-part-b-services-billed-directly-emednyDiNapoli Announces State Contract And Payment Actions For October 2015
… Pre-Kindergarten program. $77,000 to New Ventures Charter School for planning and implementation. Office of General …
https://www.osc.ny.gov/press/releases/2015/11/dinapoli-announces-state-contract-and-payment-actions-october-2015DiNapoli: Former Village of Chatham Clerk-Treasurer Pleads Guilty to Defrauding Village
… State Police announced that Barbara Henry, the Village of Chatham’s former clerk-treasurer, has pleaded guilty to … premiums at the town’s expense. “Ms. Henry took advantage of her public position to have the taxpayers fully fund her insurance costs,” said DiNapoli. “This kind of corruption drives up costs and erodes the public trust. …
https://www.osc.ny.gov/press/releases/2021/09/dinapoli-former-village-chatham-clerk-treasurer-pleads-guilty-defrauding-villageVillage of West Haverstraw - Accrued Leave and Benefits (2019M-143)
… employees received and used leave accruals in accordance with Village policies, and whether amounts paid for benefits … against the amount due. Village officials generally agreed with our findings and indicated that they have taken, or … employees received and used leave accruals in accordance with Village policies …
https://www.osc.ny.gov/local-government/audits/village/2019/09/06/village-west-haverstraw-accrued-leave-and-benefits-2019m-143State Comptroller DiNapoli Releases Audits
… and Community Supervision (DOCCS): Oversight of Sex Offenders Subject to Strict and Intensive Supervision and Treatment (Follow-Up) (2018-F-21) The Sex Offender Management and Treatment Act requires that … officers to have a minimum number of monthly contacts with paroled offenders. An initial audit identified …
https://www.osc.ny.gov/press/releases/2019/01/state-comptroller-dinapoli-releases-auditsExcessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)
… this amount occurred because the Department did not ensure New York’s regulatory structure has kept pace with other …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/excessive-medicaid-payments-services-recipients-receiving-medicare-benefits-followMainstream Managed Care Organizations – Administrative Costs Used in Premium Rate Setting (Follow-Up)
… Purpose To determine the extent of implementation of the seven recommendations made in our initial audit … Rate Setting ( 2014-S-55 ). Background The Department of Health (Department) is responsible for setting the monthly … To determine the extent of implementation of the seven recommendations made in our …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/mainstream-managed-care-organizations-administrative-costs-used-premium-rate-setting-followKidz Therapy Services, PLLC – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Kidz Therapy Services PLLC (Kidz Therapy) on its Consolidated Fiscal Reports (CFRs) were … (Manual). The audit covered expenses claimed on Kidz Therapy’s CFR for fiscal year 2011-12 and certain expenses … To determine whether the costs reported by Kidz Therapy Services PLLC Kidz Therapy on its Consolidated Fiscal …
https://www.osc.ny.gov/state-agencies/audits/2016/09/15/kidz-therapy-services-pllc-compliance-reimbursable-cost-manualSmall Wonder Preschool, Inc. – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Small Wonder Preschool, Inc. (Small … (CFRs) were reasonable, necessary, directly related to the special education program, and sufficiently documented pursuant to the State Education Department’s (SED) Reimbursable Cost …
https://www.osc.ny.gov/state-agencies/audits/2024/09/05/small-wonder-preschool-inc-compliance-reimbursable-cost-manualState Comptroller DiNapoli Releases Audits
… following audits and examinations have been issued. Office of Alcoholism and Substance Abuse Services (OASAS): Problem … or social impact study to identify the number or location of individuals in need of problem gambling treatment services since 2006, even …
https://www.osc.ny.gov/press/releases/2019/03/state-comptroller-dinapoli-releases-auditsTown of Callicoon – Cash Receipts and Disbursements (2013M-16)
… 19, 2012. Background The Town of Callicoon is located in Sullivan County. The Town is governed by an elected …
https://www.osc.ny.gov/local-government/audits/town/2013/06/07/town-callicoon-cash-receipts-and-disbursements-2013m-16Life Changes: A Guide for Retirees
… line (see the Contact Us section ). Health Insurance We do not administer health insurance programs. However, we can … Alternative Option (depending on the terms of payment). To do this, complete a Pensioner’s Designation of Beneficiaries …
https://www.osc.ny.gov/retirement/publications/life-changes-guide-retireesMedicaid Program – Improper Managed Care Payments for Recipients With Duplicate Client Identification Numbers
… premiums were paid on behalf of recipients with duplicate Client Identification Numbers. The audit covered the period … individual who applies for Medicaid benefits is assigned a Client Identification Number (CIN), a unique identifier. … premiums were paid on behalf of recipients with duplicate Client Identification Numbers …
https://www.osc.ny.gov/state-agencies/audits/2019/07/29/medicaid-program-improper-managed-care-payments-recipients-duplicate-client-identification