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United HealthCare Insurance Company of New York – Empire Plan Drug Rebates (Follow-Up)
… The Empire Plan is the primary health benefits plan for NYSHIP, serving about 1.1 million members. The New York … required to negotiate agreements with drug manufacturers for rebates, discounts, and other considerations and pass 100 … review the $710,284 in rebates and credit the Department for the rebates, as appropriate. We also recommended that …
https://www.osc.ny.gov/state-agencies/audits/2017/05/24/united-healthcare-insurance-company-new-york-empire-plan-drug-rebates-followUse of New York State Snowmobile Trail Development and Maintenance Funds
… County Snowmobile Association paid its trail groomer operators $79,885 for fiscal years 2009-10 and 2008-09 … with pay rates ranging from $12 per hour for groomer operators to $15 per hour for the President and Vice … that sponsor and TME practices such as using paid groomer operators have on the effectiveness and value provided to the …
https://www.osc.ny.gov/state-agencies/audits/2013/01/02/use-new-york-state-snowmobile-trail-development-and-maintenance-fundsMid Island Therapy Associates, LLC – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Mid Island Therapy Associates LLC (Mid Island), aka All About Kids, on its Consolidated Fiscal … (Manual). The audit included all expenses claimed on Mid Island’s CFR for the fiscal year 2012-13, and certain … To determine whether the costs reported by Mid Island Therapy Associates LLC Mid Island aka All About …
https://www.osc.ny.gov/state-agencies/audits/2015/12/31/mid-island-therapy-associates-llc-compliance-reimbursable-cost-manualRivendell School – Compliance With the Reimbursable Cost Manual
… (Rivendell) on its Consolidated Fiscal Reports (CFRs) were properly documented, program-related, and allowable … service costs. Among the disallowances we identified were: $389,012 in over-allocated expenses, including bond … by Rivendell School on its Consolidated Fiscal Reports were properly documented programrelated and …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/rivendell-school-compliance-reimbursable-cost-manualFood Safety Monitoring
… food sampling program is a nationally recognized leader in the field. However, all programs could benefit from …
https://www.osc.ny.gov/state-agencies/audits/2014/01/30/food-safety-monitoringMedicaid Program – Claims Processing Activity April 1, 2021 Through September 30, 2021
… 2016. About the Program The Department administers the State’s Medicaid program. The Department’s eMedNY computer … follows: $28.5 million was paid for managed care premiums on behalf of enrollees who also had concurrent comprehensive … prior to, but billed during, the coronavirus disease 2019 state of emergency that would have been denied had certain …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-claims-processing-activity-april-1-2021-through-september-30-2021Marie Pense Center, LLC – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Marie Pense … (CFRs) were reasonable, necessary, directly related to the special education program, and sufficiently documented pursuant to the State Education Department’s (SED) Reimbursable Cost … To determine whether the costs reported by Marie Pense Center …
https://www.osc.ny.gov/state-agencies/audits/2019/12/31/marie-pense-center-llc-compliance-reimbursable-cost-manualMonitoring and Administration of Public Protection Grant Programs
… Objective To determine whether the Division of Criminal Justice … and monitoring selected public protection grant programs to ensure expenses are allowable under the related contracts. … contracts that were active during the period July 1, 2016 to June 30, 2019, SNUG ("guns" spelled backwards) contracts …
https://www.osc.ny.gov/state-agencies/audits/2020/04/24/monitoring-and-administration-public-protection-grant-programsNew York State Health Insurance Program – Incorrect Payments by CVS Caremark for Medicare Rx Drug Claims That Were Improperly Paid Under the Commercial Plan
… members and their dependents who have Medicare, and a Commercial Plan for members and their dependents who do not … the issue and develop a process to reconcile the data in their respective systems to reduce the risk of processing … To Civil Service and CVS Caremark: Review the $12,358,531 in claims identified in this report as incorrectly paid under …
https://www.osc.ny.gov/state-agencies/audits/2023/09/13/new-york-state-health-insurance-program-incorrect-payments-cvs-caremark-medicare-rx-drugMedicaid Program – Medicaid Claims Processing Activity April 1, 2018 Through September 30, 2018
… period April 1, 2018 through September 30, 2018. About the Program The Department of Health (Department) administers the State’s Medicaid program. The Department’s eMedNY computer system processes … Department removed 28 of the providers from the Medicaid program, entered into a settlement with 1 provider, and was …
https://www.osc.ny.gov/state-agencies/audits/2019/07/10/medicaid-program-medicaid-claims-processing-activity-april-1-2018-through-september-30-2018DiNapoli: NYS Pension Fund Commits $50 Million to NY Small Business Investment Fund
… committed $50 million to a private equity fund managed by Hamilton Lane aimed at supporting small businesses across New … Investment Company (SBIC) Fund II L.P., managed by Hamilton Lane. The SBIC Fund II has approximately $150 … II was launched in 2022 and is built upon the success of Hamilton Lane’s first SBIC offering, the New York SBIC Fund …
https://www.osc.ny.gov/press/releases/2023/11/dinapoli-nys-pension-fund-commits-50-million-ny-small-business-investment-fundState Comptroller DiNapoli Releases Audits
… of Housing Preservation and Development (HPD): Heat and Hot Water Complaints (Follow-Up) (2022-F-3) HPD officials …
https://www.osc.ny.gov/press/releases/2022/09/state-comptroller-dinapoli-releases-auditsOpinion 91-59
… This opinion represents the views of the Office of the State Comptroller at the time it was rendered. The … Benevolent Association of Hicksville may establish an annuity program, funded by a portion of the foreign fire … the Volunteer and Exempt Firemens Benevolent Association of Hicksville may establish an annuity program to provide …
https://www.osc.ny.gov/legal-opinions/opinion-91-59DiNapoli: Three Arrested in Connection With Over $1 Million Medicaid Transportation Fraud Scheme
… Thomas P. DiNapoli . “Medicaid fraud impacts us all and diverts money from those truly in need. Thanks to the …
https://www.osc.ny.gov/press/releases/2023/08/dinapoli-three-arrested-connection-over-1-million-medicaid-transportation-fraud-schemeDiNapoli: Lax Oversight of Medicaid Payments Behind $700 Million in Improper Payments
… members. “My latest Medicaid audit found more examples of how oversight weaknesses impose unnecessary costs on …
https://www.osc.ny.gov/press/releases/2022/08/dinapoli-lax-oversight-medicaid-payments-behind-700-million-improper-paymentsFederal Spending by Major Funding Streams and Functions – Federal Funding and New York
… share of federal receipts – an estimated 87 percent in SFY 2026 – supports health and human services programs. Federal … Transportation Block Grant $413,969 $566,698 $578,032 SNAP State Administration $350,409 $532,491 $547,253 Clean … for Unemployment Insurance (UI) State Administration. SNAP is the Supplemental Nutrition Assistance Program and …
https://www.osc.ny.gov/reports/budget/fed-funding-ny/federal-spending-major-funding-streams-and-functionsState Comptroller DiNapoli Releases Audits
… claims; CVS Caremark did not perform on-site audits of all the top 50 paid pharmacies for calendar years 2019–2023, …
https://www.osc.ny.gov/press/releases/2025/10/state-comptroller-dinapoli-releases-auditsUnited HealthCare – Overpayments for Services Provided by Hudson Valley Bone and Joint Surgeons, LLP
… provided to Empire Plan members. United contracts with in-network (participating) providers who agree to accept … co-insurance) when they use non-participating providers. In accordance with the Empire Plan’s requirements, when … will result in United making an excessive payment on the claim. Our audit focused on claims submitted to United by …
https://www.osc.ny.gov/state-agencies/audits/2016/09/08/united-healthcare-overpayments-services-provided-hudson-valley-bone-and-joint-surgeons-llpMarketing Service Performance Monitoring
… revenues to the State and its municipalities, and achieve stable and diversified local economies. To this end, ESD … branding, media, and communications agency. Due to the value of the contract and the appropriated State funds involved, it was reviewed by the Office of the Attorney …
https://www.osc.ny.gov/state-agencies/audits/2015/05/11/marketing-service-performance-monitoringContract Participation of Minority- and Women-Owned Business Enterprises
… established annual participation goals for minority- and women-owned business enterprises; met these goals; and accurately reported its results to the Department of … New York State Executive Law (Law) requires State agencies and public authorities to promote the participation of …
https://www.osc.ny.gov/state-agencies/audits/2015/09/10/contract-participation-minority-and-women-owned-business-enterprises