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State Agencies Bulletin No. 783
… the job is missed and the missed time is deemed Workers’ Comp-eligible, there are two options: For employees who are … on a Leave of Absence with the reason of WDL (Workers Comp Disability Leave). For employees who are enrolled in the … employees enrolled in the IPP program who have Workers’ Comp disabilities and must be placed on Short or Long Term …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/783-new-workers-compensation-actionreason-code-management-confidentialRebates and Discounts on Physician-Administered Drugs (Follow-Up)
… To reduce Medicaid costs for prescription drugs, the federal government established the Medicaid Drug Rebate …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/rebates-and-discounts-physician-administered-drugs-followDiNapoli: After-School Provider Misused $194,320 in Public Funds
… Services (SCO), a provider of extended school day programs for the State Education Department (SED), submitted $194,320 in reimbursement claims for expenses that were unnecessary, not allowable or … did not work for the extended day program; $3,173 for an adult aerobics class; and $2,670 for disc jockey services. …
https://www.osc.ny.gov/press/releases/2014/02/dinapoli-after-school-provider-misused-194320-public-fundsAccuracy of Reported Cost Savings
… is to enhance the integrity of the New York State Medicaid program by preventing and detecting fraudulent, abusive and … activities result in reported cost savings to the Medicaid program. There are no industry standards or guidelines for … Routinely take steps to identify changes in the Medicaid program that impact cost savings activities and update cost …
https://www.osc.ny.gov/state-agencies/audits/2014/07/11/accuracy-reported-cost-savingsEmpire BlueCross BlueShield Selected Payments for Special Items for the Period January 1, 2011 Through March 31, 2011
… actual purchase and acquisition costs. Background The New York State Health Insurance Program (NYSHIP) provides … services in accordance with agreements they negotiate with member hospitals. Payments for hospital services are … documentation. Other Related Audits/Reports of Interest New York State Health Insurance Program: Payments Made to …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2011-throughMedicaid Claims Processing Activity October 1, 2011 Through March 31, 2012
… of Health (Department) administers the State's Medicaid program. The Department's eMedNY computer system processes … identified. Auditors also found providers in the Medicaid program who were charged with or found guilty of crimes that violate Medicaid program laws or regulations. The Department promptly …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-claims-processing-activity-october-1-2011-through-march-31-2012Kids First Evaluation & Advocacy Center – Compliance with the Reimbursable Cost Manual
… the period from July 2014 through June 2015. About the Program Kids First is an SED-approved, for-profit special … Education Itinerant Teacher services (referred to as the Program). Key Findings For the fiscal year ended June 30, … for magazine subscriptions that were not related to the Program. Key Recommendations To SED: Review the disallowances …
https://www.osc.ny.gov/state-agencies/audits/2022/03/02/kids-first-evaluation-advocacy-center-compliance-reimbursable-cost-manualCVS Health – Temporary Holding Account Rebate Revenue
… drug claims maintained in CVS Health’s temporary holding account. Our audit covered the period January 1, 2014 through … CVS Health improperly designated a temporary holding account, used to process certain prescription drug claims, as … is due to Civil Service for rebate-eligible claims in the account for the period January 1, 2014 through December 31, …
https://www.osc.ny.gov/state-agencies/audits/2019/10/17/cvs-health-temporary-holding-account-rebate-revenueMedicaid Program – Claims Processing Activity April 1, 2023 Through September 30, 2023
To determine whether the Department of Healths eMedNY system reasonably ensured that Medicaid claims were submitted by approved providers were processed in accordance with Medicaid requirements and resulted in correct payments to providers
https://www.osc.ny.gov/state-agencies/audits/2024/04/24/medicaid-program-claims-processing-activity-april-1-2023-through-september-30-2023Temporary Assistance – Federal Funding and New York
… In New York, the Temporary Assistance for Needy Families (TANF) block grant provides funds to … Cash Temporary Assistance is limited to 60 months for any adult. In January 2025, 204,974 people received …
https://www.osc.ny.gov/reports/budget/fed-funding-ny/temporary-assistanceKidz Therapy Services, PLLC – Compliance With the Reimbursable Cost Manual
… Reports (CFRs) were properly documented, program-related, and allowable pursuant to the State Education Department’s … claimed on Kidz Therapy’s CFR for fiscal year 2011-12 and certain expenses claimed on Kidz Therapy’s CFRs for fiscal years 2012-13 and 2013-14. Background Kidz Therapy is a Nassau County based …
https://www.osc.ny.gov/state-agencies/audits/2016/09/15/kidz-therapy-services-pllc-compliance-reimbursable-cost-manualDiNapoli Op-Ed: New York Should Opt Into Public Financing of Elections
… New York State Comptroller Thomas P. DiNapoli’s op-ed, “New York Should Opt into Public Financing of Elections”was …
https://www.osc.ny.gov/press/releases/2015/08/dinapoli-op-ed-new-york-should-opt-public-financing-electionsStarting Point Services for Children – Compliance With the Reimbursable Cost Manual
… the ages of three and five years. During the 2012-13 school year, Starting Point served 942 students. The New York …
https://www.osc.ny.gov/state-agencies/audits/2015/12/11/starting-point-services-children-compliance-reimbursable-cost-manualMilestone School for Child Development – Compliance With the Reimbursable Cost Manual
… Reports (CFRs) were properly documented, program related, and allowable pursuant to the State Education Department’s … claimed on Milestone’s CFR for the fiscal year 2012-13, and certain expenses claimed on Milestone’s CFRs for the two … provides full-day preschool special education center-based and integrated programs to disabled children between the ages …
https://www.osc.ny.gov/state-agencies/audits/2015/07/17/milestone-school-child-development-compliance-reimbursable-cost-manualNew York State Dental Program – Payments for Scaling and Root Planing Procedures (Follow-Up)
… initial report Group Health Incorporated: New York State Dental Program - Payments for Scaling and Root Planing … 1, 2005 through December 31, 2008. New York State provides dental insurance benefits to certain State employees and …
https://www.osc.ny.gov/state-agencies/audits/2013/11/12/new-york-state-dental-program-payments-scaling-and-root-planing-procedures-followChemical Dependency Program Payments to Selected Contractors in New York City (Follow-Up)
… of implementation of the seven recommendations included in our initial audit report, Chemical Dependency Program … the payments to two contractors; Palladia Inc, and the Queens Child Guidance Center by the Office of Alcoholism and … and one was not implemented. Key Recommendation Officials are given 30 days after the issuance of the follow-up review …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/chemical-dependency-program-payments-selected-contractors-new-york-city-followXI.4.D Indirect Cost Allocations – XI. Procurement and Contract Management
… will reimburse grant contractors for the State's share of properly allocated indirect costs. Some common methods of … the method or basis for allocation should be identified. In situations where the contractor provides services funded … allocated to the State.The following criteria must be met in determining when indirect costs are allowable: The …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi4d-indirect-cost-allocationsUse of Vendor-Supported Technology (Follow-Up)
… for the oversight of public transportation in Erie and Niagara counties, including the NFTA Metro Bus and Rail System, the Buffalo-Niagara International Airport, and Niagara Falls International Airport. NFTA has …
https://www.osc.ny.gov/state-agencies/audits/2021/01/19/use-vendor-supported-technology-followTitle IV-E Foster Care – Federal Funding and New York
… Title IV-E of the Social Security Act (Assistance Listing Number 93.658) is a federal program that provides … to New York City The City’s latest projections, released in January 2025, include $299 million in Title IV-E funding …
https://www.osc.ny.gov/reports/budget/fed-funding-ny/title-iv-e-foster-careOpinion 2024-1
… HEALTH LAW, § 1114; MUNICIPAL HOME RULE LAW, § 10; GENERAL CITY LAW, §§ 19, 20; TOWN LAW, § 198; VILLAGE LAW, § 11-1112. … Section 1 of Article 8, the Gift and Loan Clause, of the New York State Constitution, and that the Gift and Loan Clause …
https://www.osc.ny.gov/legal-opinions/opinion-2024-1