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New York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up) (2022-F-30)
To assess the extent of implementation of the three recommendations included in our initial audit report, Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Report 2020-S-34).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22f30.pdfNew York State Health Insurance Program – UnitedHealthcare: Improper Payments for Acupuncture and Acupuncture-Related Services (2020-S-7) 180-Day Response
To determine whether UnitedHealthcare Insurance Company of New York appropriately reimbursed acupuncture and acupuncture-related services.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-20s7-response.pdfNew York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members (2020-S-17)
To determine whether CVS Health paid pharmacy claims for Empire Plan members who were not eligible.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20s17.pdfReview of a sample high-risk PCard transactions and travel expenses for the State University of New York Maritime College
We examined Procurement Card Expenses related to one cardholder for the time period of January 1, 2017 through September 30, 2017. We also examined travel expen
https://www.osc.ny.gov/files/state-agencies/audits/pdf/bse-2019-06-07.pdfAppropriateness of Medicaid Eligibility Determined by the New York State of Health System (Follow-Up) (2017-F-4) 30-Day Response
To determine the implementation status of the 14 recommendations made in our initial audit report, Appropriateness of Medicaid Eligibility Determined by the...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2018-17f4-response.pdfCapital Program Revenue and Expenses (Follow-Up)
… Purpose To determine the extent of implementation of the recommendations in our initial audit report, Capital … to provide information on any actions that are planned to address the unresolved issues discussed in this report. Other …
https://www.osc.ny.gov/state-agencies/audits/2018/01/24/capital-program-revenue-and-expenses-followOverpayments of Hospitals’ Claims for Lengthy Acute Care Admissions (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations made in our audit report, Overpayments of Hospitals’ Claims for … to those who are economically disadvantaged and/or have special health care needs. When billing Medicaid for …
https://www.osc.ny.gov/state-agencies/audits/2015/07/07/overpayments-hospitals-claims-lengthy-acute-care-admissions-followEssex County – Financial Condition and Internal Controls Over Payroll (2013M-177)
… was to review the financial condition of the County and internal controls over payroll for the period January 1, 2012 to January 31, 2013. … records were not properly maintained. County officials have not properly limited users’ access within the …
https://www.osc.ny.gov/local-government/audits/county/2013/11/15/essex-county-financial-condition-and-internal-controls-over-payroll-2013m-177Allegany County Industrial Development Agency – Internal Controls Over Selected Financial Activities (2012M-244)
… compensation and the approval and monitoring process for certain projects from January 1, 2008, to August 31, 2012. Background The overall goal of IDAs is to advance the job opportunities, health, general … Development Agency (ACIDA) was established in 1973 and is governed by a Board of Directors which comprises five …
https://www.osc.ny.gov/local-government/audits/industrial-development-agency/2013/05/31/allegany-county-industrial-development-agency-internalCity of Olean – Budget Review (B1-16-2)
… Purpose of Budget Review The purpose of our budget review was to … the significant revenue and expenditure projections in the City’s proposed budget for the 2016-17 fiscal year are … budget review letter issued in March 2015. Background The City of Olean, located in Cattaraugus County, issued debt …
https://www.osc.ny.gov/local-government/audits/city/2016/03/14/city-olean-budget-review-b1-16-2Improper Medicaid Payments for Childhood Vaccines (Follow-Up)
… Objective To determine the extent of implementation of the six recommendations included in our initial audit … free vaccines to eligible children younger than 19 years of age whose parents or guardians may not be able to afford …
https://www.osc.ny.gov/state-agencies/audits/2020/12/23/improper-medicaid-payments-childhood-vaccines-followCompliance With Special Education Requirements – Evaluations (Follow-Up)
… City Department of Education (DOE) – the nation’s largest school system – served approximately 900,000 students at its … to approximately 192,000 of these students in the 2021-22 school year. The DOE is responsible for evaluating students … all students initially referred for evaluations during the school year ended June 30, 2017. Auditors determined that the …
https://www.osc.ny.gov/state-agencies/audits/2023/03/15/compliance-special-education-requirements-evaluations-followMedicaid Program – Maximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program
… claims going back to January 2017. About the Program In 1990, Congress created the MDRP to reduce state and federal expenditures for Medicaid prescription drugs. The program was later expanded to require rebate collection for certain physician-administered drugs and drugs dispensed …
https://www.osc.ny.gov/state-agencies/audits/2023/04/05/medicaid-program-maximizing-drug-rebates-under-federal-medicaid-drug-rebate-programIX.5.A Billing for Non-Onboarding Agencies – IX. Federal Grants
… PCBU Use the Commitment Control Module in SFS to budget for Federal Grant Projects Split costs manually on source transactions against an award for Federal and State share if applicable, but are required … will get collected into the Project Costing module. For OSC cash managed projects the Contract that the Project …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix5a-billing-non-onboarding-agenciesIII.7 Data Quality – III. Statewide Financial System (SFS)
… As a result, the data from transactions needs to be of high quality. To maintain accurate data, it is the responsibility of the agencies to periodically clean up transactions. For transactions that have not been cleaned up, the Office of the State Comptroller (OSC) will occasionally request SFS …
https://www.osc.ny.gov/state-agencies/gfo/chapter-iii/iii7-data-qualityOpinion 2001-1
… or statutory amendments that bear on the issues discussed in the opinion. CONSTITUTIONAL LAW -- Gifts and Loans (authority to pay overtime compensation in excess of Fair Labor Standards Act minimum requirements) … OFFICERS AND EMPLOYEES -- Compensation (overtime pay in excess of Fair Labor Standards Act minimum requirements) …
https://www.osc.ny.gov/legal-opinions/opinion-2001-1Unified Court System Bulletin No. UCS-102
… new Longevity Bonus amounts. OSC Actions Salary Increases After the review of transactions submitted for Pay Period 12L … for salaried employees who are in Bargaining Unit SY on or after the effective dates of the increases. These increases … the employee was placed on a paid Military Stipend Leave after the effective date of an increase, the PLA row will not …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-102-retroactive-general-salary-longevity-bonus-uniform-allowanceRetirement Legislation
… and related legislation enacted or vetoed 2024 Legislation Book 2023 Legislation Book 2022 Legislation Book 2021 Legislation Book 2020 Legislation Book 2019 …
https://www.osc.ny.gov/retirement/resources/retirement-legislationRegulation for Scheduling, Adjourning and Conduct of Administrative Hearings
… of the hearing officer. (Return to Top) §317.9 Discovery of medical records (a) Upon the request of the …
https://www.osc.ny.gov/retirement/members/regulation-for-hearingsOpinion 89-53
… or statutory amendments that bear on the issues discussed in the opinion. FOREIGN FIRE INSURANCE TAXES--Recipients (basis for allocation between or among fire companies in a … foreign fire insurance tax moneys generally must use them for the benefit of the department or company, as determined …
https://www.osc.ny.gov/legal-opinions/opinion-89-53