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Improper Managed Care Payments for Misclassified Patient Discharges (Follow-Up)
… of implementation of the five recommendations included in our initial audit report, Improper Managed Care Payments … (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs arrange for the provision of services for … for transfers and discharges are different and may result in lower payments for transfers. The objective of our initial …
https://www.osc.ny.gov/state-agencies/audits/2023/12/06/improper-managed-care-payments-misclassified-patient-discharges-followAnnual Assessment of Market Orders for 2015 and 2016
To determine whether the Department of Agriculture and Markets had adequate procedures in place during the audit period to accurately report its assessable expenses related to its administration of
https://www.osc.ny.gov/state-agencies/audits/2019/05/16/annual-assessment-market-orders-2015-and-2016Medicaid Overpayments for Inpatient Care Involving Mechanical Ventilation Services
… whether Medicaid overpayments were made to hospitals for mechanical ventilation services reported on APR-DRG (All Patient Refined Diagnosis Related Groups) inpatient claims. The audit covered … may cause Medicaid’s payment to the hospital to increase. For the period of January 1, 2014 through December 31, 2018, …
https://www.osc.ny.gov/state-agencies/audits/2019/05/16/medicaid-overpayments-inpatient-care-involving-mechanical-ventilation-servicesMedicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services
… providers’ Medicaid claims for services also covered by Medicare Advantage plans. The audit covered the period from … in Medicare Part C, also known as Medicare Managed Care or Medicare Advantage. Under Medicare Part C, private managed … and offer different health care plans (referred to as Medicare Advantage plans) tailored to the specific needs of …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-advantage-plan-servicesRestrictions on Consecutive Hours of Work for Nurses (Follow-Up)
… initial audit report Restrictions on Consecutive Hours of Work for Nurses (Report 2017-S-14 ). About the Program The … – referred to as the Restrictions on Consecutive Hours of Work for Nurses Law (Law). Effective July 2009, the Law limits the consecutive hours of work by Registered Nurses (RNs) and Licensed Practical Nurses …
https://www.osc.ny.gov/state-agencies/audits/2019/09/09/restrictions-consecutive-hours-work-nurses-followImplementation of the Dignity for All Students Act (Follow-Up)
… of the three recommendations included in our initial audit report, Implementation of the Dignity for All Students Act (Report 2016-S-28 ). About the … of the three recommendations included in our initial audit report Implementation of the Dignity for All …
https://www.osc.ny.gov/state-agencies/audits/2019/11/21/implementation-dignity-all-students-act-followMedicaid Program – Improper Payments for Certain Third-Party Cost-Sharing Claims
… such as Medicare and group health plans (third-party insurers). Medicaid is considered the payer of last resort … are required to coordinate benefits with third-party insurers prior to billing Medicaid for services. After … adjustments (CARCs), and denials received from other insurers to allow correct calculation of Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2025/11/05/medicaid-program-improper-payments-certain-third-party-cost-sharing-claimsTown of Somerset – Budgeting for Sales Tax (2016M-419)
… our audit was to review the Town's allocation of sales tax for the period January 1, 2015 through November 18, 2016. … Budgeted appropriations in the general and highway funds for 2016 totaled $2 million. Key Findings Town officials … Town of Somerset Budgeting for Sales Tax 2016M419 …
https://www.osc.ny.gov/local-government/audits/town/2017/11/22/town-somerset-budgeting-sales-tax-2016m-419DiNapoli: IDA Audits Reveal Need For Improved Project Oversight
… are performed by a not-for-profit development organization with oversight from the IDA board. However, the board failed … to promote openness in government and provide taxpayers with better access to the financial workings of government. …
https://www.osc.ny.gov/press/releases/2015/09/dinapoli-ida-audits-reveal-need-improved-project-oversightBrighter Choice Charter School for Boys - Payroll (2018M-139)
… Objective Determine whether internal controls were in place to ensure that employee compensation was accurate, …
https://www.osc.ny.gov/local-government/audits/charter-school/2018/10/12/brighter-choice-charter-school-boys-payroll-2018m-139DiNapoli Calls for Transparency From Companies Regarding Affordability Concerns
… pricing is the practice of using individualized consumer data (such as identity, credit history, or browsing … state recently enacted a law requiring disclosure to a consumer if a price was set by an algorithm using their … their management of potential regulatory, operational, consumer and financial risks related to their offering of …
https://www.osc.ny.gov/press/releases/2026/03/dinapoli-calls-transparency-companies-regarding-affordability-concernsDiNapoli Announces State Contract and Payment Actions for November
… Inspector General $8.4 million lease with 90 Church Street Limited Partnership for space at 90 Church Street in New York City. … Commission $20.5 million lease with 90 Church Street Limited Partnership for space at 90 Church Street, New York …
https://www.osc.ny.gov/press/releases/2016/12/dinapoli-announces-state-contract-and-payment-actions-novemberDiNapoli: State Needs to Improve Services for Vulnerable Adults
… hired to help these men and women are doing just that. The agency responsible for protecting them must do a better job.” Elder abuse is a problem nationwide, with 1 in 10 older adults subject to physical or … to manage basic needs. DiNapoli’s audit found lack of agency oversight and a failure to ensure providers are doing …
https://www.osc.ny.gov/press/releases/2021/11/dinapoli-state-needs-improve-services-vulnerable-adultsDiNapoli Releases Fiscal Stress Scores for Villages and Cities
… have a fiscal year ending on May 31, based on self-reported data for 2021. The scores also cover the 17 … and unemployment. DiNapoli’s office also has a self-assessment tool that allows local officials to calculate fiscal stress …
https://www.osc.ny.gov/press/releases/2022/04/dinapoli-releases-fiscal-stress-scores-villages-and-citiesDiNapoli: State Tax Collections Exceeded Estimates for SFY 2025-26
… of the Budget (DOB) in the 30-day amendments to the SFY 2026-27 Executive Budget financial plan, according to the … in state-share Medicaid payments due to be paid in March 2026 to April 2026; Transferring $250 million into the Health Care …
https://www.osc.ny.gov/press/releases/2026/04/dinapoli-state-tax-collections-exceeded-estimates-sfy-2025-26DiNapoli: Help for Vulnerable Adults in NYC Falls Short
… Assistance fell short for vulnerable adults in New York City because Adult Protective Services (APS) … with medical or social supports. Caseworkers are based in HRA field offices and contracted nonprofits across the city and often meet clients in their homes to assess their needs. The audit reviewed APS …
https://www.osc.ny.gov/press/releases/2025/10/dinapoli-help-vulnerable-adults-nyc-falls-shortDiNapoli Releases New Tool for Monitoring NYC 311 Complaints
… than 192 complaints per 1,000 residents in the Fordham, Bedford Park and Norwood sections. DiNapoli’s report found that just …
https://www.osc.ny.gov/press/releases/2025/05/dinapoli-releases-new-tool-monitoring-nyc-311-complaintsMembership Milestones for Police & Fire Retirement System (PFRS) Members
… If you are in the Police and Fire Retirement System (PFRS), no matter which retirement tier and plan you’re covered under, there are important milestones you need to know. Understanding your milestones will help you …
https://www.osc.ny.gov/retirement/members/membership-milestones-police-fire-retirement-system-pfrs-membersRegulation for Scheduling, Adjourning and Conduct of Administrative Hearings
… §317.1 Background Whereas, Sections 74 and 374 of the Retirement and Social Security Law direct that the Comptroller, upon … be observed and rules which shall be followed for the scheduling of and conduct of such hearings. §317.2 Notice … Scheduling Adjourning and Conduct of Administrative Hearings …
https://www.osc.ny.gov/retirement/members/regulation-for-hearingsMember Salary & Service Detail Request (RS2413)
For NYSLRS employers to request salary and service details for members.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs2413.pdf