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Medicaid Program – Managed Care Organizations: Payments to Ineligible Providers
… Purpose To determine whether the Department of Health (Department) … care organizations (MCOs) have adequate processes in place to prevent payments to ineligible providers, and whether … To determine whether the Department of Health and managed …
https://www.osc.ny.gov/state-agencies/audits/2018/02/26/medicaid-program-managed-care-organizations-payments-ineligible-providersMedicaid Program – Medicaid Payments to Medicare Advantage Plan Providers
… whether Medicaid inappropriately paid for recipients’ Medicare Part C cost-sharing liabilities. The audit covered … to as “dual-eligibles.” In 1997, Congress established Medicare Part C, the Medicare managed care program also known as Medicare Advantage. Under Medicare Part C, private managed care companies administer …
https://www.osc.ny.gov/state-agencies/audits/2018/09/10/medicaid-program-medicaid-payments-medicare-advantage-plan-providersForensic Audit of Payments to On-Board Service Managers (Follow-Up)
… Purpose To determine the extent of implementation of the three … in our initial audit report, Forensic Audit of Payments to on-Board Service Managers (2011-S-35). Background Our … To determine the extent of implementation of 3 …
https://www.osc.ny.gov/state-agencies/audits/2016/01/21/forensic-audit-payments-board-service-managers-followImproper Payments Related to the Medicare Buy-In Program (Follow-Up)
… Purpose To determine the extent of implementation of the five … made in our audit report, Improper Payments Related to the Medicare Buy-In Program ( 2010-S-76 ). Background The … To determine the extent of implementation of the five …
https://www.osc.ny.gov/state-agencies/audits/2014/11/18/improper-payments-related-medicare-buy-program-followMedicaid Program – Medicaid Payments Made Pursuant to Medicare Part C
… To determine if Medicaid made excessive payments for Medicare Part C cost-sharing liabilities. The audit covered … to as "dual-eligibles." In 1997, Congress established Medicare Part C, also known as Medicare managed care or Medicare Advantage. Under Medicare Part C, private managed care companies administer …
https://www.osc.ny.gov/state-agencies/audits/2014/05/09/medicaid-program-medicaid-payments-made-pursuant-medicare-part-cMedicaid Program – Improper Episodic Payments to Home Health Providers
… Certified Home Health Agencies under the Episodic Payment System. The audit covered the period May 1, 2012 through … Health (Department) implemented the new Episodic Payment System (EPS) to reimburse Certified Home Health Agencies … Eligibility Determined by the New York State of Health System (2014-S-4) Department of Health: Optimizing Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/medicaid-program-improper-episodic-payments-home-health-providersSelected Programs to Assist Businesses in New York City
… Objectives To determine whether the New York City Department of Small … Advocates and Compliance Advisors provided services to assist businesses in opening, operating, and expanding … To determine whether the New York City Department of Small …
https://www.osc.ny.gov/state-agencies/audits/2024/03/14/selected-programs-assist-businesses-new-york-cityCompliance With Requirements to Maintain Systems at Vendor-Supported Levels
… Objective To determine whether the Rochester-Genesee Regional … Authority (RGRTA) was complying with requirements to maintain its systems at vendor-supported levels. The audit … To determine whether the RochesterGenesee Regional …
https://www.osc.ny.gov/state-agencies/audits/2019/07/29/compliance-requirements-maintain-systems-vendor-supported-levelsTown of Roxbury – Payments to Not-For-Profit Organizations (2022M-177)
… payments made by the Town of Roxbury (Town) officials to certain not-for-profit organizations were appropriate … Findings We reviewed the 25 payments Town officials made to not-for-profit organizations, totaling $33,760. Officials … legal counsel in connection with each proposed payment to ensure that it does not violate Article VIII, Section 1 of …
https://www.osc.ny.gov/local-government/audits/town/2023/01/27/town-roxbury-payments-not-profit-organizations-2022m-177Town of Attica – Payments to Not-for-Profit Organizations (2021M-125)
… whether payments Town of Attica (Town) officials made to not-for-profit organizations were for appropriate purposes … supported. Key Findings The payments Town officials made to not-for-profit organizations were not always for … by sufficient documentation. Officials: Used public funds to make donations or impermissible gifts totaling $47,400 to …
https://www.osc.ny.gov/local-government/audits/town/2021/12/17/town-attica-payments-not-profit-organizations-2021m-125DiNapoli Announces New Corporate Agreement to Disclose Political Spending
… followed 66% support in 2013 vote) Peabody Energy 2013 Dr. Pepper Snapple Group Harley-Davidson Inc. KeyCorp Noble …
https://www.osc.ny.gov/press/releases/2016/12/dinapoli-announces-new-corporate-agreement-disclose-political-spendingInvestors Renew Call on Exxon to Address Climate Risk
… Systems, CalPERS and other U.S. and European investors. A list of co-filers is available here . Exxon has acknowledged … and others under consideration could reduce demand for its products, make them more expensive, and delay the …
https://www.osc.ny.gov/press/releases/2017/02/investors-renew-call-exxon-address-climate-riskDiNapoli Calls on Aetna to Disclose Corporate Political Spending
… followed 66% support in 2013 vote) Peabody Energy 2013 Dr Pepper Snapple Group Harley-Davidson Inc. KeyCorp Noble …
https://www.osc.ny.gov/press/releases/2015/05/dinapoli-calls-aetna-disclose-corporate-political-spendingDiNapoli: Fast Food Companies Agree to Stronger Supplier Oversight
… Fried Chicken, Pizza Hut and Taco Bell, have agreed to conduct assessments of human rights risks related to labor standards in their operations and supply chains. The companies also agreed to publish these risk assessments on their websites later … Kentucky Fried Chicken Pizza Hut and Taco Bell have agreed to conduct assessments of human rights risks related to labor …
https://www.osc.ny.gov/press/releases/2016/05/dinapoli-fast-food-companies-agree-stronger-supplier-oversightInvestors: Exxon Needs to Step Up on Climate Change
… be affected by worldwide efforts to adopt the goals of the Paris Agreement to rein in climate change. In recent weeks, … While Exxon has paid lip service to the goals of the Paris Agreement, it has refused to address how the Paris commitment will affect its bottom line." "I am looking …
https://www.osc.ny.gov/press/releases/2017/05/investors-exxon-needs-step-climate-changeDiNapoli: FirstEnergy Corp. Agrees to Disclose Its Political Spending
… The New York State Common Retirement Fund (Fund) has reached an agreement … comprehensively disclose its political spending, New York State Comptroller Thomas P. DiNapoli, trustee of the Fund, … political parties, ballot measures, any direct or indirect state and federal lobbying, payments to any trade …
https://www.osc.ny.gov/press/releases/2021/02/dinapoli-firstenergy-corp-agrees-disclose-its-political-spendingDiNapoli: 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: Coronavirus Will Cause Multi-Year Hit to State Finances
… picture. Tax revenues will be substantially lower in the near term because of the pandemic, and likely well beyond. …
https://www.osc.ny.gov/press/releases/2020/04/dinapoli-coronavirus-will-cause-multi-year-hit-state-financesDiNapoli: Public Must Be Alerted to Sewer Overflow Problems
… discrepancies in the information posted on the DEC website of past overflow events. Of the 113 events reviewed, … overflow. Additionally, auditors found not all facilities submitted written incident reports to the DEC within five … actions they would take to implement them. Their full comments are included in the report. Audit Department of …
https://www.osc.ny.gov/press/releases/2020/10/dinapoli-public-must-be-alerted-sewer-overflow-problemsDiNapoli: Localities Spending More to Address Climate Change Hazards
A sample of local governments across New York reported $134 billion in actual and anticipated spending on capital projects over a 10year period with about 55 of the total in response to climaterelated hazards such as increased flooding and storm damage according to a report released today
https://www.osc.ny.gov/press/releases/2023/04/dinapoli-localities-spending-more-address-climate-change-hazards