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Medicaid Program – Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance
… have other third-party health insurance (TPHI) for pharmacy services in addition to Medicaid (e.g., … is considered the payer of last resort and, as such, FFS pharmacy providers are required to coordinate benefits with … period, Gainwell’s third-party liability recoveries on FFS pharmacy payments totaled almost $53 million. Key Findings We …
https://www.osc.ny.gov/state-agencies/audits/2023/05/11/medicaid-program-improper-fee-service-pharmacy-payments-recipients-third-party-healthMedicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims
… for outpatient services that were erroneously billed as inpatient claims. The audit covered the period from January … The Medicaid program reimburses hospitals for inpatient and outpatient services. A recipient’s status in a hospital – inpatient versus outpatient – affects Medicaid’s …
https://www.osc.ny.gov/state-agencies/audits/2023/08/30/medicaid-program-improper-medicaid-payments-outpatient-services-billed-inpatient-claimsChildren’s Unit for Treatment and Evaluation – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by Children’s Unit for Treatment and Evaluation (CUTE) on its Consolidated … (RCM). The audit covered expenses reported on CUTE’s CFR for the fiscal year ended June 30, 2016 and certain costs reported on its CFRs for the two fiscal years ended June 30, 2015. About the …
https://www.osc.ny.gov/state-agencies/audits/2019/07/15/childrens-unit-treatment-and-evaluation-compliance-reimbursable-cost-manualMedicaid Program – Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY
… Medicaid made improper payments to providers who submitted Part B cost-sharing claims directly to eMedNY. The audit … The Medicare program has multiple parts. Medicare Part B provides supplementary medical insurance coverage for … Medicare enrollees are responsible for paying all costs of Part B services until their annual deductible is met. After …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-part-b-services-billed-directly-emednyMedicaid Program – Opioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program
… opioids while also in a Treatment Program for opioid use disorder. This audit covered the period October 1, 2013 … therapies for people diagnosed with an opioid use disorder. New York State maintains a database to monitor … the debate over the sharing of substance use disorder treatment information among different health care …
https://www.osc.ny.gov/state-agencies/audits/2018/11/20/medicaid-program-opioid-prescriptions-medicaid-recipients-opioid-treatment-programMonitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance (Follow-Up)
… of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance ( 2016-S-79 ). Background … (Division) oversees the establishment, maintenance, and preservation of burial grounds for all not-for-profit … by Article 15 of the Not-for-Profit Corporation Law (Law), and under the supervision of the State’s Cemetery Board …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/monitoring-not-profit-cemeteries-fiscal-stability-and-adequate-facility-maintenance-followMedicaid Program – Overpayments for Therapy Services and Prescription Drugs Covered by Medicare
… care providers’ Medicaid claims for therapy services and prescription drugs that are covered by Medicare. The audit … the period January 1, 2012 to December 31, 2016 for prescription drugs and January 1, 2012 to December 31, 2017 … occupational, and speech therapy services, as well as prescription drugs. When these services are rendered to …
https://www.osc.ny.gov/state-agencies/audits/2019/10/30/medicaid-program-overpayments-therapy-services-and-prescription-drugs-covered-medicareExploration Elementary Charter School for Science and Technology – Non-Payroll Disbursements (2023M-100)
… Objective Determine whether Exploration Elementary Charter School for Science and Technology (School) officials ensured non-payroll … Determine whether Exploration Elementary Charter School for Science and Technology School officials ensured nonpayroll …
https://www.osc.ny.gov/local-government/audits/charter-school/2025/10/24/exploration-elementary-charter-school-science-and-technology-non-payrollWest Corners Fire Company – Accounting for Cash Receipts and Disbursements (2014M-215)
… Fire Company is a volunteer organization that is located in, and provides fire protection services for, the Town of Union in Broome County. The Company’s Officers consist of four … fiscal year, the Company reported approximately $20,000 in revenues from foreign fire insurance, fundraising …
https://www.osc.ny.gov/local-government/audits/fire-company-or-department/2014/12/05/west-corners-fire-company-accounting-cash-receipts-andState Comptroller DiNapoli Positions New York Pension Fund For Low Carbon Future
… strategy that will raise the New York Common Retirement Fund’s (Fund) commitment to sustainable investments to $5 billion. … emissions like the coal mining industry, and increase the Fund’s investments in companies that are lower emitters. … that will raise the New York Common Retirement Funds Fund commitment to sustainable investments to $5 billion …
https://www.osc.ny.gov/press/releases/2015/12/state-comptroller-dinapoli-positions-new-york-pension-fund-low-carbon-futureDiNapoli Audit Highlights Need for Better Compliance with School Violence Reporting Law
… serious events, State Comptroller Thomas P. DiNapoli said today. “The SAVE Act was passed by the state Legislature in … it appears that many schools are failing to live up to the reporting requirements, leaving parents in the … compile a record of each reportable violent or disruptive incident that occurs on school property. Schools submit an …
https://www.osc.ny.gov/press/releases/2015/01/dinapoli-audit-highlights-need-better-compliance-school-violence-reporting-lawGlobal Investor Coalition Calls on Exxon to Prepare for a Lower Carbon Future
… shares. “The unprecedented Paris agreement to rein in global warming may significantly affect Exxon’s operations,” … agreement that sends the strongest signal yet that the global economy is transitioning to clean energy and away from … with world leaders committed to holding the rise in global temperatures well below two degrees Celsius and to …
https://www.osc.ny.gov/press/releases/2016/01/global-investor-coalition-calls-exxon-prepare-lower-carbon-futureState Pension Fund Adds $30 Million for Investments in New York Companies
… announced today. The commitment will be made through the pension fund’s In-State Private Equity Investment Program, … in companies located in New York state. This is the state pension fund’s third commitment to Primary Venture Partners. … Partners for state-based investments will help grow the pension fund and expand businesses and jobs across New York …
https://www.osc.ny.gov/press/releases/2015/03/state-pension-fund-adds-30-million-investments-new-york-companiesTown of Kingsbury – Multiyear Planning for Fund Balance and Reserves (2025M-66)
… to an OSC Audit Report , which you received with the draft audit report. We encourage the Board to make the CAP …
https://www.osc.ny.gov/local-government/audits/town/2025/11/21/town-kingsbury-multiyear-planning-fund-balance-and-reserves-2025m-66DiNapoli: State Pension Fund Investments Return 11.55% for State Fiscal Year 2023-24
… Fund’s investment return was 11.55% for the state fiscal year that ended March 31, 2024. The Fund closed the year with an estimated value of $267.7 billion. “Strong … pension fund’s investment returns higher over the past year, with many companies reporting better than expected …
https://www.osc.ny.gov/press/releases/2024/06/dinapoli-state-pension-fund-investments-return-1155-state-fiscal-year-2023-24DiNapoli: Preschool Special Education Provider Received Nearly $6 Million for Ineligible Expenses
… the audit period, it shared space with the Manhattan Star Academy, a private school that serves school-age special … Adult Institute Network, which also included YAI and the academy. NYL served about 818 students during the 2013-14 …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-preschool-special-education-provider-received-nearly-6-million-ineligible-expensesDiNapoli Announces Interim CIO for the New York State Common Retirement Fund
… his appointment of Anastasia Titarchuk as Interim Chief Investment Officer of the New York State Common Retirement … has reached a record annual value and provided annualized investment returns that exceed our target rate," DiNapoli … Fuller said. "I will miss our inspiring and dedicated investment staff, but I am proud to leave the Fund in a …
https://www.osc.ny.gov/press/releases/2018/07/dinapoli-announces-interim-cio-new-york-state-common-retirement-fundDiNapoli: Lack of Oversight Hinders Home Meal Delivery Program for Vulnerable Seniors
… New York City’s Department for the Aging (DFTA) needs to do more to ensure the meals it provides … trouble preparing their own meals. The city’s Department for the Aging is responsible for helping to ensure their … New York Citys Department for the Aging DFTA needs to do more to ensure the meals it …
https://www.osc.ny.gov/press/releases/2022/01/dinapoli-lack-oversight-hinders-home-meal-delivery-program-vulnerable-seniorsDiNapoli: State Education Employment Program For New Yorkers With Disabilities Falling Short
… The Adult Career and Continuing Education Services – Vocational Rehabilitation Supported Employment Program … after eligibility date), or annual reviews of IPEs, which are required by federal law and SED policy. Auditors selected … and IPE finalizations. However, annual reviews are still not being conducted on time. Auditors also found …
https://www.osc.ny.gov/press/releases/2022/03/dinapoli-state-education-employment-program-new-yorkers-disabilities-falling-shortDiNapoli Announces Nominee for the Commission on Ethics and Lobbying in Government
… announced his nomination of Nancy G. Groenwegen to the Commission on Ethics and Lobbying in Government. Groenwegen … “New York is facing challenging times and needs an ethics commission that is committed to openness and accountability. … commissioner and president of the New York Civil Service Commission and as an assistant attorney general in the New …
https://www.osc.ny.gov/press/releases/2022/07/dinapoli-announces-nominee-commission-ethics-and-lobbying-government