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Medicaid Program – Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care
… disadvantaged and/or have special health care needs. In general, the Medicaid program pays medical providers … a monthly premium for every Medicaid recipient enrolled in the MCO, and the MCO arranges for the provision of … was no longer appropriate for recipients enrolled in managed care. As of December 2013, approximately 4 million …
https://www.osc.ny.gov/state-agencies/audits/2015/01/05/medicaid-program-improper-fee-service-payments-pharmacy-services-covered-managed-careOversight of Chemical Dependence Residential Services (Follow-Up)
… included in our initial audit report, Oversight of Chemical Dependence Residential Services (2020-S-49) . About … for about 8,000 individuals. OASAS’ regulations govern Chemical Dependence Residential Services (Part 819) delivered … included in our initial audit report Oversight of Chemical Dependence Residential Services 2020S49 …
https://www.osc.ny.gov/state-agencies/audits/2023/10/30/oversight-chemical-dependence-residential-services-followMaximizing Drug Rebates for Health and Recovery Plans (Follow-Up)
… extent of implementation of the two recommendations made in our initial audit report, Maximizing Drug Rebates for … Recovery Plans (Report 2017-S-61 ). About the Program In 1990, Congress created the Medicaid Drug Rebate Program, … from drug manufacturers. The Affordable Care Act, enacted in 2010, extended prescription drug rebates to cover …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/maximizing-drug-rebates-health-and-recovery-plans-followImproper Medicaid Payments for Outpatient Services Billed as Inpatient Claims (Follow-Up)
… services. A recipient’s status in a hospital—inpatient versus outpatient—affects Medicaid’s reimbursement for …
https://www.osc.ny.gov/state-agencies/audits/2025/03/12/improper-medicaid-payments-outpatient-services-billed-inpatient-claims-followOpinion 93-10
… special law, holidays and Saturdays shall be considered as Sunday for this purpose (see also Public Officers Law, §62; … authorizing certain offices to close on the day before a holiday which falls on a Saturday). General Construction Law, §24, which defines the term "public holiday", provides that "[t]he term public holiday includes …
https://www.osc.ny.gov/legal-opinions/opinion-93-10Opinion 92-47
… that the county's charter does not address these issues. Article 6 of the County Law (§300 et seq. ) contains … and expended only for those purposes authorized within article 6. As to whether the interest earned on the … E911 system costs, we note that there is no requirement in article 6 that interest earned be credited only to the …
https://www.osc.ny.gov/legal-opinions/opinion-92-47Opinion 2004-5
… This opinion represents the views of the Office of the State Comptroller at the time it was rendered. The … may not be expended to purchase annuities for the benefit of members of a volunteer fire company. You ask whether … may be expended to purchase annuities for the benefit of members of a volunteer fire company …
https://www.osc.ny.gov/legal-opinions/opinion-2004-5Opinion 94-22
… or statutory amendments that bear on the issues discussed in the opinion. BUSINESS IMPROVEMENT DISTRICTS -- Assessments … improvement district is based on a district plan prepared in accordance with General Municipal Law, §980-d. The plan … the district will be imposed upon benefited real property in proportion to the benefit received, to defray the cost of …
https://www.osc.ny.gov/legal-opinions/opinion-94-22Opinion 2006-9
… This opinion represents the views of the Office of the State Comptroller at the time it was rendered. The … in the opinion. REFERENDUM -- Mandatory (on the transfer of property of a town sewer district to a county) SEWER … Whether the proposed transfer would constitute a sale for purposes of town law and be subject to the …
https://www.osc.ny.gov/legal-opinions/opinion-2006-9Opinion 2005-2
… FIRE INSURANCE TAXES -- Particular Uses (reimbursement for expenses in operating personal vehicles) INSURANCE LAW … not be expended to make cash reimbursement to firefighters for out-of-pocket expenses in operating their personal … tax monies to reimburse active members of the department for mileage expenses incurred in performing firemanic duties. …
https://www.osc.ny.gov/legal-opinions/opinion-2005-2Opinion 89-9
… This opinion represents the views of the Office of the State … or statutory amendments that bear on the issues discussed in the opinion. ABANDONED AND LOST PROPERTY -- Compensation … Wages of a deceased county employee which remain unclaimed for six years may be transferred into the county's general …
https://www.osc.ny.gov/legal-opinions/opinion-89-9Opinion 89-61
… This opinion represents the views of the Office of the State Comptroller at the time it was rendered. The … (salary charged on townwide basis) SUPERINTENDENT OF HIGHWAYS -- Compensation (salary charged on townwide … Whether the salaries of the town supervisor town clerk town superintendent of …
https://www.osc.ny.gov/legal-opinions/opinion-89-61Opinion 94-28
… pay expenses associated with advance planning undertaken for existing or proposed district or extension) SEWER … Powers and Duties (duty to reimburse county general fund for costs associated with advance planning to study … MUNICIPAL LAW, §99-d: Expenses incurred by a county for advance planning pursuant to General Municipal Law, §99-d …
https://www.osc.ny.gov/legal-opinions/opinion-94-28Opinion 89-11
… that bear on the issues discussed in the opinion. FOREIGN FIRE INSURANCE TAXES -- Exempt Volunteer Firemen's Benevolent Associations (use of tax moneys to rent meeting room) INSURANCE LAW, §§9104, 9105; Laws Of … Whether the Montgomery Fire Department Volunteer Exempt Firemens Benevolent …
https://www.osc.ny.gov/legal-opinions/opinion-89-11Early Childhood Learning Center of Greene County – Compliance With the Reimbursable Cost Manual
… is an SED-approved, not-for-profit private school located in Greene County that provides preschool special education … fiscal year ended June 30, 2015, ECLC reported $547,761 in reimbursable costs on its CFR for the rate-based preschool … the fiscal year ended June 30, 2015, we identified $12,843 in reported non-personal service costs that did not comply …
https://www.osc.ny.gov/state-agencies/audits/2019/07/29/early-childhood-learning-center-greene-county-compliance-reimbursable-cost-manualCity of Glen Cove– Budget Review (B7-13-16)
… their tentative budgets for the next fiscal year to the State Comptroller for review while the deficit obligations …
https://www.osc.ny.gov/local-government/audits/city/2013/10/16/city-glen-cove-budget-review-b7-13-16City of Troy – Budget Review (B5-16-15)
… (CBAs) have expired and the 2017 proposed budget does not contain provisions for any potential increased costs …
https://www.osc.ny.gov/local-government/audits/city/2016/11/03/city-troy-budget-review-b5-16-15East Brentwood Fire District – Control Environment and Expenditures (2015M-112)
… and separate from the Town of Islip, Suffolk County, in which it is located. The District is governed by an … Commissioner elections prior to posting to ensure they are in compliance with Town Law. Ensure that all employees and … raises and employees that receive raises are documented in the Board minutes along with the amounts of the raises. …
https://www.osc.ny.gov/local-government/audits/fire-district/2015/08/14/east-brentwood-fire-district-control-environment-and-expenditures-2015m-112Sylvan Beach Fire District – Internal Controls Over Financial Operations (2013M-76)
… separate from the Towns of Vienna and Verona, and located in Oneida County. The Board of Fire Commissioners consists of … maintained complete and accurate financial information in order to provide the financial information necessary to … showing budget-to-actual activity to assist the Board in monitoring the District’s financial condition. Adopt an …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/06/07/sylvan-beach-fire-district-internal-controls-over-financial-operationsSwan Lake Fire District – Internal Controls Over Financial Operations (2013M-258)
… Purpose of Audit The purpose of our audit was to determine whether District controls are adequate to ensure that financial activity is properly recorded and … moneys are safeguarded for the period January 1, 2012 to June 27, 2013. Background The Swan Lake Fire District is a …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/11/29/swan-lake-fire-district-internal-controls-over-financial-operations-2013m