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Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third Party Health Insurance (2020-S-39) 180-Day Response
To determine whether Medicaid overpayments for pharmacy services on behalf of managed care recipients who had third-party health insurance were appropriately recovered.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-20s39-response.pdfADAPT Community Network – Compliance With the Reimbursable Cost Manual
… of Interest State Education Department: New York League for Early Learning, Inc. - Compliance With the …
https://www.osc.ny.gov/state-agencies/audits/2018/12/31/adapt-community-network-compliance-reimbursable-cost-manualDiNapoli Says State Opioid Treatment Programs Need Better Coordination
… prescription opioids in New York state have risen from 754 in 2010 to 1,382 in 2015, a jump of 83 percent, … Treatment programs are required to obtain consent from the patient prior to sharing treatment information with … a prescription opioid. Twelve of those individuals died during the time of their medical care involving the …
https://www.osc.ny.gov/press/releases/2018/11/dinapoli-says-state-opioid-treatment-programs-need-better-coordinationDynamic Center Inc. – Compliance With the Reimbursable Cost Manual
… whether the costs submitted by Dynamic Center Inc. on its Consolidated Fiscal Report were properly calculated, … rates set by SED. Dynamic’s reimbursement rate is based on financial information, including costs, it reports to SED on its annual Consolidated Fiscal Report (CFR). Costs …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/dynamic-center-inc-compliance-reimbursable-cost-manualOpinion 92-39
… court in Wright , supra , discussed the U.S. Supreme Court case of Salyer v Tulare Water District , 410 US 719, 93 S Ct … is broader than it was perceived to be when the Wright case was decided" (56 NY2d at 312, 452 NYS2d at 336). The … now clear, from the Supreme Court's decision in the Ball case that the question is not whether those entitled to vote …
https://www.osc.ny.gov/legal-opinions/opinion-92-39Comptroller DiNapoli and A.G. Schneiderman Announce Guilty Plea by Former Met Council CFO in $9M Kickback Scheme
… Financial Crimes Bureau, Legal Support Analyst KerryAnn Rodriguez and Supervising Analyst Brian Selfon of the Public …
https://www.osc.ny.gov/press/releases/2014/05/comptroller-dinapoli-and-ag-schneiderman-announce-guilty-plea-former-met-council-cfo-9m-kickbackDiNapoli: MTA Budget Outlook Improves
… track to set a new record in 2013. Ridership on the Long Island Rail Road is not expected to return to pre-recession …
https://www.osc.ny.gov/press/releases/2013/09/dinapoli-mta-budget-outlook-improvesXI.18.I Sexual Harassment Prevention Certification – XI. Procurement and Contract Management
… any public department or agency thereof, where competitive bidding is required by statute, rule or regulation shall … any public department or agency thereof, where competitive bidding is not required by statute, rule or regulation may …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi18i-sexual-harassment-prevention-certificationIX.12.C State Responsibility – IX. Federal Grants
… basis, and provides for payment or receipt of CMIA interest liabilities by the state. Cognizant (“lead”) state … federal agency CMIA staff. Most of New York State’s CMIA interest liabilities are attributable to factors outside the … state agencies may unnecessarily inflate the state’s CMIA interest liability. Therefore, at any time OSC and DOB may …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix12c-state-responsibilityOpinion 90-6
… or statutory amendments that bear on the issues discussed in the opinion. COUNTIES -- Powers and Duties (naming of … for the purpose of providing day care services pursuant to the Social Services Law on the condition that a day care … 902; cf . Tuck v Heckscher , 29 NY2d 288, 327 NYS2d 351, where a city was to acquire a museum building named, pursuant …
https://www.osc.ny.gov/legal-opinions/opinion-90-6Opinion 90-50
… legal requirements municipalities must satisfy when the New York State Department of Transportation (DOT) performs … 10 of the Highway Law. You ask, based upon the Comptroller's contract approval function found in section 112 of the …
https://www.osc.ny.gov/legal-opinions/opinion-90-50DiNapoli: Springport Town Clerk Faces Criminal Charges
… for filing in the 1st degree, computer trespass and official misconduct, following an investigation by the … from such corruption. My office works to safeguard the pension fund and thwart those who try to defraud the system." To …
https://www.osc.ny.gov/press/releases/2017/05/dinapoli-springport-town-clerk-faces-criminal-chargesDiNapoli: Bombay Clerk Sentenced for Pocketing Justice Court Fees
… A North Country court clerk was sentenced yesterday for stealing more than $5,680 from Bombay Justice Court while … thank Franklin County District Attorney Craig P. Carriero for his persistent efforts to safeguard public funds." … the public to help fight fraud and abuse. New Yorkers can report allegations of fraud involving taxpayer money by …
https://www.osc.ny.gov/press/releases/2017/05/dinapoli-bombay-clerk-sentenced-pocketing-justice-court-feesDiNapoli: Property Tax Exemptions Top $450 Billion
… charge user fees to not-for-profit organizations to help pay for services such as water, sewer and refuse pick-up. …
https://www.osc.ny.gov/press/releases/2018/02/dinapoli-property-tax-exemptions-top-450-billionDiNapoli: Statewide Agency Overtime Tops $337 Million Halfway Into 2015
State agencies spent more than $337 million on overtime in the first six months of 2015 a jump of $21 million over the same period in 2014 New York State Comptroller Thomas P DiNapoli announced today
https://www.osc.ny.gov/press/releases/2015/09/dinapoli-statewide-agency-overtime-tops-337-million-halfway-2015Implications for the Future – 2022 Financial Condition Report
… the Russian invasion of Ukraine. Supply chain disruptions, increased demand of goods, and a tight labor market pushing … was 38 percent of total State receipts, higher than the 33 percent average from the previous 10 years. The largest … by the end of SFY 2021-22, DOB was able to make over $7.5 billion in debt service prepayments and defeasements, and …
https://www.osc.ny.gov/reports/finance/2022-fcr/implications-futureOpinion 92-56
… the views of the Office of the State Comptroller at the time it was rendered. The opinion may no longer represent … the Laws of 1972, as there is a presumption that a similar meaning attaches to the use of similar words as they appear …
https://www.osc.ny.gov/legal-opinions/opinion-92-56Medicaid Program – Excessive Payments for Durable Medical Equipment Rentals
… achieve cost savings by implementation of a rental cap on oxygen equipment. The audit covered the period from July … Certain DME items are available to Medicaid recipients on a monthly rental basis, subject to certain limits (or … – is only available for rental and generally has no limit on the number of rental payments allowed. By comparison, …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/medicaid-program-excessive-payments-durable-medical-equipment-rentalsDiNapoli: State Agency Overtime Tops $316 Million Halfway Into 2014
… total cost of overtime as a percentage of gross payroll rose slightly from 3.9 percent to 4.3 percent in the first … $640 million. Last year, overtime at state agencies rose to a record $611 million, up nearly 16 percent over … of overtime worked. However, total overtime hours also rose for many agencies. The four agencies identified below …
https://www.osc.ny.gov/press/releases/2014/08/dinapoli-state-agency-overtime-tops-316-million-halfway-2014COVID-19 Pandemic Drove Record Medicaid Enrollment in 2021
… A record number of New Yorkers relied on Medicaid for health care in 2021, with … for the first time, according to a new report by New York State Comptroller Thomas P. DiNapoli. While enrollment … capita incomes relative to the national average. New York’s FMAP is the statutory minimum of 50%, reflecting the …
https://www.osc.ny.gov/press/releases/2021/12/covid-19-pandemic-drove-record-medicaid-enrollment-2021