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Medicaid Program – Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance
… on behalf of recipients who had third-party insurance and, if so, whether appropriate recoveries were made. The … Part D). Medicaid is considered the payer of last resort and, as such, FFS pharmacy providers are required to … with Gainwell Technologies (Gainwell) to identify and recover Medicaid payments made for services that should …
https://www.osc.ny.gov/state-agencies/audits/2023/05/11/medicaid-program-improper-fee-service-pharmacy-payments-recipients-third-party-healthOpinion 2005-8
… to delete the reference to volunteer fire companies. This change, however, was made because of concern with respect to …
https://www.osc.ny.gov/legal-opinions/opinion-2005-8Opinion 93-31
… of the board of commissioners of a recreation district in commuting from their residences to the place where meetings … not be reimbursed as actual and necessary expenses. This is in response to your letter asking whether commissioners of … shall receive no compensation for services, but is silent with respect to whether the commissioners are …
https://www.osc.ny.gov/legal-opinions/opinion-93-31Opinion 93-18
… This opinion represents the views of the Office of the State Comptroller at the time it was rendered. The … Duties (authority to require referendum on establishment of service award program) FIRE PROTECTION AND PREVENTION -- …
https://www.osc.ny.gov/legal-opinions/opinion-93-18Opinion 2000 - 13
… that bear on the issues discussed in the opinion. FIRE COMPANY - Membership (eligibility to join second … §176-b(10): An individual who is a member of a volunteer fire company may not join a second company unless he or she … original company. You ask whether a member of a volunteer fire company of a fire district fire department who seeks …
https://www.osc.ny.gov/legal-opinions/opinion-2000-13Medicaid Program – Errors in Identification of 340B Providers in the Medicaid Drug Rebate Program
… Department of Health (Department) accurately excluded 340B drugs from the Medicaid Drug Rebate Program and sought … to pay rebates to state Medicaid programs for prescription drugs dispensed to Medicaid recipients. To collect rebates, … requires drug manufacturers to discount the price of drugs sold to eligible health care providers. The Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2017/06/30/medicaid-program-errors-identification-340b-providers-medicaid-drug-rebate-programOpinion 94-11
… discussed in the opinion. FIRE DISTRICTS -- Appropriations and Expenditures (celebration of district fire department's … celebration of the fire department consists of a dinner and coincides with the annual inspection dinner for the fire … of this Office (1981 Opns St Comp No. 81-196, p 209) and ask if that opinion still reflects our views. In the …
https://www.osc.ny.gov/legal-opinions/opinion-94-11City of Yonkers – Budget Review (B17-6-10)
… Revenue estimates for mortgage tax, income tax surcharge, parking violations, metered water sales, and other fees may … school payments, mortgage tax, income tax surcharge, parking violations and amend as necessary. Develop a plan to … fund. Pass the necessary amendments to change the fees for parking violations, and other fees. Pass a resolution to …
https://www.osc.ny.gov/local-government/audits/city/2017/05/19/city-yonkers-budget-review-b17-6-10Opinion 88-32
… the issues discussed in the opinion. TOWN BOARD -- Powers and Duties (authority to publish names, office addresses and phone numbers of town officials) TOWN LAW, §§30, 116(13): … public of the name, office, address, office phone number, and office hours of the town clerk. You have asked whether it …
https://www.osc.ny.gov/legal-opinions/opinion-88-32Oversight of Telemental Health Services (Follow-Up)
… Objective To determine the extent of implementation, as of November 15, … for developing regulations and providing guidance to assist OMH-licensed and -designated providers under … two-way, real-time interactive audio and video equipment to provide and support mental health services and psychiatric …
https://www.osc.ny.gov/state-agencies/audits/2022/12/06/oversight-telemental-health-services-followOpinion 95-13
… the bonds under certain circumstances). Moreover, by its express terms, this requirement is applicable to excess …
https://www.osc.ny.gov/legal-opinions/opinion-95-13Opinion 94-8
… §177-b; PUBLIC OFFICERS LAW, §9: In order to qualify for appointment as deputy treasurer of a fire district, an … treasurer. You ask what are the qualifications for appointment to the office of fire district deputy treasurer. … the thirty-first day of December following his or her appointment. During the absence or inability to act of the …
https://www.osc.ny.gov/legal-opinions/opinion-94-8Corcraft's Textile Procurement Practices
… 11 correctional facilities. Sales were about $49 million for the State fiscal year ended March 31, 2013. We focused … operations. Production of textile products accounted for about 20 percent of Corcraft's sales. During the … controls to mitigate the risks identified in this report. Actively monitor the Corcraft textile procurement …
https://www.osc.ny.gov/state-agencies/audits/2014/05/16/corcrafts-textile-procurement-practicesPatient Safety Center Activities and Handling of Revenues (Follow-Up)
… for monitoring compliance with applicable federal and State laws and regulations and, through its Bureau of … certain sections of law are allocated to a special revenue fund created specifically to support PSC expenditures. The …
https://www.osc.ny.gov/state-agencies/audits/2024/01/03/patient-safety-center-activities-and-handling-revenues-followCity of Amsterdam - Budget Review (B22-5-3)
… estimated revenues for solid waste service charges and golf course fees that may not be sufficient. The proposed budgets … for debt service and appropriations for health insurance and Social Security and Medicare taxes that may not …
https://www.osc.ny.gov/local-government/audits/city/2022/04/27/city-amsterdam-budget-review-b22-5-3City of Amsterdam - Budget Review (B21-5-5)
… our review, we found that certain significant revenue and expenditure projections in the 2021-22 proposed budget are … fund budget includes estimated revenues of $975,000 for Federal aid anticipated to be received by the City through … directly related to its operations. Consider the potential financial impact in the event that any of the CBAs are …
https://www.osc.ny.gov/local-government/audits/city/2021/05/07/city-amsterdam-budget-review-b21-5-5Improper Overlapping Medicaid and Essential Plan Enrollments (Follow-Up)
… and the Essential Plan. NY State of Health (NYSOH) is the State-run health plan marketplace organized under DOH … whether Medicaid and Essential Plan enrollments determined by NYSOH were accurately reflected in eMedNY when individuals … in the initial audit and was unable to determine what, if any, recoveries had taken place. Of the initial …
https://www.osc.ny.gov/state-agencies/audits/2024/04/10/improper-overlapping-medicaid-and-essential-plan-enrollments-followMedicaid Program – Overpayments for Medicare Part C Claims
… whether Medicaid made improper payments on Medicare Part C claims for recipients covered by Medicare Advantage … 2018 through April 2023. About the Program Under Medicare Part C, private insurance companies administer Medicare … as the correct payment amount. Key Findings We analyzed Part C claims for hospital-based inpatient and outpatient …
https://www.osc.ny.gov/state-agencies/audits/2024/12/04/medicaid-program-overpayments-medicare-part-c-claimsPandemic Planning and Care for Vulnerable Populations (Follow-Up)
… Planning and Care for Vulnerable Populations (Report 2021-S-9 ). About the Program The Office for People with … disabilities (IDD). People with IDD face significant health issues making them more vulnerable in an emergency. For …
https://www.osc.ny.gov/state-agencies/audits/2025/06/18/pandemic-planning-and-care-vulnerable-populations-followForms and Publications
… Wire Extension Request Form Handbook for Reporters of Unclaimed Funds OFAC Blocked Accounts - reference section on … Delivery Instructions Verification and Checklist for Unclaimed Property (AC 2709) Waiver Request Form Collateral … Sample Letter of Authorization and Fee Agreement Office of Unclaimed Funds Annual Report SFY 2024-25 …
https://www.osc.ny.gov/unclaimed-funds/resources/forms-and-publications