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Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits (Follow-Up)
… extent of implementation of the six recommendations made in our audit report, Improper Payments for Controlled … pharmacies $1,183,601 for 13,705 fee-for-service claims in which quantities of controlled substances exceeded the … 3,323 managed care claims for controlled substances in which the quantities dispensed exceeded the limits set by …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-payments-controlled-substances-exceed-allowed-dispensing-limits-followMedicaid Program – Excessive Payments for Durable Medical Equipment Rentals
… (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs arrange for the provision of health care … repeated use and have been ordered by a practitioner in the treatment of a specific medical condition. Certain DME …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/medicaid-program-excessive-payments-durable-medical-equipment-rentalsMedicaid Program – Overpayments of Ambulatory Patient Group Claims
… Purpose To determine if Medicaid overpaid Ambulatory Patient Groups … by the Department of Health (Department) in an effort to more accurately pay providers for services rendered. Prior …
https://www.osc.ny.gov/state-agencies/audits/2013/08/20/medicaid-program-overpayments-ambulatory-patient-group-claimsMedicaid Program – Oversight of Managed Long-Term Care Member Eligibility
… Many of the State’s Medicaid recipients are enrolled in MLTC plans, which provide long-term care services, such as … December 31, 2020, Medicaid paid MLTC plans $15.5 billion in premiums for 329,618 recipients enrolled in MLTC. The Department contracts with Maximus Health …
https://www.osc.ny.gov/state-agencies/audits/2022/08/05/medicaid-program-oversight-managed-long-term-care-member-eligibilityMedicaid Program – Payments for Death-Related One-Day Inpatient Admissions
… enacted by the Legislature, the Department implemented a change to the Medicaid reimbursement methodology used to … higher the reimbursement factor. Because patient deaths can result from more severe medical conditions, Medicaid payments for death-related one-day admissions can be substantially higher than the hospital's charges for …
https://www.osc.ny.gov/state-agencies/audits/2013/08/15/medicaid-program-payments-death-related-one-day-inpatient-admissionsInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… our initial audit report, Inappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care … Plus (FHP) was a publicly funded managed care program for individuals whose income was too high to qualify for Medicaid. This program was eliminated effective January …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andMedicaid Program – Improper Payments for Drugs Without a Federal Drug Rebate Agreement
… To determine whether Medicaid inappropriately paid for drugs from manufacturers that did not enter into a … the Department of Health and Human Services in exchange for state Medicaid coverage of most of the manufacturer’s … Manufacturers then pay states rebates on those drugs for which Medicaid payments were made. Covered outpatient …
https://www.osc.ny.gov/state-agencies/audits/2024/02/23/medicaid-program-improper-payments-drugs-without-federal-drug-rebate-agreementMaximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program (Follow-Up)
… Objective To determine the extent of implementation of the 12 … DOH makes payments for services rendered directly to health care providers. For recipients enrolled in managed …
https://www.osc.ny.gov/state-agencies/audits/2024/12/20/maximizing-drug-rebates-under-federal-medicaid-drug-rebate-program-followDiNapoli Honors Hispanic Leaders
… New York State Comptroller Thomas P. DiNapoli hosted a reception in … Hon. Helen Voutsinas, justice of the Nassau County Supreme Court. Prior to being elected Supreme Court justice in 2018, … Thomas P DiNapoli hosted a reception in Hempstead NY in honor of Hispanic Heritage month on Oct 19 …
https://www.osc.ny.gov/press/releases/2019/10/dinapoli-honors-hispanic-leadersAnnual letter to Utility Companies
The Office of Unclaimed Funds reminds you to check for monies held by your insurance company that may be considered abandoned property
https://www.osc.ny.gov/files/unclaimed-funds/reporters/pdf/annual-utility-letter.pdfOpinion 91-42
… This opinion represents the views of the Office of the State Comptroller at the time it was rendered. The opinion …
https://www.osc.ny.gov/legal-opinions/opinion-91-42State Comptroller DiNapoli Releases Municipal Audits
… municipal finances and operations, my office continues to provide taxpayers the assurance that their money is being … Baker, auditors found that controls were not adequate to ensure that financial activity was properly recorded and … procedures for prorating property tax exemptions on transfers of property, correcting property tax exemption …
https://www.osc.ny.gov/press/releases/2016/12/state-comptroller-dinapoli-releases-municipal-auditsState Comptroller DiNapoli Releases Municipal Audits
… the FFI tax money. The fire chief was solely responsible for disbursing, recording and reporting all transactions … transactions. In addition, a dedicated computer was used for online banking but authorized users were not provided … County) The Justice Court did not properly account for court funds. The Justice was unaware that in August …
https://www.osc.ny.gov/press/releases/2021/03/state-comptroller-dinapoli-releases-municipal-auditsDue Diligence for Companies Holding Abandoned Funds
… about deducting mailing costs First class mailing costs can’t be deducted as a service charge. You may deduct the … for a certified mailing, charge the cost only once. You can’t make a bulk deduction against the final remittance. … further due diligence. Certain types of electronic contact can be used to satisfy the written communication requirements …
https://www.osc.ny.gov/unclaimed-funds/reporters/due-diligence-companies-holding-abandoned-fundsDiNapoli: Unemployment Taxes on Employers Poised To Increase To Repay $9B Owed to Federal Government
… tax contributions, and the balance of the UI fund. Rates can grow with increased employee UI claims or a low UI fund …
https://www.osc.ny.gov/press/releases/2021/09/dinapoli-unemployment-taxes-employers-poised-increase-repay-9b-owed-federal-governmentDiNapoli: NYC Metro Transportation Costs Rose 56% Over Past Decade, Slower Than Other Major Areas
… (MTA), which operates 24 hours a day, seven days a week, is North America's largest transportation network, serving a …
https://www.osc.ny.gov/press/releases/2024/09/draft-dinapoli-nyc-metro-transportation-costs-grew-slower-other-major-cities-still-rose-29-percentArchived: Legislative Session 2021–2022
… December 16, 2022 as Chapter 720 of the laws of 2022 – A.7730/S.6619-A (Abbate/Gounardes) – Increases the age at which …
https://www.osc.ny.gov/legislation/archived-legislative-session-2021-2022Altmar-Parish-Williamstown Central School District - Financial Condition Management (2018M-258)
Determine whether the Board and District officials effectively managed the Districts financial condition
https://www.osc.ny.gov/local-government/audits/school-district/2019/03/08/altmar-parish-williamstown-central-school-district-financial-conditionCamillus Volunteer Fire Department – Fiscal Operations (2014M-072)
… is incorporated under the Not-For-Profit Corporation Law and is located in the Town of Camillus in Onondaga County. The Department provides fire protection …
https://www.osc.ny.gov/local-government/audits/fire-company-or-department/2014/06/06/camillus-volunteer-fire-department-fiscal-operations-2014m-072Comptroller DiNapoli Releases School Audits
… district and charter school finances and operations, my office continues to provide taxpayers the assurance that …
https://www.osc.ny.gov/press/releases/2016/02/comptroller-dinapoli-releases-school-audits-0