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Three Indicted in Multi-State Prescription Fraud Ring
… and Otero provided Washington with the names, dates of birth, and Medicaid identification numbers of various …
https://www.osc.ny.gov/press/releases/2025/08/three-indicted-multi-state-prescription-fraud-ringDiNapoli: Managed Care Companies Wasting Millions in State Medicaid Dollars
… the state’s Medicaid program, made at least $6.6 million in improper and questionable payments to ineligible providers … over a four-year period, including almost $60,000 in payments to pharmacies for medications that were … public health dollars and are costing taxpayers millions in questionable payments,” DiNapoli said. “My office will …
https://www.osc.ny.gov/press/releases/2016/07/dinapoli-managed-care-companies-wasting-millions-state-medicaid-dollarsOversight of Hazardous Materials and Waste
… from January 1, 2015 through May 4, 2018. Background The State University of New York (SUNY) is the largest … faculty and staff. Campuses are located throughout the State, and SUNY maintains a central administrative office in … tools, training, and communication for the campuses on best practices and compliance issues, including compliance …
https://www.osc.ny.gov/state-agencies/audits/2018/12/03/oversight-hazardous-materials-and-wasteCUNY Bulletin No. CU-352
… will be included in the employee’s regular paycheck or direct deposit advice dated January 15, 2009 Background … payment amount will appear on the employee’s paycheck stub or direct deposit advice statement. Questions Questions about …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-352-cuny-health-benefits-buy-out-waiver-program-payment-cycleCUNY Bulletin No. CU-393
… the Time Entry page. Affected Employees CUNY employees who elect to participate in the Health Benefits Buy Out Waiver …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-393-cuny-health-benefits-buy-out-waiver-program-payment-cycleCUNY Bulletin No. CU-332
… will be included in the employee’s regular paycheck or direct deposit advice dated July 3, 2008, Pay Period 7C … payment amount will appear on the employee’s paycheck stub or direct deposit advice. Questions Questions regarding this …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-332-cuny-health-benefits-buy-out-waiver-program-payment-cycleMedicaid Overpayments for Out-of-State Ambulatory Surgery Services (Follow-Up)
… in our initial audit report, Medicaid Overpayments for Out-of-State Ambulatory Surgery Services (Report … was appropriately paying out-of-state providers for ambulatory surgery services provided to New York State Medicaid recipients. For the period from April 16, 2004 through June 30, 2009, …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-overpayments-out-state-ambulatory-surgery-services-followSexual Offender and Management Treatment Act Program
… the Legislature enacted the Sex Offender Management and Treatment Act (Act), which established the civil management … Center and the Manhattan Psychiatric Center, to provide treatment and living quarters for these offenders. Key Findings We found direct costs …
https://www.osc.ny.gov/state-agencies/audits/2013/09/23/sexual-offender-and-management-treatment-act-programAssessment and Collection of Selected Fees and Penalties
… The Department assesses and collects a wide range of fees for various licenses/certificates issued and services … fees in a timely manner or comply with workplace safety rules. We reviewed the three Department fees with the highest … project fees. As a result, the health and safety of New York State residents may be at risk and potential revenue …
https://www.osc.ny.gov/state-agencies/audits/2013/05/31/assessment-and-collection-selected-fees-and-penaltiesDiNapoli: Medicaid Billing Errors Cost State More Than $1.5 Billion
… The state Department of Health (DOH) allowed more than $1.5 … have exposed patients to unqualified and uncredentialed health care providers, according to three reports released … The state Department of Health allowed more than $15 billion in improper Medicaid …
https://www.osc.ny.gov/press/releases/2021/08/dinapoli-medicaid-billing-errors-cost-state-more-15-billionAssertive Community Treatment Program (Follow-Up)
… Treatment Program (2014-S-25). Background The New York State Office of Mental Health (OMH) promotes the mental … teams licensed by OMH and operating throughout the State to provide services for nearly 5,500 recipients. Based on their respective areas of expertise, ACT provider team …
https://www.osc.ny.gov/state-agencies/audits/2017/01/11/assertive-community-treatment-program-followMedicaid Program – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… to allegations of improper billing practices, there have been several investigations of Davis Ethical by … resulted from efforts by Davis Ethical that appear to have been designed to defraud the Medicaid program. The … by this audit. Formally assess the payments we did not test and determine the extent to which Davis Ethical …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/medicaid-program-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyImproper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up)
… in our initial audit report, Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by … to as dual-eligibles), Medicare is the primary payer for Medicare-covered hospice services, while Medicaid is the … to delivering services, hospice providers are responsible for developing a comprehensive plan of care and coordinating …
https://www.osc.ny.gov/state-agencies/audits/2023/02/13/improper-medicaid-payments-individuals-receiving-hospice-services-covered-medicare-followImproper Medicaid Payments for Claims Not in Compliance With Ordering, Prescribing, Referring, and Attending Requirements (Follow-Up)
… Not in Compliance With Ordering, Prescribing, Referring, and Attending Requirements (Report 2019-S-2 ). About the … administers New York’s Medicaid program. Physicians and other health care professionals who order, prescribe, … (OPRA) Medicaid services must be appropriately screened and enrolled in Medicaid. Through these processes, the …
https://www.osc.ny.gov/state-agencies/audits/2023/09/13/improper-medicaid-payments-claims-not-compliance-ordering-prescribing-referring-andExcessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans (Follow-Up)
… in our initial audit report, Excessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed … disorders. Within MMC and HARP is the Integrated Benefits for Dually Eligible Enrollees Program (IB-Dual), which became … 1, 2021. IB-Dual pays lower MMC and HARP premium rates for Medicaid recipients in MMC or HARP who enroll in Medicare …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/excessive-premium-payments-dual-eligible-recipients-enrolled-mainstream-managed-care-andState Comptroller DiNapoli Releases Audits
… Oversight of Transportation Services and Expenses (2021-S-1) The department has not established adequate controls to … - Medicaid Program: Claims Processing Activity (2021-S-7) The audit identified over $36.1 million in improper … Medicaid recipients who were reported as discharged from a hospital, but then admitted to a different hospital within …
https://www.osc.ny.gov/press/releases/2022/09/state-comptroller-dinapoli-releases-auditsOversight of Student Immunization in Schools (2015-S-85)
To determine if the Department of Health (DOH) and the State Education Department (SED) are following the State’s public health procedures to ensure New York’s
Controls and Management of the Unemployment Insurance System (2021-S-3) 180-Day Response
To determine whether the Department of Labor (Department) has taken appropriate steps to oversee and manage the Unemployment Insurance system and to comply with selected portions of the New York State Information Security Policy and Standards.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21s3-response.pdfUnclaimed Property Relating to Sales Finance Companies and Insurance Premium Finance Agencies
Unclaimed property subject to Section 1313 of the Abandoned Property Law includes any amounts held or owing by a company or agency payable to a person or entity
https://www.osc.ny.gov/files/unclaimed-funds/reporters/pdf/sales-finance-companies.pdfMotor Vehicle Theft and Insurance Fraud Prevention Program (2022-M-2) 180-Day Response
To determine whether the Division of Criminal Justice Services (DCJS) has complied with Article 36-A of the State Executive Law for revenues received by and expenditures made from the Motor Vehicle Theft and Insurance Fraud Prevention Fund and from any other source for purposes of the Motor Vehicle
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2024-22m2-response.pdf