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Medicaid Program – Improper Payments for Certain Third-Party Cost-Sharing Claims
… with third-party insurers prior to billing Medicaid for services. After processing a claim from a provider, the … Group codes include PR (patient responsibility) and CO (contractual obligation). CARC 45 occurs when the charge … Medicaid members with Medicare and/or other third-party insurance must accurately reflect payments, adjustments …
https://www.osc.ny.gov/state-agencies/audits/2025/11/05/medicaid-program-improper-payments-certain-third-party-cost-sharing-claimsOpinion 91-2
… -- Officers and Employees (authority of State Comptroller to request information for the purpose of determining … Comptroller may request officials of an OTB corporation to fill out a form listing certain outside employment and business … an examination of an offtrack betting corporation to obtain information about potential conflicts of interest …
https://www.osc.ny.gov/legal-opinions/opinion-91-2DiNapoli Releases April State Cash Report
… State tax collections totaled $7.1 billion in the first month of … period last year, largely driven by a decline in personal income tax (PIT) collections, according to the state cash report … State tax collections totaled $71 billion in the first month of the … period last year largely driven by a decline in personal income tax collections according to the state cash report …
https://www.osc.ny.gov/press/releases/2017/05/dinapoli-releases-april-state-cash-reportDiNapoli: Loss of Federal Deductions in Trump Tax Plan Could Hurt New York's Middle Class Taxpayers
… 13.5 percent of all state and local tax deductions nationwide. The average amount of total itemized deductions … DiNapoli's report notes that: Over two-thirds of taxpayers nationwide and nearly the same proportion in New York claim … until a more detailed plan emerges from Washington. For a breakdown of New Yorkers' itemized deductions by county and …
https://www.osc.ny.gov/press/releases/2017/07/dinapoli-loss-federal-deductions-trump-tax-plan-could-hurt-new-yorks-middle-class-taxpayersDiNapoli Proposes More Transparency for Fire Protection Costs
… Thomas P. DiNapoli today proposed changes to the process for local communities that contract out their fire protection … fire protection services to residents. New York's system for providing fire protection is complex. It can lead to lack … the state in the last three years on financial matters. For a copy of the bill, go to: …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-proposes-more-transparency-fire-protection-costsSpecial Claim Form for Unclaimed Funds
If you have been contacted by Project HEART, and referred to our site as a result of our joint efforts, please download and complete this form.
https://www.osc.ny.gov/files/unclaimed-funds/claimants/pdf/claim-project-heart.pdfNew York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members (2020-S-17)
To determine whether CVS Health paid pharmacy claims for Empire Plan members who were not eligible.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20s17.pdfDiNapoli: State Pension Fund Adds $350 Million to Investment Funds Geared to New York Companies
… sponsor) in growing New York-based companies. Hamilton Lane will manage the funds. The firm has a 20-year successful … said David Helgerson, managing director at Hamilton Lane. “Throughout this process, we have supported companies …
https://www.osc.ny.gov/press/releases/2022/06/dinapoli-state-pension-fund-adds-350-million-investment-funds-geared-new-york-companiesImproper Payments for Services Related to Ordering, Prescribing, Referring, or Attending Providers No Longer Participating in the Medicaid Program (Follow-Up) (2023-F-24)
To assess the extent of implementation of the six recommendations included in our initial audit report, Improper Payments for Services Related to Ordering, Prescribing, Referring, or Attending Providers No Longer Participating in the Medicaid Program (Report 2019-S-72).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2024-23f24.pdfMedicaid Program - Improper Payments for Sexual and Erectile Dysfunction Drugs, Procedures, and Supplies Provided to Medicaid Recipients, Including Sex Offenders (2018-S-16)
To determine whether Medicaid recipients, including sex offenders, inappropriately received Medicaid-funded sexual dysfunction and erectile dysfunction ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2019-18s16.pdfAssessment of Costs to Administer the Workers’ Compensation Program for the Fiscal Year Ended March 31, 2014 (2015-S-12) 90-Day Response
To determine whether the Workers’ Compensation Board (Board) has adequate procedures in place to accurately report ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2017-15s12-response.pdfFiscal Stress Monitoring: System Enhancements for School Districts
The following tables summarize enhancements to the Fiscal Stress Monitoring System for School Districts.
https://www.osc.ny.gov/files/local-government/fiscal-monitoring/pdf/system-enhancements-schools.pdfDiNapoli Releases Analysis of Revised Executive Budget
… risks posed to New York by unpredictable tax revenues and federal funding, according to a report released today by … DOB has reduced estimates of tax receipts for the current and next fiscal years by $5.7 billion since release of the … of slower economic growth, volatile financial markets and continuing revenue uncertainty,” said DiNapoli. …
https://www.osc.ny.gov/press/releases/2019/02/dinapoli-releases-analysis-revised-executive-budgetDiNapoli Calls for State Procurement Reform
… and allegations of corruption in the awarding of contracts for state economic development projects. “The alleged … procurement practices. This created an environment ripe for self-dealing and abuse. New York state must take credible … state law, the State Comptroller’s office is responsible for reviewing and approving state agency contracts above …
https://www.osc.ny.gov/press/releases/2016/12/dinapoli-calls-state-procurement-reformSection 21 (L) Election Form (RS5379)
For NYSLRS Tier 1 & 2 members (and Tier 3 & 5 PFRS members who are non-contributory) to request to make voluntary contributions to NYSLRS for an annuity.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5379.pdfAnnual Assessment of Market Orders for 2015 and 2016
… and Markets (Department) had adequate procedures in place during the audit period to accurately report its … of Agriculture and Markets had adequate procedures in place during the audit period to accurately report its …
https://www.osc.ny.gov/state-agencies/audits/2019/05/16/annual-assessment-market-orders-2015-and-2016Order NYSLRS Forms and Publications for Employers
… on our website. If you need just a few copies, you can go to our Forms page or our Publications page to … NYSLRS forms and publications are available on our website but employers can submit a request to order a bulk supply …
https://www.osc.ny.gov/retirement/employers/order-nyslrs-forms-and-publications-employersSelected Controls Over the Property Tax Assessment Process
… co-ops, and condos (11 units or more), and income only is used for smaller rentals, co-ops, and condos (ten …
https://www.osc.ny.gov/state-agencies/audits/2017/07/11/selected-controls-over-property-tax-assessment-processMedicaid Program – Improper Payments for Sexual and Erectile Dysfunction Drugs, Procedures, and Supplies Provided to Medicaid Recipients, Including Sex Offenders
… 1, 2012 to July 1, 2018. About the Program Federal and State laws prohibit Medicaid payment of drugs for the … treatment is for that other use. To protect public safety, State laws are more restrictive and also prohibit Medicaid … or a level-3 sex offender). We reviewed the medical records of 13 of the 14 sex offenders to determine if the …
https://www.osc.ny.gov/state-agencies/audits/2019/06/03/medicaid-program-improper-payments-sexual-and-erectile-dysfunction-drugs-procedures-andImproper Payments for Services Related to Ordering, Prescribing, Referring, or Attending Providers No Longer Participating in the Medicaid Program (Follow-Up)
… Objective To assess the extent of implementation of the six … audit report, Improper Payments for Services Related to Ordering, Prescribing, Referring, or Attending Providers … To assess the extent of implementation of the six …
https://www.osc.ny.gov/state-agencies/audits/2024/01/03/improper-payments-services-related-ordering-prescribing-referring-or-attending-providers-no