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State Contract and Payment Actions in October

… repairs at the Empire State Plaza in Albany. Department of Health $2.5 million with Island Peer Review Organization Inc. … for hardware and software to modernize the unemployment insurance system. Office of Mental Health $5.3 million with MR Transportation Inc. to transport …

https://www.osc.ny.gov/press/releases/2019/12/state-contract-and-payment-actions-october

State Comptroller DiNapoli Releases Audits

… audits and examinations have been issued. Department of Health (DOH): Medicaid Claims Processing Activity April 1, … were billed with incorrect information pertaining to other health insurance coverage that recipients had; $3.1 million in …

https://www.osc.ny.gov/press/releases/2018/08/state-comptroller-dinapoli-releases-audits

Medicaid Program – Claims Processing Activity October 1, 2018 Through March 31, 2019

… Objective To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … March 31, 2019. About the Program The Department of Health (Department) administers the State’s Medicaid program. … with incorrect information pertaining to other health insurance coverage that recipients had; $278,850 was paid for …

https://www.osc.ny.gov/state-agencies/audits/2019/09/27/medicaid-program-claims-processing-activity-october-1-2018-through-march-31-2019

Unnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)

… take action to improve data quality or develop alternate means to compensate for data deficiencies. We also …

https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-follow

Overpayments of Certain Medicare Crossover Claims

… recipients are also eligible for Medicare, the federal health insurance program available to people 65 or more years-old, … services rendered. On December 3, 2009, the Department of Health (Department) implemented the Medicare/ Medicaid claim …

https://www.osc.ny.gov/state-agencies/audits/2013/01/10/overpayments-certain-medicare-crossover-claims

State Contract and Payment Actions in May

… services for the Empire, Excelsior and Student Employee Health plans. $31.5 million to Beacon Health Options Inc. for benefit services for the Mental … for assistance with the Health Benefit Exchange, including insurance enrollment and call center operations. $23.7 …

https://www.osc.ny.gov/press/releases/2022/06/state-contract-and-payment-actions-may

DiNapoli: Stable Government Funding Needed for NYC Health + Hospitals to Provide Essential Care

… provided critical financial support to New York City Health and Hospitals (H+H), but reliable funding and timely … through improving billing procedures, negotiating higher insurance rates, and attracting and keeping patients. The …

https://www.osc.ny.gov/press/releases/2021/09/dinapoli-stable-government-funding-needed-nyc-health-hospitals-provide-essential-care

Use of Foreign Fire Insurance Tax Money (2017-MS-5)

… October 5, 2016. Background The recipients of foreign fire insurance (FFI) money include fire departments, fire … costs related to active firemen and family members’ health benefits, social events and administrative costs. …

https://www.osc.ny.gov/local-government/audits/city/2018/01/12/use-foreign-fire-insurance-tax-money-2017-ms-5

State Comptroller DiNapoli Releases Audits

… and non-prescription drugs. State law directs pharmacies to substitute prescribed drugs with less expensive drugs containing the same active ingredients, dosage form and strength. A prior audit, issued in December 2022, … as generic, but that the system enhancement did not apply to all Food and Drug Administration-approved generics. …

https://www.osc.ny.gov/press/releases/2024/07/state-comptroller-dinapoli-releases-audits

County Medicaid Costs

… legislation that shifts costs associated with the Family Health Plus Program from the counties to the State over the next two years. Family Health Plus provides health insurance for adults who do not have insurance on their own …

https://www.osc.ny.gov/local-government/publications/county-medicaid-costs

State Comptroller DiNapoli Releases State Audits

… audits and examinations have been issued: Department of Health: Fiscal Oversight and Monitoring of AIDS Institute … and consistent with contract requirements. Department of Health (DOH): Criminal History Background Checks of … areas that could use improvement. New York State Health Insurance Program: United HealthCare (UHC): Insurance Company …

https://www.osc.ny.gov/press/releases/2017/06/state-comptroller-dinapoli-releases-state-audits

State Comptroller DiNapoli Releases State Audits

https://www.osc.ny.gov/press/releases/2017/06/state-comptroller-dinapoli-releases-state-audits-0

Town of Union Vale - Payroll (2018M-31)

Determine whether Town officials established adequate policies and procedures over payroll, leave and health insurance payments.

https://www.osc.ny.gov/files/local-government/audits/pdf/union-vale-2018-31.pdf

State Comptroller DiNapoli Releases Audits

… registration. Department of Civil Service: New York State Health Insurance Program: CVS Health – Accuracy of Drug Rebate Revenue Remitted to the …

https://www.osc.ny.gov/press/releases/2020/08/state-comptroller-dinapoli-releases-audits

Medicaid Payments to Medicare Advantage Plan Providers (Follow-Up)

… recipients are also enrolled in Medicare, the federal health insurance program for people age 65 and older and people … companies administer Medicare benefits and offer different health care plans (Medicare Advantage plans) tailored to the …

https://www.osc.ny.gov/state-agencies/audits/2019/10/15/medicaid-payments-medicare-advantage-plan-providers-follow

Medicaid Claims Processing Activity October 1, 2011 Through March 31, 2012

… Purpose To determine whether the Department of Health's eMedNY system reasonably ensured that Medicaid … 2011 through March 31, 2012. Background The Department of Health (Department) administers the State's Medicaid program. … million; Claims billed with information from other health insurance plans that was inaccurate, which caused $530,710 in …

https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-claims-processing-activity-october-1-2011-through-march-31-2012

National Directory of New Hires Data Security

… (OCSE), a subdivision of the U.S. Department of Health and Human Services (Health and Human Services). The Directory data is comprised … information on new hires, quarterly wage, and unemployment insurance. OTDA uses Directory data to verify TANF and SNAP …

https://www.osc.ny.gov/state-agencies/audits/2024/05/08/national-directory-new-hires-data-security

Medicaid Program – Claims Processing Activity April 1, 2023 Through September 30, 2023

… Objective To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … back to January 2022. About the Program The Department of Health (DOH) administers the State’s Medicaid program. DOH’s … who had other concurrent comprehensive third-party health insurance; $2.4 million was paid for fee-for-service …

https://www.osc.ny.gov/state-agencies/audits/2024/04/24/medicaid-program-claims-processing-activity-april-1-2023-through-september-30-2023