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State Contract and Payment Actions in December
… and prime contractors. Cumulatively through December for calendar year 2022, the Comptroller’s office approved 17,629 contracts …
https://www.osc.ny.gov/press/releases/2023/02/state-contract-and-payment-actions-decemberApproved State Contracts and Payments
… In October, the Office of the State Comptroller approved 1,722 contracts for state agencies … payments valued at nearly $161.5 million. More information on these contracts and payments is available at …
https://www.osc.ny.gov/press/releases/2017/12/approved-state-contracts-and-paymentsState Contract and Payment Actions in June
… to assist the New York State Assembly with preparation and discovery in the retrial of former Assemblyman Sheldon Silver …
https://www.osc.ny.gov/press/releases/2018/07/state-contract-and-payment-actions-juneState Contract and Payment Actions in April
… Office of Homeland Security and Emergency Services $3.9 million for flood mitigation assistance, including $1.5 … & Recycling Program. Gaming Commission $7 million to 26 local governments from Tioga Downs, Rivers, Montreign, and … office has approved 5,585 contracts valued at $26.2 billion and approved nearly 15.6 million payments worth …
https://www.osc.ny.gov/press/releases/2018/05/state-contract-and-payment-actions-aprilState Contract and Payment Actions in December
… Office of the State Comptroller approved 1,898 contracts for state agencies and public authorities valued at $33.9 … & Substance Abuse Services $1 million with New York City for substance abuse prevention and intervention specialists. … with Booker T. Washington Community Center in Auburn for the Advantage After School Program. Office of the State …
https://www.osc.ny.gov/press/releases/2020/02/state-contract-and-payment-actions-decemberExcessive Payments for Durable Medical Equipment Rentals (Follow-Up)
… of the seven recommendations included in our initial audit report, Medicaid Program – Excessive Payments for Durable Medical Equipment Rentals (Report 2021-S-36 ). … managed care there are typically limits (or caps) on the number of monthly rental payments—many items have 10-month …
https://www.osc.ny.gov/state-agencies/audits/2024/12/04/excessive-payments-durable-medical-equipment-rentals-followDiNapoli: State’s Paid Family Leave Program Helping Millions of New Yorkers
… Payments under New York’s Paid Family Leave (PFL) program rose steadily between … leave benefits, much higher than 29% for the Northeast Census Region and 23% for the United States. An analysis of …
https://www.osc.ny.gov/press/releases/2023/04/dinapoli-states-paid-family-leave-program-helping-millions-new-yorkersMedicaid Program – Claims Processing Activity April 1, 2021 Through September 30, 2021
… Objective To determine whether the Department of Health’s (Department) eMedNY system reasonably ensured that … who also had concurrent comprehensive third-party health insurance; $3.7 million was paid for fee-for-service …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-claims-processing-activity-april-1-2021-through-september-30-2021Improper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers (Follow-Up)
… audit report, Improper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers … applications and enrollments. Each individual who applies for Medicaid benefits is assigned a Client Identification …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/improper-medicaid-payments-involving-fee-service-claims-recipients-multiple-clientNational Directory of New Hires Data Security
… Enforcement), 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. The Office uses Directory data to verify TANF and …
https://www.osc.ny.gov/state-agencies/audits/2016/07/18/national-directory-new-hires-data-securityMedicaid Program – Claims Processing Activity October 1, 2023 Through March 31, 2024
… computer system processes claims submitted by providers for services rendered to Medicaid-eligible recipients and generates payments to reimburse the providers for their claims. During the 6-month period ended March 31, … to providers. However, we also identified the need for improvements in the processing of certain types of …
https://www.osc.ny.gov/state-agencies/audits/2025/02/06/medicaid-program-claims-processing-activity-october-1-2023-through-march-31-2024DiNapoli: New York Must Do More To Reduce Maternal Deaths
… DOH also said the COVID-19 pandemic limited resources and funding to address the recommendations, and if not for its …
https://www.osc.ny.gov/press/releases/2024/08/dinapoli-new-york-must-do-more-reduce-maternal-deathsMedicaid Program – Managed Care Organizations: Payments to Ineligible Providers
… To determine whether the Department of Health (Department) and managed care organizations (MCOs) have adequate processes … The Department administers New York’s Medicaid program. For the State fiscal year ended March 31, 2017, New York’s … totaled over $58 billion, of which managed care accounted for about $34 billion. Under managed care, Medicaid pays MCOs …
https://www.osc.ny.gov/state-agencies/audits/2018/02/26/medicaid-program-managed-care-organizations-payments-ineligible-providersState Comptroller DiNapoli Releases Audits
… entered into a franchise agreement with a vendor to apply for the “.nyc” generic TLD (gTLD) and to operate, manage, … all rebate revenue that it invoiced to drug manufacturers for rebate-eligible prescription drug claims paid on behalf … of the Empire Plan, the primary health benefits plan for NYSHIP; therefore, Civil Service did not receive $453,029 …
https://www.osc.ny.gov/press/releases/2021/11/state-comptroller-dinapoli-releases-audits-0Medicaid Program – Improper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers
… to March 31, 2019. About the Program The Department of Health (Department) uses two methods to pay for Medicaid … managed care. Under the FFS method, the Department pays health care providers directly, through eMedNY, the … the NY State of Health (NYSOH, the State’s online health insurance marketplace). Local Districts use the State’s …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-improper-medicaid-payments-involving-fee-service-claims-recipientsNew York State Health Insurance Program – Payments by Beacon Health Options for Mental Health and Substance Abuse Services for Ineligible Members (Follow-Up) (2023-F-30)
To assess the extent of implementation of the four recommendations included in our initial audit report, New York State Health Insurance Program – Payments by Beacon Health Options for Mental Health and Substance Use Services for Ineligible Members (Report 2021-S-18).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2024-23f30.pdfDiNapoli: State Medicaid Needs to Stop Paying Bills That Federally Funded Plans Should Cover
… in Medicaid and other public health plans, according to two audits released today by State Comptroller Thomas P. … of Health has let the state’s Medicaid program pay for services that federally-funded health care programs … Most individuals receiving Medicaid are required to apply for federally-funded Medicare at age 65. Under DOH’s …
https://www.osc.ny.gov/press/releases/2023/09/dinapoli-state-medicaid-needs-stop-paying-bills-federally-funded-plans-should-coverDiNapoli and Brooklyn Borough President Antonio Reynoso Op-Ed: New York Mothers Should Not Be Dying in Childbirth in 2025
… Reynoso about maternal health in New York State, and what can be done to save lives. The full op-ed is below: Here’s what we know about our maternal health crisis: The United … to tracking and analyzing it — would clarify what we mean when we promise New Yorkers we’re going to improve …
https://www.osc.ny.gov/press/releases/2025/04/dinapoli-and-brooklyn-borough-president-antonio-reynoso-op-ed-new-york-mothers-should-not-be-dyingImproper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance (2021-S-20)
To determine if Medicaid made inappropriate fee-for-service payments to pharmacies on behalf of recipients who had third-party insurance and, if so, whether appropriate recoveries were made.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21s20.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.pdf