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Comptroller DiNapoli Releases Municipal Audits
… local government audits have been issued. Village of Arkport – Information Technology (Steuben County) Auditors … provide IT security awareness training to employees. Town of Geddes – Account Clerk’s Salary and Benefits and Cash … and received an unauthorized retroactive buyout payment of $2,000 for 2016. Madison County – Claims Audit and Payment …
https://www.osc.ny.gov/press/releases/2020/01/comptroller-dinapoli-releases-municipal-audits-1Empire BlueCross BlueShield Selected Payments for Special Items for the Period January 1, 2011 Through March 31, 2011
… and acquisition costs. Background The New York State Health Insurance Program (NYSHIP) provides health coverage to active and retired State, participating …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2011-throughUnitedHealthcare: Improper Payments for Acupuncture and Acupuncture-Related Services
… Objective To determine whether UnitedHealthcare Insurance Company of … (Civil Service), provides health insurance coverage to over 1.2 million active and retired State, participating … The Empire Plan is the primary health benefits plan for NYSHIP, serving about 1.1 million members. Civil Service …
https://www.osc.ny.gov/state-agencies/audits/2021/10/27/unitedhealthcare-improper-payments-acupuncture-and-acupuncture-related-servicesBroadalbin-Perth Central School District – Health Insurance Buyouts and Separation Payments (2014M-146)
… of our audit was to examine the adequacy and support for the District’s calculations of separation payments and health … February 28, 2014. Background The Broadalbin-Perth Central School District is located in the Towns of Broadalbin, Perth, …
https://www.osc.ny.gov/local-government/audits/school-district/2014/08/15/broadalbin-perth-central-school-district-health-insurance-buyouts-andSouth Kortright Central School District – Retiree Health Insurance Contributions (2016M-148)
… Central School District is located in the Towns of Bovina, Delhi, Harpersfield, Kortright, Meredith and Stamford in … the 2015-16 fiscal year totaled approximately $9 million. Key Findings District officials did not segregate duties or … to accurately adjust the initial retiree billings based on the estimated bills for the actual premium amounts …
https://www.osc.ny.gov/local-government/audits/school-district/2016/07/08/south-kortright-central-school-district-retiree-health-insuranceState Comptroller DiNapoli Releases Audits
… reported Medicaid recipients were discharged within 24 hours of admission, indicating a high risk that a portion … years ended June 30, 2023, CUNY received a total of $24 million in New York State funds to expand OER initiatives … auditors found CUNY did not track $17,674,400 of the $24 million in OER funds received from the State for the …
https://www.osc.ny.gov/press/releases/2025/04/state-comptroller-dinapoli-releases-auditsPublic Health – 2021 Financial Condition Report
… limit for SFY 2020-21. Pandemic Brings Jump in Medicaid Enrollment Department of Health (DOH) Medicaid enrollment rose by 521,805 (8.4 percent) to 6.7 million in …
https://www.osc.ny.gov/reports/finance/2021-fcr/public-healthNew York State Health Insurance Program – Empire Plan Members With Dual Family Coverage (Follow-Up)
… included in our initial audit report, New York State Health Insurance Program: Empire Plan Members With Dual Family … (Report 2019-S-23 ). About the Program The New York State Health Insurance Program (NYSHIP), administered by the …
https://www.osc.ny.gov/state-agencies/audits/2022/09/26/new-york-state-health-insurance-program-empire-plan-members-dual-family-coverage-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period April 1, 2011 Through June 30, 2011 (Follow-Up)
… report, Empire BlueCross BlueShield: Selected Payments for Special Items for the Period April 1, 2011 Through June 30, 2011 … agreements with hospitals contain language limiting the reimbursement of special items. Key Recommendation Officials …
https://www.osc.ny.gov/state-agencies/audits/2014/10/30/empire-bluecross-blueshield-selected-payments-special-items-period-april-1-2011-throughCVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service (Follow-Up)
… (Report 2019-S-51 ). About the Program The New York State Health Insurance Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance coverage to over 1.2 million active and …
https://www.osc.ny.gov/state-agencies/audits/2021/11/16/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-service-followUnited HealthCare – Overpayments for Services Provided by Long Island Laparoscopic Surgery
… 2011 through March 31, 2015. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-laparoscopic-surgeryUnited HealthCare – Overpayments for Services Provided by Eastern Orange Ambulatory Surgery Center
… 2011 through March 31, 2015. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-eastern-orange-ambulatory-surgery-centerUnited HealthCare – Overpayments for Services Provided by Long Island Spine Specialists
… The Empire Plan is the primary health benefits plan for NYSHIP, covering a range of services from inpatient … Empire Plan and, consequently, taxpayers. From a random sample, we identified overpayments totaling $226,309 that … obligations. Based on a statistical projection of the sample overpayments to the population of Long Island Spine’s …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-spine-specialistsNew York State Health Insurance Program – Incorrect Payments by CVS Caremark for Medicare Rx Drug Claims That Were Improperly Paid Under the Commercial Plan
To determine whether CVS Caremark paid claims under the correct prescription drug plan
https://www.osc.ny.gov/state-agencies/audits/2023/09/13/new-york-state-health-insurance-program-incorrect-payments-cvs-caremark-medicare-rx-drugPublic Health – 2022 Financial Condition Report
… an 11 Percent Increase State Medicaid spending grew by $5.2 billion (22.9 percent) to $27.7 billion in SFY … ever, due in part to higher enrollment levels impacted by federal restrictions on disenrollment during the COVID-19 public health emergency. …
https://www.osc.ny.gov/reports/finance/2022-fcr/public-healthPublic Health – 2023 Financial Condition Report
… State Medicaid spending by an estimated $3.7 billion and local Medicaid spending by $789 million in SFY 2022-23. … expects enrollment to decline to 6.9 million by March 2024 and to 6.6 million by March 2025. Children and adults represented 74.7 percent of all average monthly …
https://www.osc.ny.gov/reports/finance/2023-fcr/public-healthDiNapoli: Former Clerk Treasurer for the Village of Speculator Charged With Larceny
… Former Speculator village clerk-treasurer Bonnie Page was charged with grand larceny … village and taxpayer expense,” DiNapoli said. “I thank the New York State Police and Hamilton County District Attorney … Division of Investigations, 8th Floor, 110 State St., Albany, NY 12236. … Former Speculator village clerktreasurer …
https://www.osc.ny.gov/press/releases/2020/02/dinapoli-former-clerk-treasurer-village-speculator-charged-larcenyProgram Oversight and Monitoring of the Maximus Contract for the New York State of Health (Insurance Marketplace) Customer Service Center
… eligibility and enrollment processing. Maximus is required to meet performance standards related to processing, … quality assurance reviews. Key Recommendation None are required. At the time we completed our audit fieldwork, …
https://www.osc.ny.gov/state-agencies/audits/2016/06/16/program-oversight-and-monitoring-maximus-contract-new-york-state-health-insuranceEmpire BlueCross – Improper Payments for Special Items Billed by Hospitals Within Long Island Health Network
… To determine whether Empire BlueCross paid claims for special items according to the terms of its contract with … million active and retired State, local government, and school district employees and their dependents. The Empire Plan is …
https://www.osc.ny.gov/state-agencies/audits/2019/11/29/empire-bluecross-improper-payments-special-items-billed-hospitals-within-long-island-healthCanton Central School District - Claims Audit Process (2018M-186)
… was required to conduct an independent and thorough audit of the claims. The claims auditor did not audit and approve any of the 38 scholarship payments paid totaling $9,485 for …
https://www.osc.ny.gov/local-government/audits/school-district/2018/11/09/canton-central-school-district-claims-audit-process-2018m-186