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Improper Medicaid Payments for Claims Not in Compliance With Ordering, Prescribing, Referring, and Attending Requirements (Follow-Up)
… (Report 2019-S-2 ). About the Program The Department of Health (Department) administers New York’s Medicaid program. Physicians and other health care professionals who order, prescribe, refer, or … that require an appropriate NPI for OPRA health care providers. The audit covered the period from January 1, 2014 …
https://www.osc.ny.gov/state-agencies/audits/2023/09/13/improper-medicaid-payments-claims-not-compliance-ordering-prescribing-referring-andWorkers' Compensation Program: Statement of Assessable Expenses for the Three Fiscal Years Ended March 31, 2011
… under Article 8, Section 140 of the Workers' Compensation Law. The primary responsibility of the Board is to ensure that employees who are unable to work due to injury or illness are compensated under programs covering … and self-insured political subdivisions of the State. The Law requires that recoverable expenses be audited by the …
https://www.osc.ny.gov/state-agencies/audits/2013/05/13/workers-compensation-program-statement-assessable-expenses-three-fiscal-years-ended-marchComptroller DiNapoli & A.G. Schneiderman Announce Jail Time for Former Highway Superintendent Sentenced in Public Corruption Case
… Bureau Investigator Joel Cordone and Investigator David Buske, with support from Supervising Investigator …
https://www.osc.ny.gov/press/releases/2015/05/comptroller-dinapoli-ag-schneiderman-announce-jail-time-former-highway-superintendent-sentenced-0Comptroller DiNapoli & A.G. Schneiderman Announce Jail Time for Former Highway Superintendent Sentenced in Public Corruption Case
… Bureau Investigator Joel Cordone and Investigator David Buske, with support from Supervising Investigator …
https://www.osc.ny.gov/press/releases/2015/05/comptroller-dinapoli-ag-schneiderman-announce-jail-time-former-highway-superintendent-sentencedDiNapoli Takes Action to Hold Corporate America Accountable for Failing to Address Diversity, Equity and Inclusion
… of New York) to disclose their EEO-1 reports detailing the race, ethnicity and gender of their workforce, including … asserting a commitment to inclusivity of diversity by sex, race, ethnicity, age, gender identity, gender expression and … are not sufficiently diverse on factors including age, race, gender, ethnicity, sexual orientation, gender identity, …
https://www.osc.ny.gov/press/releases/2021/08/dinapoli-takes-action-hold-corporate-america-accountable-failing-address-diversity-equity-andState Comptroller DiNapoli and Rockland District Attorney Walsh Announce Guilty Pleas of Middletown Resident for Larceny
… Ricardy Cesar, 54, of Middletown, N.Y., pleaded guilty in Rockland County Court before Judge Larry J. Schwartz to … pay back the money. “Mr. Cesar tried to fake a lost check in an effort to scam the state’s retirement system,” DiNapoli … get another check for the same amount. Since taking office in 2007, DiNapoli has committed to fighting public corruption …
https://www.osc.ny.gov/press/releases/2020/10/state-comptroller-dinapoli-and-rockland-district-attorney-walsh-announce-guilty-pleas-middletownDiNapoli: Former NYU Finance Director Pays Over $660,000 in Restitution for Role in Multi-Million Dollar Fraud
… A former director of finance and administration at New York University … be held accountable.” Tappe, 59, used her position as the director of finance and administration for NYU’s Metropolitan … A former director of finance and administration at New York University …
https://www.osc.ny.gov/press/releases/2024/04/dinapoli-former-nyu-finance-director-pays-over-660000-restitution-role-multi-million-dollar-fraudDiNapoli: Former West Carthage Housing Authority Executive Director and Mother Pled Guilty for Over $48,000 Theft
… it to the board, but also made the illicit payments and then falsified records to cover for her daughter. Hoffman …
https://www.osc.ny.gov/press/releases/2024/06/dinapoli-former-west-carthage-housing-authority-executive-director-and-mother-pled-guilty-over-48000DiNapoli: Former Utica School District Superintendent Sentenced for Public Corruption, Must Pay Over $160K to District
… the public to help fight fraud and abuse. New Yorkers can report allegations of fraud involving taxpayer money by …
https://www.osc.ny.gov/press/releases/2024/04/dinapoli-former-utica-school-district-superintendent-sentenced-public-corruption-must-pay-over-160kComptroller DiNapoli & A.G. Schneiderman Announce State Prison Sentence for Florida Woman in $120,000 Pension Fraud Case
… New York State Comptroller Thomas P. DiNapoli and Attorney … Court. Cizik also agreed to a judgment in favor of the New York State and Local Employees Retirement System in the … in pension benefits issued by the Office of the New York State Comptroller, on behalf of the New York State …
https://www.osc.ny.gov/press/releases/2015/03/comptroller-dinapoli-ag-schneiderman-announce-state-prison-sentence-florida-woman-120000-pensionDiNapoli: Former Lake Luzerne Trustee Arrested for Stealing More Than $127,000 From South Warren Snowmobile Club
… Warren County District Attorney Jason M. Carusone and the New York State Police, today announced the arrest of former … my team, Warren County District Attorney Carusone and the New York State Police, McLain will have to answer for his … and encourages the public to help fight fraud and abuse. New Yorkers can report allegations of fraud involving …
https://www.osc.ny.gov/press/releases/2022/09/dinapoli-former-lake-luzerne-trustee-arrested-stealing-more-127000-south-warren-snowmobile-clubRecovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance (Follow-Up)
… Objective To determine the extent of implementation of the six … each enrolled recipient and, in turn, MCOs are required to pay for the Medicaid services their recipients require, … have other third-party health insurance in addition to Medicaid (e.g., employer-based coverage or Medicare Part …
https://www.osc.ny.gov/state-agencies/audits/2024/01/31/recovering-managed-care-overpayments-pharmacy-services-behalf-recipients-third-party-healthDiNapoli: NYC Secure Juvenile Detention Centers Need To Improve Safety and Access to Services for Youth
… at New York City’s two secure juvenile detention centers, do more to prevent contraband from entering the facilities … services at NYCs two secure juvenile detention centers do more to prevent contraband from entering the facilities …
https://www.osc.ny.gov/press/releases/2025/04/dinapoli-nyc-secure-juvenile-detention-centers-need-improve-safety-and-access-services-youthDiNapoli: Albany Woman Pleads Guilty: Second Defendant Indicted for Stealing More than $230,000 from Elderly Pensioner
… $230,000 from an elderly victim. “Forcing an elderly man to live in squalor in order to take advantage of him and … him. Investigators, however, found the defendants did not pay the victim’s mortgage, property taxes or other bills for … to be repossessed, and his electricity to be turned off. Instead, the defendants used the money for their …
https://www.osc.ny.gov/press/releases/2024/11/dinapoli-albany-woman-pleads-guilty-second-defendant-indicted-stealing-more-230000-elderly-pensionerDiNapoli: Construction Jobs in NYC Not Fully Recovered From Pandemic Amid Lower Demand for Nonresidential Projects
… the composition of the labor force and recent immigration enforcement actions by the federal government have the … spending, it also has a critical administrative and regulatory role through its Department of Buildings (DOB), …
https://www.osc.ny.gov/press/releases/2025/07/dinapoli-construction-jobs-nyc-not-fully-recovered-pandemic-amid-lower-demand-nonresidential-projectsDiNapoli: Troy Housing Authority IT Worker Arrested for Secretly Running Private Business on Housing Authority Time
… District Attorney Mary Pat Donnelly, and New York State Police Superintendent Steven G. James announced the arrest of … My thanks to Rensselaer County DA Donnelly and State Police Superintendent James for their partnership in … plain and simple. I am grateful to the New York State Police and the Office of the State Comptroller for partnering …
https://www.osc.ny.gov/press/releases/2025/10/dinapoli-troy-housing-authority-it-worker-arrested-secretly-running-private-business-housingPresident of Gingerbread Learning Center and Wife Sentenced for Stealing Approximately $771,000 from Special Needs Pre-School
… Thomas P. DiNapoli and Richmond County District Attorney Michael E. McMahon today announced that Dennis Mosesman, 71, … “Thanks to my staff in partnership with District Attorney Michael E. McMahon and the New York City Police Department, … the strong objections of my office,” District Attorney Michael E. McMahon said. “They are now convicted felons and …
https://www.osc.ny.gov/press/releases/2019/06/president-gingerbread-learning-center-and-wife-sentenced-stealing-approximately-771000-special-needsPractices Used by the Transit Adjudication Bureau to Collect and Account for Fines and Fees (Follow-Up)
… included in our initial report, Practices Used by the Transit Adjudication Bureau to Collect and Account for … who do not pay their fines. Summonses are issued by New York City Police Department officers and/or Transit … (aka Eagle Team), who enforce Transit’s Rules adopted by the MTA Board. Rule violations can include fare evasion, …
https://www.osc.ny.gov/state-agencies/audits/2019/03/07/practices-used-transit-adjudication-bureau-collect-and-account-fines-and-fees-followEmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits (2022-S-27) 180-Day Response
To determine whether EmblemHealth Plan, Inc. overpaid dental claims for members covered by two subscriber plans under the New York State Dental Insurance Program.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2024-22s27-response.pdfImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up) (2022-F-37) 30-Day Response
To assess the extent of implementation of the five recommendations included in our initial audit report, Improper Payments of Medicare Buy-In Premiums for Ineligible Recipients (Report 2020-S-35).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22f37-response.pdf