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New York State Health Insurance Program – UnitedHealthcare: Improper Payments for Acupuncture and Acupuncture-Related Services (2020-S-7) 180-Day Response
To determine whether UnitedHealthcare Insurance Company of New York appropriately reimbursed acupuncture and acupuncture-related services.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-20s7-response.pdfImproper Medicaid Payments involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers (2019-S-22) 180-Day Response
To determine if improper Medicaid payments were made on behalf of recipients with multiple Client Identification Numbers (CINs) where at least one CIN was enrolled in fee-for-service.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-19s22-response.pdfSelected Aspects of Leasing Practices for Real Estate Department, Aviation, World Trade Center, and Leasing of Properties (2019-S-9)
To determine whether the Port Authority of New York and New Jersey collected all revenues due and identified revenue enhancement opportunities and whether …
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-19s9.pdfImproper Payments for Recipients No Longer Enrolled in Managed Long Term Care Partial Capitation Plans (Follow-Up) (2017-F-10)
To determine the implementation status of four recommendations made in our initial audit report, Improper Payments for Recipients No Longer Enrolled in Managed Long Term Care Partial Capitation Plans (Report 2015-S-9).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2017-17f10.pdfMedicaid Program - Improper Payments for Recipients No Longer Enrolled in Managed Long Term Care Partial Capitation Plans (2015-S-9)
To determine whether the Medicaid program made inappropriate capitation payments to Managed Long Term Care Partial Capitation plans for recipients who were no longer enrolled in these plans.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2016-15s9.pdfNew York Center for Child Development, Inc - Compliance With the Reimbursable Cost Manual (2015-S-101), 90-Day Response
To determine whether the costs reported by the New York Center for Child Development, Inc. (NYCCD) on its Consolidated Fiscal Reports (CFRs) were reasonable
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2017-15s101-response.pdfEye Care Provider and Family Inappropriately Enroll as Recipients and Overcharge for Vision Services (2013-S-1), 90-Day Response
We conducted an audit of the Department of Health (Department) to determine whether certain eye care providers who appeared to be affiliated complied with
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2016-13s1-response.pdfWorkers’ Compensation Program: Statement of Assessable Expenses for the Three Fiscal Years Ended March 31, 2011 (2012-S-71)
To express an opinion on the fair presentation of the Report of Workers’ Compensation Program Statement of Assessable Expenses for the three fiscal years ended
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2012-12s71.pdfSelected Payments for Special Items Made to Saratoga Hospital from January 1, 2011 through March 31, 2011 (2012-S-55)
This report is part of a series of audits of Empire’s payments to selected hospitals for “special items” during the three months ended March 31, 2011.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2013-12s55.pdfCalendar Year Municipalities That Have Not Filed in Time for a FSMS Score in All Three Years 2012 - 2014
Calendar Year Municipalities That Have Not Filed in Time for a FSMS Score in All Three Years 2012 - 2014
https://www.osc.ny.gov/files/local-government/fiscal-monitoring/pdf/persistentnonfilingmunis.pdfTax Cap Tightens As Inflation Drops: Local Governments Will Need to Prepare for Little or No Levy Growth
Tax Cap Tightens As Inflation Drops: Local Governments Will Need to Prepare for Little or No Levy Growth
https://www.osc.ny.gov/files/local-government/publications/pdf/taxcaptightens0715.pdfRetirement Option Election Form with Partial Lump Sum Payment for Tier 2, 3, 5 and 6 Members Designating Multiple Beneficiaries (RS6422-A)
To select a pension payment option when applying for retirement and choose to receive a partial lump sum payment, Tier 2, 3, 5 and 6 members who are designating multiple beneficiaries use form RS6422-A.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6422-a.pdfImproper Medicaid Payments for Claims Not in Compliance With Ordering, Prescribing, Referring, and Attending Requirements (2019-S-2) 180-Day Response
To determine whether the Department of Health (Department) paid for claims in violation of federal and State regulations that require an appropriate National Provider Identifier (NPI) for ordering, prescribing, referring, and attending (OPRA) health care providers.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-19s2-response.pdfPayroll Bulletins PBulletins
… View bulletins available for payroll officers to inform them of important changes …
https://www.osc.ny.gov/state-agencies/payroll-bulletinsMedicaid Program – Improper Payments for Sexual and Erectile Dysfunction Drugs, Procedures, and Supplies Provided to Medicaid Recipients, Including Sex Offenders
… Administration-approved use and the recipient's treatment is for that other use. To protect public safety, State laws … ED drugs approved to also treat BPH or PAH may not have had diagnoses of BPH or PAH – elevating the risk of … services to treat ED, if an MCO finds out the recipient is a registered sex offender, the MCO merely does not pay for …
https://www.osc.ny.gov/state-agencies/audits/2019/06/03/medicaid-program-improper-payments-sexual-and-erectile-dysfunction-drugs-procedures-andProgram Oversight and Monitoring of the Maximus Contract for the New York State of Health (Insurance Marketplace) Customer Service Center
… reviews. Key Findings The Department has an effective system to ensure that Maximus is complying with contract …
https://www.osc.ny.gov/state-agencies/audits/2016/06/16/program-oversight-and-monitoring-maximus-contract-new-york-state-health-insuranceState Comptroller DiNapoli & U.S. Attorney Announce Guilty Plea & Sentencing of Former Albany Resident for Defrauding NYS Retirement System of $130,624
… State Comptroller Thomas P. DiNapoli and United States … he was entitled to. The case was originally prosecuted by the United States Attorney’s Office in the Southern … Yorkers can report allegations of fraud involving taxpayer money by calling the toll-free Fraud Hotline at …
https://www.osc.ny.gov/press/releases/2017/12/state-comptroller-dinapoli-us-attorney-announce-guilty-plea-sentencing-former-albany-residentImproper 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 recommendations included in our … State Medicaid agencies require all ordering and referring physicians and other professionals providing services through … January 1, 2014, New York’s Medicaid program required that physicians and other health care professionals who order, …
https://www.osc.ny.gov/state-agencies/audits/2024/01/03/improper-payments-services-related-ordering-prescribing-referring-or-attending-providers-noDiNapoli and Oneida DA McNamara Announce Arrests of Utica School Superintendent and Former Utica Mayor for Theft of Public Funds
… President Louis LaPolla for allegedly using taxpayer funds to pay for political campaigns and a non-school related fundraiser. “The diversion of funds meant to support the education and well-being of students by … the students of the district who they were duty-bound to help, these two defendants allegedly chose to serve …
https://www.osc.ny.gov/press/releases/2023/11/dinapoli-and-oneida-da-mcnamara-announce-arrests-utica-school-superintendent-and-former-utica-mayorDiNapoli & A.G. Schneiderman Announce Arrest of Upstate Woman for Theft of over $67K in NYS Pension Benefits, $19K Welfare Fraud
… and Attorney General Eric T. Schneiderman announced today the unsealing of a five-count indictment charging Tammy … to receive his pension as a Pop Up Joint Allowance Half, which provided him with a reduced pension benefit but allowed … faces up to 5 to 15 years in state prison. The charges are accusations and the defendant is presumed innocent unless …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-ag-schneiderman-announce-arrest-upstate-woman-theft-over-67k-nys-pension-benefits-19k