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DiNapoli: Former Medical Office Manager Pleads Guilty to Defrauding New York State Health Insurance Plan
… has pleaded guilty to defrauding the New York State Insurance Plan (NYSHIP) out of more than $12,000 by … Ms. Bradshaw knowingly took advantage of the health insurance system to profit at her own expense. …
https://www.osc.ny.gov/press/releases/2024/05/dinapoli-former-medical-office-manager-pleads-guilty-defrauding-new-york-state-health-insurance-planState Comptroller DiNapoli and Orange County District Attorney Hoovler Announce Guilty Plea in Bethel Tax Collector Pension Fraud Case
… for the amount of pension benefits that she was overpaid. “Ms. Gabriel, as tax collector, was responsible for overseeing … York State Police, she has been convicted and repaid the money she stole.” District Attorney Hoovler thanked the New … Yorkers can report allegations of fraud involving taxpayer money by calling the toll-free Fraud Hotline at …
https://www.osc.ny.gov/press/releases/2021/11/state-comptroller-dinapoli-and-orange-county-district-attorney-hoovler-announce-guilty-plea-bethelOversight of Adult Protective Services Programs (Follow-Up)
… food, shelter, clothing, medical care); need protection from abuse, neglect, financial exploitation, or other harm; … the APS provider to submit a written program improvement plan. The objective of our initial audit, issued in November … not always ensure these processes were being executed as required. OCFS’ policies and procedures lacked explicit …
https://www.osc.ny.gov/state-agencies/audits/2023/08/10/oversight-adult-protective-services-programs-followDiNapoli: More School Districts Take Initial Steps to Exceed Tax Cap
… susceptible to major swings in their allowable levy limit from one year to the next. For example, there are some … “negative” levy limit situation have indicated that they plan to seek an override of the tax cap in 2016-17. School … to the Comptroller. Of the 677 school districts required to report, 76 have not yet filed. For 2016-17, …
https://www.osc.ny.gov/press/releases/2016/03/dinapoli-more-school-districts-take-initial-steps-exceed-tax-capCaledonia Volunteer Fire Department, Inc. – Board Oversight (2025M-12)
… not provide adequate oversight of financial operations. In addition, our previous audit report, Caledonia Fire … and the State Comptroller’s authority as set forth in Article 3 of the New York State General Municipal Law. Our methodology and standards are included in Appendix D. The Board has the responsibility to initiate …
https://www.osc.ny.gov/local-government/audits/fire-company-or-department/2025/05/02/caledonia-volunteer-fire-department-inc-board-oversight-2025mOpinion 90-58
… has no involvement in such contracts ( cf . 1988 Opns St Comp No. 88-15, p 25, concerning a village trustee who was the comptroller of an insurance company from which the village intended to purchase insurance). … may solicit business in his or her private capacity from municipal employees who are hired or confirmed by the …
https://www.osc.ny.gov/legal-opinions/opinion-90-58Opinion 91-13*
… property to perform the same functions as, or functions taking the place of, those performed by the facility, and …
https://www.osc.ny.gov/legal-opinions/opinion-91-13DiNapoli Announces Latest Fiscal Stress Scores With Analysis of 10 Years of Fiscal Monitoring System Data
… fiscal year 2022 with a fiscal stress designation, down from 20 a year ago, State Comptroller Thomas P. DiNapoli … in fiscal year 2022 was largely due to the infusion of aid from the American Rescue Plan Act and sales tax revenue growth. Sales tax collections …
https://www.osc.ny.gov/press/releases/2023/09/dinapoli-announces-latest-fiscal-stress-scores-analysis-10-years-fiscal-monitoring-system-dataOpinion 88-43
… Disability (reimbursement of sheriff's personnel account from county's workers' compensation self-insurance fund for … Transfers (reimbursement of sheriff's personnel account from county's workers' compensation self-insurance fund for … revd on dissent 41 NY2d 931, 394 NYS2d 637; 1982 Opns St Comp No. 82-92, p 113). Further, it has been held that the …
https://www.osc.ny.gov/legal-opinions/opinion-88-43DiNapoli Announces State Contract & Payment Actions For March 2014
… money. The independent audits ensure payments are free from fraud, waste and improprieties. The Comptroller’s office … LLC for pharmacy benefit services for the State’s Empire Plan, Excelsior Plan, and Student Health Plan. Paid more than … valued at $531 million because they lacked the required verifications, and rejected 5,036 payments valued at …
https://www.osc.ny.gov/press/releases/2014/04/dinapoli-announces-state-contract-payment-actions-march-2014What Not to Report – Legacy Reporting
… on the monthly report (nor should contributions be taken from these payments) and will be excluded from the retirement calculation if reported: The value of … a date of membership on or after April 1, 1972 Cafeteria Plan Salary Reductions Some public employers have adopted …
https://www.osc.ny.gov/retirement/employers/legacy-reporting/what-not-reportPayments by Beacon Health Options for Mental Health and Substance Abuse Services for Ineligible Members
… mental health and substance abuse (MHSA) claims for Empire Plan members who were not eligible for coverage. The audit covered the period from January 2015 through December 2020. About the Program …
https://www.osc.ny.gov/state-agencies/audits/2022/05/13/payments-beacon-health-options-mental-health-and-substance-abuse-services-ineligibleUnitedHealthcare: Improper Payments for Acupuncture and Acupuncture-Related Services
… acupuncture-related services. The audit covered the period from January 1, 2015 through December 31, 2019. About the … district employees, and their dependents. The Empire Plan is the primary health benefits plan for NYSHIP, serving … referred to herein as acupuncture-related services. From January 1, 2015 to December 31, 2019, United paid more …
https://www.osc.ny.gov/state-agencies/audits/2021/10/27/unitedhealthcare-improper-payments-acupuncture-and-acupuncture-related-servicesUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… United HealthCare Insurance Company of New York: Empire Plan Drug Rebate Revenue ( 2013-S-41 ). Background The New … school district employees and their dependents. The Empire Plan (Plan) is the primary health benefits plan for NYSHIP. The …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followMedicaid Payments to Medicare Advantage Plan Providers (Follow-Up)
… audit report, Medicaid Payments to Medicare Advantage Plan Providers (Report 2016-S-54 ). About the Program Many of … audit report Medicaid Payments to Medicare Advantage Plan Providers …
https://www.osc.ny.gov/state-agencies/audits/2019/10/15/medicaid-payments-medicare-advantage-plan-providers-followState Comptroller DiNapoli Releases Municipal Audits
… funds. As a result, the board reduced its transparency of financial operations, and the public did not have an … a multiyear capital plan or clearly identify the source of funding for the capital reserves as a part of the budgeting process. Hamlin Morton Walker Fire District …
https://www.osc.ny.gov/press/releases/2023/06/state-comptroller-dinapoli-releases-municipal-auditsCattaraugus County – Internal Controls Over Selected Financial Activities (2013M-68)
… of 80,317. The County is comprised of two cities, 32 towns and nine villages. The County is governed by a …
https://www.osc.ny.gov/local-government/audits/county/2013/07/05/cattaraugus-county-internal-controls-over-selected-financial-activities-2013m-68Service-Disabled Veteran-Owned Business Program Implementation
… 2015, there were 178 State-certified SDVOBs. Key Findings From June 2014 through December 2015, the Division made … has not yet developed a written, comprehensive statewide plan for implementing the Program. The Program would benefit from such a plan that includes progressive milestones and …
https://www.osc.ny.gov/state-agencies/audits/2016/09/07/service-disabled-veteran-owned-business-program-implementationLeading the Way on Climate Investment
… This multi-faceted approach employs sustainable investment strategies, active engagement with portfolio companies and … Because of his efforts, DiNapoli has been recognized as a global leader in addressing climate change-related investment … economy. He also provides public policy leadership at the global, federal and state levels on climate issues that may …
https://www.osc.ny.gov/common-retirement-fund/leading-way-climate-investmentVillage of Maybrook – Financial Condition (2020M-54)
… overall fund balance decreased by $642,000 (63 percent) from 2014-15 to 2018-19. The general and sewer funds … did not develop a fund balance policy, multiyear financial plan or capital plan. Key Recommendations Develop reasonable revenue …
https://www.osc.ny.gov/local-government/audits/village/2020/07/02/village-maybrook-financial-condition-2020m-54