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Improper 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-19kDiNapoli: Tennessee Woman Pleads Guilty to Wire Fraud for Receiving Deceased Mother's New York State and Local Retirement System Benefits
… joint account, with Schwinzer withdrawing that amount in funds. During this same period, Schwinzer took out an … monies going in. Schwinzer withdrew all the deposited funds from the account until she was questioned by the bank …
https://www.osc.ny.gov/press/releases/2022/03/dinapoli-tennessee-woman-pleads-guilty-wire-fraud-receiving-deceased-mothers-new-york-state-and-localAn Analysis of Reasonable and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in the New York State Health Insurance Program
… Civil Service contracts with UnitedHealthcare (United) to administer the medical/ surgical portion of the Empire … cover a range of services including, but not limited to: office visits, diagnostic testing, outpatient surgery, … providers who deliver medical/surgical services to Empire Plan members at rates established by United. Empire …
https://www.osc.ny.gov/state-agencies/audits/2020/04/01/analysis-reasonable-and-customary-out-network-reimbursement-rates-medicalsurgical-servicesDiNapoli: Greenburgh-Graham Union Free School District Superintendent and Former Security System Specialist Arrested on Corruption Charges for Stealing School Funds
… corruption charges for allegedly stealing school district funds earmarked for students and spending them on personal … allegedly used more than $12,000 of the gift card funds for personal expenses, including jewelry, luxury …
https://www.osc.ny.gov/press/releases/2024/05/dinapoli-greenburgh-graham-union-free-school-district-superintendent-and-former-security-systemComptroller DiNapoli and Attorney General Underwood Announce Sentencing of Queens Pharmacy Owner for Stealing More than $1.5 Million from Medicaid
… NEW YORK – Attorney General Barbara D. Underwood and State Comptroller Thomas P. DiNapoli announced today the … pay $1.5 million to New York State as restitution for the money stolen from Medicaid and an additional $1.5 million in … program, a class E felony. An investigation conducted by the Attorney General and Comptroller’s Joint Task Force on …
https://www.osc.ny.gov/press/releases/2018/07/comptroller-dinapoli-and-attorney-general-underwood-announce-sentencing-queens-pharmacy-ownerDiNapoli, Erie County DA Keane and Erie County Sheriff Garcia Announce Former Deputy Clerk Sentenced for Stealing More Than $320,000
… Attorney Michael J. Keane, and Erie County Sheriff John C. Garcia announced. “Today’s sentence sends a clear message … District Attorney Michael Keane, Erie County Sheriff John Garcia, and Erie County Comptroller Kevin R. Hardwick for … requires confidence and trust in its public officer,” Garcia said. “I commend Detective Dan Brinkerhoff and the …
https://www.osc.ny.gov/press/releases/2025/01/dinapoli-erie-county-da-keane-and-erie-county-sheriff-garcia-announce-former-deputy-clerk-sentencedDiNapoli: Former Essex County Fair Treasurer and Willsboro Town Clerk Ordered To Pay Full Restitution for Theft of Nearly $90,000
… third degree as a crime of public corruption for stealing funds from the society and the town. “Bridget Brown abused …
https://www.osc.ny.gov/press/releases/2025/07/dinapoli-former-essex-county-fair-treasurer-and-willsboro-town-clerk-ordered-pay-full-restitutionMonitoring of Select Programs (2020-S-47)
To determine if the New York State Office for the Aging’s policies and procedures for select programs are adequate to ensure Area Agencies on Aging are appropriately monitored and the older New York population is adequately served.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-20s47.pdfState Public Health Emergency Medical Stockpile (2023-S-14)
To determine what steps DOH and OGS have taken during the procurement process for medical equipment for public health emergencies to ensure usability of the equipment purchased and whether DOH and OGS have managed and maintained—in function
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2025-23s14.pdfWest Genesee Central School District - Capital Assets (2023M-128)
Determine whether West Genesee Central School District (District) officials properly monitored and accounted for capital assets.
https://www.osc.ny.gov/files/local-government/audits/2024/pdf/west-genesee-central-school-district-2023-128.pdfDolgeville Central School District – Fuel Monitoring (2023M-175)
Determine whether the Dolgeville Central School District (District) officials adequately accounted for and monitored fuel usage.
https://www.osc.ny.gov/files/local-government/audits/2024/pdf/dolgeville-central-school-district-2023-175.pdfTown of Berkshire – Procurement and Conflict of Interest (2023M-84)
Determine whether Town of Berkshire (Town) officials sought competition for purchases while avoiding conflicts of interest.
https://www.osc.ny.gov/files/local-government/audits/2023/pdf/berkshire-town-2023-84.pdfA Grade of Incomplete: Persistent Non-Filers of Legally Required Local Government Reports
A relatively small number of local governments are severely delinquent—failing to file for three or more years.
https://www.osc.ny.gov/files/local-government/publications/pdf/2020-persistent-non-filers-snapshot.pdf