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Excessive Premium Payments for Dual-Eligible Recipients in Mainstream Managed Care and Health and Recovery Plans (2023-F-39) (Response)
To assess the extent of implementation of the four recommendations included in our initial audit report, Excessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans (Report 2021-S-37).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2024-23f39-response.pdfRed Creek Central School District – Financial Management (2020M-75)
Determine whether the Board and District officials adequately managed the Districts financial condition
https://www.osc.ny.gov/local-government/audits/school-district/2020/09/18/red-creek-central-school-district-financial-management-2020m-75State Comptroller DiNapoli Releases Audits
… costs. Department of Health (DOH): Examination of Official Station Designation (2015-BSE1-04) DOH’s designation of the official station for an employee in calendar years 2013 and 2014 was … rules and regulations. As a result of an improper official station designation, DOH paid $16,089.56 and $22,033.71 in …
https://www.osc.ny.gov/press/releases/2018/06/state-comptroller-dinapoli-releases-auditsImproper Medicaid Payments to Eye Care Providers
… eligibility under 34 provider identification numbers without disclosing all of their apparent affiliations. We …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/improper-medicaid-payments-eye-care-providersMedicaid Program – Suspicious and Fraudulent Medicaid Payments to Affiliated Brooklyn Dentists
… dentists. Key Findings We identified about $2.3 million in highly suspicious and possibly fraudulent claims that were … on June 17, 2010, the dentists' two offices were open for a total of 19 hours. However, the dentists submitted claims … that were purportedly provided by another affiliated dentist. In addition, the dentists paid staff to recruit …
https://www.osc.ny.gov/state-agencies/audits/2013/04/04/medicaid-program-suspicious-and-fraudulent-medicaid-payments-affiliated-brooklyn-dentistsUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers
… through December 31, 2016. Background The New York State Health Insurance Program (NYSHIP), administered by the State … Department of Civil Service (Civil Service), provides health insurance coverage to active and retired State, …
https://www.osc.ny.gov/state-agencies/audits/2018/08/13/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryOversight of the Title Insurance Industry
… of Financial Services (DFS) adequately monitors the State’s title insurance industry (Industry). The audit scope … is responsible for regulating all insurance in New York State, including title insurance. Title insurance protects … 2018 written statement to the Assembly Standing Committee on Insurance. For 2016, DFS reported $11.9 billion in net …
https://www.osc.ny.gov/state-agencies/audits/2019/03/21/oversight-title-insurance-industryBrookville Center for Children’s Services, Inc. – Compliance With the Reimbursable Cost Manual
… the State Education Department’s (SED) Reimbursable Cost Manual (Manual). The audit included expenses claimed on … with management services under the Corporate and Administrative Services Agreement (Management Agreement). Key … such costs be disallowed, as follows: $305,207 in administrative costs for services to Brookville that should …
https://www.osc.ny.gov/state-agencies/audits/2017/10/04/brookville-center-childrens-services-inc-compliance-reimbursable-cost-manualParsons Child and Family Center – Compliance With the Reimbursable Cost Manual
… CFR for the Preschool Special Class – over 2.5 hours per day, Preschool Integrated Special Class – over 2.5 hours per day, and Preschool Integrated Special Class – 2.5 hours per day (collectively referred to as the Programs) that it …
https://www.osc.ny.gov/state-agencies/audits/2020/04/24/parsons-child-and-family-center-compliance-reimbursable-cost-manualThrough Ages, Inc. – Compliance With the Reimbursable Cost Manual
… to children with disabilities who are between the ages of three and five years. During the 2014-15 school year, … are based on fixed fees. The New York City Department of Education (DOE) refers students to Through Ages and pays … $3,144 in overreported depreciation expenses; and $350 in excessive compensation costs. Key Recommendations To SED: …
https://www.osc.ny.gov/state-agencies/audits/2020/06/03/through-ages-inc-compliance-reimbursable-cost-manualOversight of Registered Apprenticeship Programs
… address Program development, registration, promotion, and monitoring. In September 2023, DOL issued Technical Advisory #23-01 (Advisory) to Sponsors that addressed monitoring. For the purposes of this report, we refer to the … DOL Apprenticeship Training Representatives (ATRs), whose monitoring includes visits to Sponsors. During monitoring …
https://www.osc.ny.gov/state-agencies/audits/2025/07/31/oversight-registered-apprenticeship-programsVillage Official Heading to Prison for Stealing More Than $100,000
… village of Altmar in Oswego County, was sentenced to 2 to 6 years in state prison after pleading guilty to stealing $117,000 in public funds. Bailey was charged in … village of Altmar in Oswego County was sentenced to 2 to 6 years in state prison after pleading guilty to …
https://www.osc.ny.gov/press/releases/2014/08/village-official-heading-prison-stealing-more-100000Cazenovia Central School District - Information Technology (2019M-46)
… and sensitive information (PPSI) on District servers and in the financial system was adequately protected from …
https://www.osc.ny.gov/local-government/audits/school-district/2019/07/03/cazenovia-central-school-district-information-technology-2019m-46Opinion 90-13
… request and expense of a village, to install sewer pipe for a village sewer project in conjunction with a DOT road … reply to your letter concerning installation of sewer pipe for a village sewer project in conjunction with a planned New … informed us that DOT would incorporate the work required for the sewer project into DOT's scheduled road project by …
https://www.osc.ny.gov/legal-opinions/opinion-90-13NY State & City Comptrollers, State Treasurers: Federal Bill Attempts to Silence Investors
… Thomas P. DiNapoli and New York City Comptroller Scott Stringer in issuing a "Joint Statement on Defending … State Comptroller Susana Mendoza, Illinois State Treasurer Michael Frerichs, Maryland State Comptroller Peter Franchot, …
https://www.osc.ny.gov/press/releases/2017/06/ny-state-city-comptrollers-state-treasurers-federal-bill-attempts-silence-investorsMedicaid Program: Excessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans
To determine whether Medicaid overpaid Mainstream Managed Care and Health and Recovery Plan premiums on behalf of dual-eligible individuals.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21s37-response.pdfOversight of the Supported Housing Program – DePaul Group, Inc. and Affiliates
… and provided the required services under their Supported Housing Program contracts. The audit covered the 34‑month … State-operated facilities) and indirectly (through service providers). OMH offers, among other programs, the Supported Housing Program (Program), which is an initiative to provide …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/oversight-supported-housing-program-depaul-group-inc-and-affiliatesState Comptroller DiNapoli Releases Municipal Audits
… New York State Comptroller Thomas P. DiNapoli today announced the following local government audits has … New York State Comptroller Thomas P DiNapoli today announced the following local government audits has …
https://www.osc.ny.gov/press/releases/2020/11/state-comptroller-dinapoli-releases-municipal-audits-1Medicaid Program – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… and the New York State Department of Financial Services (DFS). In December 2011, Davis Ethical was sold. We limited … quantities. Key Recommendations Coordinate with the NCDA, DFS, and other authorities as requested to assist in any …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/medicaid-program-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyThe Network for Children’s Speech, Occupational & Physical Therapy, LLC – Compliance With the Reimbursable Cost Manual
… The Network for Children’s Speech, Occupational & Physical Therapy, LLC (CTN) on its Consolidated Fiscal Reports (CFR) … by The Network for Childrens Speech Occupational Physical Therapy LLC on its Consolidated Fiscal Reports were properly …
https://www.osc.ny.gov/state-agencies/audits/2018/07/03/network-childrens-speech-occupational-physical-therapy-llc-compliance-reimbursable-cost