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Medicaid Program - Ambulatory Patient Groups Payments for Duplicate Claims and Services in Excess of Medicaid Service Limits (2013-S-17)

To determine whether the Department of Health established adequate controls to prevent duplicate and excessive Medicaid payments to clinics and outpatient facilities reimbursed by the Ambulatory Patient Groups (APG) payment methodology.

https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-13s17.pdf

Medicaid Program - Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician (2012-S-35), 90-Day Response

To determine if Dr. Riaz Ahmad complied with Medicaid policies and whether Dr. Ahmad’s medical records support the services he billed and the prescriptions he w

https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-12s35-response.pdf

Selected Payments for Special Items Made to Arden Hill Hospital from January 1, 2011 through March 31, 2011 (2012-S-54)

We audited selected claim payments made by Empire BlueCross BlueShield (Empire) to Arden Hill Hospital (Arden Hill) on behalf of the New York State Health Insur

https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2012-12s54.pdf

Selected Payments for Special Items Made to St. Luke’s Cornwall Hospital from January 1, 2011 through March 31, 2011(2012-S-58)

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-2013-12s58.pdf

Selected Payments for Special Items Made to St. Peter’s Hospital from January 1, 2011 through March 31, 2011 (2012-S-62)

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-2012-12s62.pdf

Selected Payments for Special Items Made to St. Mary’s Hospital from January 1, 2011 through March 31, 2011 (2012-S-57)

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-2012-12s57.pdf

Comptroller DiNapoli and Attorney General Underwood Announce Sentencing of Queens Pharmacy Owner for Stealing More than $1.5 Million from Medicaid

… and State Comptroller Thomas P. DiNapoli announced today the sentencing of Arkady Goldin, 40, of Brooklyn, owner of Value Pharmacy … to its current location in Lynbrook, NY, for defrauding the New York State Medicaid program out of $1.5 million. … and State Comptroller Thomas P DiNapoli announced the sentencing of Arkady Goldin owner of Value Pharmacy Inc …

https://www.osc.ny.gov/press/releases/2018/07/comptroller-dinapoli-and-attorney-general-underwood-announce-sentencing-queens-pharmacy-owner

DiNapoli, Erie County DA Keane and Erie County Sheriff Garcia Announce Former Deputy Clerk Sentenced for Stealing More Than $320,000

… Former Deputy Erie County Clerk Alexander McDougall was sentenced today to 1 1/3 … after pleading guilty to stealing over $320,000 in county funds, State Comptroller Thomas P. DiNapoli, Erie … Former Deputy Erie County Clerk Alexander McDougall was sentenced today to 1 13 …

https://www.osc.ny.gov/press/releases/2025/01/dinapoli-erie-county-da-keane-and-erie-county-sheriff-garcia-announce-former-deputy-clerk-sentenced

State Comptroller DiNapoli & U.S. Attorney Announce Guilty Plea & Sentencing of Former Albany Resident for Defrauding NYS Retirement System of $130,624

… confinement. Grossmann was also ordered to pay $130,624 in restitution to the New York State & Local Retirement … System with fake documents and other schemes has ended in his guilty plea and an order for restitution to the … to our partnership with the U.S. Attorney's Offices in New York and South Carolina, Mr. Grossmann is facing …

https://www.osc.ny.gov/press/releases/2017/12/state-comptroller-dinapoli-us-attorney-announce-guilty-plea-sentencing-former-albany-resident

DiNapoli: Former Essex County Fair Treasurer and Willsboro Town Clerk Ordered To Pay Full Restitution for Theft of Nearly $90,000

… after her conviction by guilty plea of grand larceny in the second degree and grand larceny in the third degree as a crime of public corruption for … the trust of multiple communities and treated public money in her care as her own to fund her lifestyle. Now she is a …

https://www.osc.ny.gov/press/releases/2025/07/dinapoli-former-essex-county-fair-treasurer-and-willsboro-town-clerk-ordered-pay-full-restitution

DiNapoli: Greenburgh-Graham Union Free School District Superintendent and Former Security System Specialist Arrested on Corruption Charges for Stealing School Funds

… corruption by those responsible for the care of students in need betrayed the trust of the entire school district … Office.” The defendants, Oliver Levy, 55, of Stony Point in Rockland County, and Surendra Kumar, 47, of Yonkers, were … Office and arraigned on felony charges of Grand Larceny in the Third Degree as a Crime of Public Corruption and …

https://www.osc.ny.gov/press/releases/2024/05/dinapoli-greenburgh-graham-union-free-school-district-superintendent-and-former-security-system

DiNapoli and Oneida DA McNamara Announce Arrests of Utica School Superintendent and Former Utica Mayor for Theft of Public Funds

… office and the New York State Police for their assistance in investigating this case of public corruption.” New York … County District Attorney’s Office for their partnership in these arrests. The State Police will continue to hold … envelopes, and other supplies to send election mailers in support of school board candidates that he favored and who …

https://www.osc.ny.gov/press/releases/2023/11/dinapoli-and-oneida-da-mcnamara-announce-arrests-utica-school-superintendent-and-former-utica-mayor

DiNapoli: Tennessee Woman Pleads Guilty to Wire Fraud for Receiving Deceased Mother's New York State and Local Retirement System Benefits

… that Leslie Schwinzer has pleaded guilty to wire fraud (18 USC. § 1343) in the U.S. District Court at Knoxville, TN for … Schwinzer was charged with one count of wire fraud (18 USC. § 1343) in the EDTN on January 27, 2022. She has agreed … that Leslie Schwinzer has pleaded guilty to wire fraud 18 USC 1343 in the US District Court at Knoxville TN for …

https://www.osc.ny.gov/press/releases/2022/03/dinapoli-tennessee-woman-pleads-guilty-wire-fraud-receiving-deceased-mothers-new-york-state-and-local

An Analysis of Reasonable and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in the New York State Health Insurance Program

… and customary (R&C) rate. MultiPlan, Inc. is the provider network leased by United to supplement its own network. If the out-of-network provider does not receive the MultiPlan rate, United will reimburse the provider at the R&C rate. The R&C rate is generally based on …

https://www.osc.ny.gov/state-agencies/audits/2020/04/01/analysis-reasonable-and-customary-out-network-reimbursement-rates-medicalsurgical-services

Program Oversight and Monitoring of the Maximus Contract for the New York State of Health (Insurance Marketplace) Customer Service Center

… Health, to help New Yorkers shop for and enroll in health insurance coverage. Since 2010, the Department has had a … and Bureau officials had already taken actions to address the matters we identified to help ensure Maximus’ … Oversight of the Early Intervention Program’s State Fiscal Agent (2015-S-22) …

https://www.osc.ny.gov/state-agencies/audits/2016/06/16/program-oversight-and-monitoring-maximus-contract-new-york-state-health-insurance

Improper Payments for Services Related to Ordering, Prescribing, Referring, or Attending Providers No Longer Participating in the Medicaid Program (Follow-Up)

… screened and enrolled in Medicaid and have an "active" provider status. Through the screening and provider enrollment process, the Department gains a level of … We determined Medicaid made $965 million in payments for 2.3 million OPRA services by physicians and professionals who …

https://www.osc.ny.gov/state-agencies/audits/2024/01/03/improper-payments-services-related-ordering-prescribing-referring-or-attending-providers-no

Medicaid Program – Improper Payments for Sexual and Erectile Dysfunction Drugs, Procedures, and Supplies Provided to Medicaid Recipients, Including Sex Offenders

… To determine whether Medicaid recipients, including sex offenders, inappropriately received Medicaid-funded … as ED) for all Medicaid recipients, including registered sex offenders. In addition, Medicaid must not pay for ED … of procedures and supplies to treat ED for registered sex offenders. Key Findings Medicaid made improper payments …

https://www.osc.ny.gov/state-agencies/audits/2019/06/03/medicaid-program-improper-payments-sexual-and-erectile-dysfunction-drugs-procedures-and

DiNapoli Commends Legislature for Passing Bill to Modernize Banking Development District Program and Expand Access to Capital in Underserved Communities

… to satisfy collateral requirements for state deposits. The change would free up additional capital for essential banking … communities, it can only do so as long as it remains easy to participate in," said Anderson . "The bill my …

https://www.osc.ny.gov/press/releases/2026/06/dinapoli-commends-legislature-passing-bill-modernize-banking-development-district-program-and-expand

New York City Restaurant, Retail and Recreation Sectors Still Face Uphill Recovery

This report examines the damage the pandemic has inflicted on the RRR sectors, and considers the distribution of federal funds for businesses in the City, particularly for businesses in low- and moderate-income communities and in historically underutilized business zones.

https://www.osc.ny.gov/files/reports/osdc/pdf/report-17-2022.pdf