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United HealthCare – Overpayments for Services Provided by Orthopedic Associates of Long Island
… The New York State Department of Civil Service contracts with United HealthCare (United) to process and pay medical … services provided to Empire Plan members. United contracts with in-network participating providers who agree to accept … Overpayments for Services at the Capital Region Ambulatory Surgery Center (2007-S-72) New York State Health Insurance …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-orthopedic-associates-long-islandDiNapoli: Audits Reveal Millions in Lost Revenue for Local Water Systems
… systems from January 2012 through May 2017. "Water leaks, broken pipes and aging infrastructure are costing local … $2.2 million in savings. More often than not, water loss is caused by leaks from broken or aging underground pipes. In … infrastructure, and modernizing water meters. This report is the second in a series examining various aspects of …
https://www.osc.ny.gov/press/releases/2017/10/dinapoli-audits-reveal-millions-lost-revenue-local-water-systemsDiNapoli: State Agencies Persistently Late with Not-For-Profits Contracts
… found 50 percent of the contracts in 2019 between Not-for-Profit (NFP) organizations and the state were not … coming months, New York state will need to rely on our not-for-profit partners more than ever to continue fighting the … harms service providers in fields like healthcare, care for the disabled, education and homeless services, which in …
https://www.osc.ny.gov/press/releases/2020/06/dinapoli-state-agencies-persistently-late-not-profits-contractsMedicaid Program – Improper Episodic Payments to Home Health Providers
… as hospitals or rehabilitative centers. The EPS is based on 60-day episodes of care. CHHAs can be paid for a full … 31, 2015, Medicaid made $1.2 billion in EPS payments. Key Findings Auditors identified about $16.6 million in … and recoup the types of overpayments we identified. Key Recommendations Review the $16.6 million in improper …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/medicaid-program-improper-episodic-payments-home-health-providersHousing Trust Fund Corporation – Oversight of the Residential Emergency Services to Offer Home Repairs to the Elderly Program (Follow-Up) (2022-F-18) 30-Day Response
To assess the extent of implementation of the six recommendations included in our initial audit report, Housing Trust Fund Corporation: Oversight of the Residential Emergency Services to Offer Home Repairs to the Elderly Program (Report 2020-S-4).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22f18-response.pdfDiNapoli: Numbers of Homeless Population Doubled in New York
… January 2023 to January 2024, more than four times the rest of the nation. The large spike was driven by New York City and the influx of asylum seekers, but the rest of the state also had double- and triple-digit rate … eviction moratoriums, it has increased faster than the rest of the nation, more than doubling between 2022 and 2024 …
https://www.osc.ny.gov/press/releases/2025/01/dinapoli-numbers-homeless-population-doubled-new-yorkManagement of Indoor Air Quality for Individuals With Asthma (2020-S-59) 180-Day Response
To determine if the Department of Health (Department) effectively identified poor housing conditions for residents with asthma and worked with Local Health Departments (LHDs) to ensure home visits were prioritized.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-20s59-response.pdfNew York Institute for Special Education – Compliance With the Reimbursable Cost Manual
… and the Consolidated Fiscal Reporting and Claiming Manual (CFR Manual). The audit focused primarily on expenses claimed on the Institute’s CFR for the fiscal year ended June 30, 2020 and certain … did not comply with the requirements in the RCM and the CFR Manual, as follows: $3,132,751 in unsupported …
https://www.osc.ny.gov/state-agencies/audits/2024/12/18/new-york-institute-special-education-compliance-reimbursable-cost-manualMedicaid Program – Managed Care Organizations: Payments to Ineligible Providers
… in other unacceptable insurance practices face possible sanctions, such as exclusion or termination from the Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2018/02/26/medicaid-program-managed-care-organizations-payments-ineligible-providersDiNapoli Offers Proposal to Encourage Better Local Government Budgeting
… 16 counties, 18 towns, five cities, 16 villages and 87 school districts. …
https://www.osc.ny.gov/press/releases/2014/04/dinapoli-offers-proposal-encourage-better-local-government-budgetingUnited HealthCare: Overpayments for Services Provided by Hudson Valley Bone and Joint Surgeons, LLP (2016-S-17)
To determine whether Hudson Valley Bone and Joint Surgeons, LLP waived Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2016-16s17.pdfDiNapoli: Help for Vulnerable Adults in NYC Falls Short
… and case management between April 2019 and October 2024. Case Management Problems Auditors reviewed 179 referrals for 80 clients … HRA offices. In some instances, some caseworkers had up to 90 cases, while others had much lower caseloads and a stated …
https://www.osc.ny.gov/press/releases/2025/10/dinapoli-help-vulnerable-adults-nyc-falls-shortDiNapoli: Participation in New York's 30% School Lunch Reimbursement Program Can Be Increased With Improved Administration
… cannot let these barriers stand in the way of feeding our kids better food and supporting our farmers. Breaking down … student success.” Assemblymember Carrie Woerner (D-Round Lake) said , “I am in strong support of basing the … nutritious food from local farms, everyone benefits - kids, schools, and our agricultural businesses. I’m grateful …
https://www.osc.ny.gov/press/releases/2025/10/dinapoli-participation-new-yorks-30-school-lunch-reimbursement-program-can-be-increased-improvedCity of Mechanicville – Separation Payments (2025M-59)
… Period January 1, 2022 – September 30, 2024 Understanding the Audit Area When an employee leaves city employment (e.g., by resignation or retirement), the employee may be entitled to receive separation payments … as unused sick leave or vacation time) while employed with the municipality. A city may also establish “retirement …
https://www.osc.ny.gov/local-government/audits/city/2026/04/03/city-mechanicville-separation-payments-2025m-59DiNapoli: Localities Spending More to Address Climate Change Hazards
… asked for information on projects in ten categories. The most commonly reported actions were: Planting trees or other … relocation or demolition of any of those structures. The most common type of retrofitting project reported was … outages attributed to increasingly severe storms. The most expensive projects involved retrofitting or rebuilding …
https://www.osc.ny.gov/press/releases/2023/04/dinapoli-localities-spending-more-address-climate-change-hazardsDiNapoli: Special Education Provider Pleads Guilty to Felony Charges
… is currently working with various prosecutors on other criminal referrals stemming from audits of special education …
https://www.osc.ny.gov/press/releases/2014/05/dinapoli-special-education-provider-pleads-guilty-felony-chargesExcessive Payments for Durable Medical Equipment Rentals (2021-S-36)
To determine whether Medicaid managed care organizations inappropriately paid for durable medical equipment beyond allowed rental limits, and whether the Medicaid program could achieve cost savings by implementation of a rental cap on oxygen equipment.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21s36.pdfEPI - Fare Revenue Considerations for the Metropolitan Transportation Authority
Even before the pandemic, the Metropolitan Transportation Authority, which provides transit (subway and bus), express bus, commuter rail and paratransit services to the New York region, faced difficulties in closing its projected budget gaps.
https://www.osc.ny.gov/files/reports/osdc/pdf/fare-revenue-considerations-for-mta.pdfDiNapoli Announces Robin Lois to Oversee Local Government Division
… as Dutchess County Comptroller from 2018 until 2024 after winning her first bid for elected office in 2017. Lois was …
https://www.osc.ny.gov/press/releases/2024/01/dinapoli-announces-robin-lois-oversee-local-government-divisionState Comptroller DiNapoli Releases Municipal Audits
… audits were issued. Brighton Fire Department, Inc. – Board Oversight of Financial Operations (Monroe County) The board did not provide adequate oversight of … Town of New Windsor – Information Technology (Orange County) Town officials did not ensure information …
https://www.osc.ny.gov/press/releases/2021/04/state-comptroller-dinapoli-releases-municipal-audits-2