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Improper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers (Follow-Up)
… of implementation of the six recommendations included in our initial audit report, Improper Medicaid Payments … the State’s Medicaid program. Individuals may enroll in Medicaid through Local Departments of Social Services or … than one CIN assigned to them during the time they are in receipt of benefits; however, only one CIN should have …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/improper-medicaid-payments-involving-fee-service-claims-recipients-multiple-clientSpecial 25-Year Plan for County Probation Department Peace Officers (Sections 89-t and 603(p))
… year special retirement plan for peace officers who serve in the probation department …
https://www.osc.ny.gov/retirement/publications/special-25-year-plan-county-probation-department-peace-officers-sections-89-t-and-603pDiNapoli: Audit Shows Former Highway Superintendent Took Taxpayers for a Ride in Town of Erin
… for his own use, totaling nearly $70,000, according to an audit detailing the fraud released today by New York … on Public Integrity investigation, a collaborative effort to combat public corruption at all levels of government, by … shows the extent of his alleged theft and his efforts to cover his tracks. Burlew betrayed taxpayers' trust by …
https://www.osc.ny.gov/press/releases/2014/08/dinapoli-audit-shows-former-highway-superintendent-took-taxpayers-ride-town-erinDiNapoli: School District and Big City Tax Levy Cap at 2% for Second Straight Year
… first applied to local governments and school districts in 2012, limits annual tax levy increases to the lesser of …
https://www.osc.ny.gov/press/releases/2023/01/dinapoli-school-district-and-big-city-tax-levy-cap-2-percent-second-straight-yearUnited HealthCare – Overpayments for Services Provided by Hudson Valley Bone and Joint Surgeons, LLP
… as well as their dependents. The Empire Plan is the primary health benefits plan for NYSHIP, covering a range of services from inpatient hospital care to outpatient surgical procedures and physician office visits. The New York State Department of …
https://www.osc.ny.gov/state-agencies/audits/2016/09/08/united-healthcare-overpayments-services-provided-hudson-valley-bone-and-joint-surgeons-llpUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… Purpose To determine the extent of implementation of the three … Plan (NYSHIP) made improper payments totaling $137,459 to Davis Ethical Pharmacy. Based on information obtained from … that patients actually picked-up the drugs billed to United HealthCare (United). Moreover, as a result of our …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyDiNapoli: NYC Projects Budget Surplus For 2017, But Faces Risks With Federal Budget Cuts
… come under pressure to offset the impact with its own funds rather than allowing vital services to be cut. These estimates exclude most federal Medicaid funds, which do not flow through the city's budget. …
https://www.osc.ny.gov/press/releases/2017/05/dinapoli-nyc-projects-budget-surplus-2017-faces-risks-federal-budget-cutsDiNapoli: MTA Needs to Refocus Attention on Overdue Upgrades and Preparations for Extreme Weather
… “It needs to reassess and focus its priorities to get money where it is most needed to restore the system and bring … 2013 and is overdue for an update. The MTA is now required by state law to produce a needs assessment every five years … . Under State Comptroller DiNapoli’s open data initiative, search millions of state and local government financial …
https://www.osc.ny.gov/press/releases/2021/12/dinapoli-mta-needs-refocus-attention-overdue-upgrades-and-preparations-extreme-weatherDiNapoli: Lack of Oversight Delayed Access to Emergency Home Repairs for Elderly New Yorkers
… (HCR) lax oversight of the Residential Emergency Services to Offer Home Repairs to the Elderly (RESTORE) program contributed to delays in urgent home repairs for seniors. The audit found …
https://www.osc.ny.gov/press/releases/2021/07/dinapoli-lack-oversight-delayed-access-emergency-home-repairs-elderly-new-yorkersMitchell Lama Applicants Charged $200 for Virtually No Chance of Apartment in Their Lifetime
… Despite waiting lists for Mitchell Lama apartments being very long and turnover very slow, some … 950 people on the waiting lists The three developments are holding more than $340,000 in fees for 1,706 applicants, … found that HPD had not established criteria to decide how many applicants should be selected and placed on waiting …
https://www.osc.ny.gov/press/releases/2019/12/mitchell-lama-applicants-charged-200-virtually-no-chance-apartment-their-lifetimeDiNapoli Op-Ed in Democrat & Chronicle Calls for Swift Action to Address Growing Food Insecurity
… and injustice. The long lines of people waiting for food speak to the inequities many face when it comes to accessing food. While uncertainty haunts the pandemic, the need to … U.S. Census Bureau data confirms the stark reality of food insecurity: 1.3 million adult New Yorkers live in …
https://www.osc.ny.gov/press/releases/2020/07/dinapoli-op-ed-democrat-chronicle-calls-swift-action-address-growing-food-insecurityHarrisville Central School District – Transportation State Aid and Debt for Bus Purchases (2020M-48)
… Properly segregate and account for surplus bond proceeds to ensure they are used to retire District debt. District officials agreed with our …
https://www.osc.ny.gov/local-government/audits/school-district/2020/07/02/harrisville-central-school-district-transportation-state-aid-and-debt-busDiNapoli: Some Bright Spots for NYC Finances in FY21, but Long-Term Challenges Looming
… are not expected to return to pre-pandemic levels until FY 2025. The citywide savings program is expected to generate …
https://www.osc.ny.gov/press/releases/2021/02/dinapoli-some-bright-spots-nyc-finances-fy21-long-term-challenges-loomingMedicaid Program – Overpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns
… Purpose To determine if Medicaid overpaid managed care organizations and hospitals for low birth weight newborn … for newborn services using the fee-for-service and managed care payment methods. Under fee-for-service, Medicaid pays … directly for Medicaid-eligible services. Under managed care, Medicaid pays managed care organizations (MCOs) a fixed …
https://www.osc.ny.gov/state-agencies/audits/2014/10/02/medicaid-program-overpayments-managed-care-organizations-and-hospitals-low-birth-weightMedicaid Program – Excessive Medicaid Payments to Federally Qualified Health Centers for Group Therapy Services
… Federally Qualified Health Centers were correctly applied. The audit covered the period June 1, 2008 through May 31, 2014. Background The Department of Health (Department) administers the State’s Medicaid … responsibilities include establishing Medicaid policies and procedures, certifying providers that participate in the …
https://www.osc.ny.gov/state-agencies/audits/2014/11/18/medicaid-program-excessive-medicaid-payments-federally-qualified-health-centers-groupStatewide Compliance With Administrative Requirements for Retail Liquor License Approvals, Renewals, and Enforcement Actions
… new and renewed licenses in accordance with the State’s Alcoholic Beverage Control Law (ABC Law) and the related … including the revocation, cancellation, and suspension of liquor licenses. Our audit focused on compliance with … Related Audit/Report of Interest State Liquor Authority - Division of Alcoholic Beverage Control: Oversight of …
https://www.osc.ny.gov/state-agencies/audits/2017/06/21/statewide-compliance-administrative-requirements-retail-liquor-license-approvals-renewalsMedicaid Program – Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician
… through December 31, 2011. Background Dr. Riaz Ahmad is a physician located in New York City who specializes in internal medicine. Dr. Ahmad has … 31, 2011, the Medicaid program (including Medicaid managed care plans) paid Dr. Ahmad $1,039,404 for 24,695 office …
https://www.osc.ny.gov/state-agencies/audits/2015/09/18/medicaid-program-questionable-payments-practitioner-services-and-pharmacy-claims-pertainingDiNapoli: New York City's Government Workforce Expected to Increase for First Time Since Pandemic
… to potential applicants through the city’s online job hub. For example, the Department of Citywide Administrative … employment applications received via the city’s online job hub has nearly doubled over two years to 736,011 in FY 2023. …
https://www.osc.ny.gov/press/releases/2024/05/dinapoli-new-york-citys-government-workforce-expected-increase-first-time-pandemicDiNapoli: Former Erie County Deputy Clerk Arrested for Stealing More Than $200,000 From County
… Attorney John J. Flynn, and Erie County Sheriff John C. Garcia announced the arrest of former Deputy Erie County … District Attorney John Flynn and Erie County Sheriff John Garcia, he is being held accountable for his crimes.” …
https://www.osc.ny.gov/press/releases/2024/03/dinapoli-former-erie-county-deputy-clerk-arrested-stealing-more-200000-countyXI.4.B Standard Contract Language for Grant Contracts: Fixed Term, Multiyear Contracts and Simplified Renewals – XI. Procurement and Contract Management
… contract formats. The use of standard contract language results in efficiencies for both the State and the …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi4b-standard-contract-language-grant-contracts-fixed-term-multiyear-contracts-and-simplified