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DiNapoli: Former Village of Chatham Clerk-Treasurer Arrested for Stealing Funds From the Village
… York State Police today announced the arrest of Barbara Henry, the Village of Chatham’s former Clerk-Treasurer, … a village official stemming from the joint investigation. “Henry was entrusted to protect the village’s funds, instead … said DiNapoli. “This behavior is unacceptable and now Henry is being held accountable for her actions. I thank …
https://www.osc.ny.gov/press/releases/2021/03/dinapoli-former-village-chatham-clerk-treasurer-arrested-stealing-funds-villageDiNapoli: Finger Lakes Group Homes Overpaid for Food and Supplies, Wasting Taxpayer Money
… The state’s Office for People with Developmental Disabilities’ Finger Lakes … Service Office (DDSO) skirted state procurement laws for more than 1,400 purchases worth more than $1 million, … advantage in obtaining the state’s business and overpaid for hundreds of household items, according to an audit …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-finger-lakes-group-homes-overpaid-food-and-supplies-wasting-taxpayer-moneyDiNapoli: Waiving Waiting Period for Public Workers' Retirement Protects Families During Pandemic Crisis
… period before a public employee’s service retirement can take effect. DiNapoli requested the Executive Order in … a loved one to COVID-19 before their service retirement can be made official. The Executive Order applies to member … period before a public employees service retirement can take effect …
https://www.osc.ny.gov/press/releases/2020/04/dinapoli-waiving-waiting-period-public-workers-retirement-protects-families-during-pandemic-crisisCourt-Appointed Executor of Decedent’s Estate Sentenced to Two Years in Prison for Embezzlement
… son, the sole beneficiary of his father’s will. New York law provides for a fee to estate administrators like Bayard …
https://www.osc.ny.gov/press/releases/2019/10/court-appointed-executor-decedents-estate-sentenced-two-years-prison-embezzlementNew York League for Early Learning, Inc. – Compliance With the Reimbursable Cost Manual
… the three audited years, NYL shared space with Manhattan Star Academy (MSA), a private school that serves schoolage … charged to the SED cost-based programs for the services of two consultants. The consultant costs are duplicative as … the Agreement. Additionally, the costs for one of the two consultants were insufficiently documented. Key …
https://www.osc.ny.gov/state-agencies/audits/2017/03/29/new-york-league-early-learning-inc-compliance-reimbursable-cost-manualOversight of Hotels and Motels Used for Homeless and Mixed-Use Temporary Residency (Follow-Up)
… initial audit report, Oversight of Hotels and Motels Used for Homeless and Mixed-Use Temporary Residency (Report … portion of their homeless populations. In fact, for many rural counties, hotels and motels are the only … Disability Assistance (OTDA) has assigned responsibility for the inspection of hotels and motels housing the homeless …
https://www.osc.ny.gov/state-agencies/audits/2018/09/24/oversight-hotels-and-motels-used-homeless-and-mixed-use-temporary-residency-followUnited HealthCare – Overpayments for Services Provided by Long Island Bone and Joint, LLP
… The Empire Plan is the primary health benefits plan for NYSHIP, covering a range of services from inpatient … process and pay medical claims from health care providers for services provided to Empire Plan members. United … pay a nominal co-payment to the participating provider for the services rendered. Members may also choose to receive …
https://www.osc.ny.gov/state-agencies/audits/2017/03/01/united-healthcare-overpayments-services-provided-long-island-bone-and-joint-llpQuestionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician (Follow-Up)
… made in our initial audit report, Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a … warranted Medicaid payment. This included $712,250 for 19,031 fee-for-service claims and $327,154 for 5,664 encounter claims … made in our initial audit report Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a …
https://www.osc.ny.gov/state-agencies/audits/2017/09/19/questionable-payments-practitioner-services-and-pharmacy-claims-pertaining-selectedOverpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns (Follow-Up)
… to Managed Care Organizations and Hospitals for Low Birth Weight Newborns (Report 2013-S-57). Background The … care, Medicaid pays managed care organizations (MCOs) a fixed monthly capitation payment for each newborn enrolled … receive supplemental payments for the costs associated with newborn medical care. For example, MCOs receive a …
https://www.osc.ny.gov/state-agencies/audits/2016/12/07/overpayments-managed-care-organizations-and-hospitals-low-birth-weight-newborns-followMill Neck Manor School for the Deaf – Compliance With the Reimbursable Cost Manual
… processes. Other Related Audits/Reports of Interest Henry Viscardi School: Compliance With the Reimbursable Cost …
https://www.osc.ny.gov/state-agencies/audits/2013/03/14/mill-neck-manor-school-deaf-compliance-reimbursable-cost-manualUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… Ethical Pharmacy inappropriately billed United HealthCare for prescription medications under the State's employee … The Empire Plan (Plan) is the primary health benefits plan for NYSHIP and includes prescription drug coverage. The … on the primary contract, the Department reimburses United for all properly adjudicated claims. Davis Ethical Pharmacy …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyMedicaid Program – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… Pharmacy (Davis Ethical) inappropriately billed Medicaid for prescription medications. The audit covered the period … State Medicaid Program provides prescription drug coverage for enrollees. Davis Ethical is an independently owned pharmacy located in Rockville Centre, New York. For the period from January 1, 2008 through December 13, …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/medicaid-program-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyNew York State Dental Program – Payments for Scaling and Root Planing Procedures (Follow-Up)
… initial report Group Health Incorporated: New York State Dental Program - Payments for Scaling and Root Planing … 1, 2005 through December 31, 2008. New York State provides dental insurance benefits to certain State employees and … contracts with Group Health Incorporated (GHI) to process dental claims on behalf of the State. Emblem Health is the …
https://www.osc.ny.gov/state-agencies/audits/2013/11/12/new-york-state-dental-program-payments-scaling-and-root-planing-procedures-followNew York Center for Child Development, Inc. – Compliance With the Reimbursable Cost Manual
… whether the costs reported by the New York Center for Child Development, Inc. (NYCCD) on its Consolidated … The audit included all expenses claimed on NYCCD’s CFR for the fiscal year ended June 30, 2014, and certain expenses claimed on NYCCD’s CFRs for the two fiscal years ended June 30, 2013. Background …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/new-york-center-child-development-inc-compliance-reimbursable-cost-manualMedicaid Program – Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare
… not allowed in conjunction with hospice (such as Assisted Living) and services that are covered by the Medicare hospice …
https://www.osc.ny.gov/state-agencies/audits/2020/12/28/medicaid-program-improper-medicaid-payments-individuals-receiving-hospice-services-coveredImproper Managed Care Premium Payments for Recipients With Duplicate Client Identification Numbers (Follow-Up)
… audit report, Improper Managed Care Premium Payments for Recipients With Duplicate Client Identification Numbers … the State’s Medicaid program. Each individual who applies for Medicaid benefits is assigned a Client Identification … audit report Improper Managed Care Premium Payments for Recipients With Duplicate Client Identification Numbers …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/improper-managed-care-premium-payments-recipients-duplicate-client-identification-numbersMedicaid Program – Improper Managed Care Payments for Recipients With Duplicate Client Identification Numbers
… pays managed care organizations (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs pay for services their members require. Each individual who applies for Medicaid benefits is assigned a Client Identification …
https://www.osc.ny.gov/state-agencies/audits/2019/07/29/medicaid-program-improper-managed-care-payments-recipients-duplicate-client-identificationUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers (Follow-Up)
… anesthesia providers. Our initial audit report, issued on August 13, 2018, examined whether United overpaid for out-of-network … in-network anesthesia providers. For the period January 1, 2012 through December 31, 2016, we identified $991,357 in …
https://www.osc.ny.gov/state-agencies/audits/2019/11/18/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryMount Sinai Fire District - Financial Condition and Price Quotations for Purchases (2019M-83)
… Determine if the District is seeking competition for purchases that are under the bidding threshold. Key … balance. District officials did not always seek quotations for purchases under the bidding threshold. Key Recommendations Adopt financial plans for the maintenance of a reasonable level of fund balance, …
https://www.osc.ny.gov/local-government/audits/fire-district/2019/08/23/mount-sinai-fire-district-financial-condition-and-price-quotationsUniversity Preparatory Charter School for Young Men – Student Enrollment and Billing (2013M-292)
… audit was to examine the School’s student enrollment and billing process for the period July 1, 2011 through July 16, … students’ addresses in the School’s master file used for billing. … Charter School for Young Men Student Enrollment and Billing 2013M292 …
https://www.osc.ny.gov/local-government/audits/charter-school/2014/01/24/university-preparatory-charter-school-young-men-student-enrollment-and