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Ausable Valley Central School District - Medicaid Reimbursements (2018M-189)
… all Medicaid reimbursements to which it was entitled for services provided to eligible special education students. … to ensure Medicaid claims were submitted and reimbursed for all eligible services provided. Claims were not submitted and reimbursed for 1,674 eligible services totaling $58,965 and service …
https://www.osc.ny.gov/local-government/audits/school-district/2019/01/25/ausable-valley-central-school-district-medicaid-reimbursements-2018m-189DiNapoli Releases Sunset Park Economic Snapshot
… and businesses, and the wages being paid in Sunset Park, Brooklyn are all growing at a rapid pace, according to a … whose organization hosted the report’s release at the Brooklyn Army Terminal. “The neighborhood has provided first … are ideal for economic development investment,” said Brooklyn Borough President Eric L. Adams . “Data included in …
https://www.osc.ny.gov/press/releases/2016/09/dinapoli-releases-sunset-park-economic-snapshotConflicts of Interest of Municipal Officers and Employees
… officer or employee, your job by its very nature places you in a position of public trust. You are responsible for … government, is provided in poster format [pdf - 2019] . What is a conflict of interest? You may have heard of the … in law. If you have an interest in a contract, and you do not have any of the powers or duties that could cause the …
https://www.osc.ny.gov/local-government/publications/conflicts-interest-municipal-officers-and-employeesUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… to allegations of improper billing practices, there have been several investigations of Davis Ethical by … resulted from efforts by Davis Ethical that appear to have been designed to defraud NYSHIP. The improper payments … by this audit. Formally assess the payments we did not test and determine the extent to which Davis Ethical …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyComptroller DiNapoli and A.G. Schneiderman Announce Sentencing of Former West Ghent Volunteer Fire Company Treasurer Who Embezzled Funds to Bankroll Personal Business
… – and it’s reprehensible that someone would pocket the very funds that enable them to do their lifesaving work," …
https://www.osc.ny.gov/press/releases/2017/08/comptroller-dinapoli-and-ag-schneiderman-announce-sentencing-former-west-ghent-volunteer-fire-companyUnited HealthCare – Empire Plan Drug Rebates
… Insurance Company of New York (United) credited the Department of Civil Service (Department) for all rebate revenue due under its contract … Determine if United HealthCare Insurance Company of NY credited Department of Civil Service for all rebate revenue due under …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/united-healthcare-empire-plan-drug-rebatesDiNapoli: Contractor Failed to Turn Over $1.5 Million in Prescription Drug Rebates to NYS
… Plan (NYSHIP) failed to turn over nearly $1.5 million in rebates to the state over a four-year period, according to … Express Scripts Holding Company took over those duties in 2012. DiNapoli’s auditors found that on a quarterly basis, … Scripts invoiced drug manufacturers for rebates and, in accordance with its subcontract with United, made …
https://www.osc.ny.gov/press/releases/2016/11/dinapoli-contractor-failed-turn-over-15-million-prescription-drug-rebates-nysState Comptroller DiNapoli Releases State Audits and Examinations
… York State Comptroller Thomas P. DiNapoli announced today the following audits and examinations have been issued: … potentially hazardous medical supplies. For example, 10 of the 11 SBHCs sampled had shortages in various medication categories with one school having an unexplained …
https://www.osc.ny.gov/press/releases/2017/03/state-comptroller-dinapoli-releases-state-audits-and-examinations-0Empire BlueCross BlueShield – Payments to John T. Mather Memorial Hospital (Follow-Up)
… were implemented. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, participating … Related Audits/Reports of Interest New York State Health Insurance Program: Empire BlueCross Blue Shield - Payments to …
https://www.osc.ny.gov/state-agencies/audits/2013/06/04/empire-bluecross-blueshield-payments-john-t-mather-memorial-hospital-followDiNapoli: Oswego Teacher Charged With Stealing Over $4,000 From CiTi BOCES
… the Center for Instruction Technology and Innovation (CiTi) BOCES. “William Fisher was supposed to help adults earn … position to take advantage of others.” Fisher worked for CiTi BOCES in the town of Mexico, NY. During an internal audit, CiTi BOCES found discrepancies with Fisher’s time sheets. …
https://www.osc.ny.gov/press/releases/2023/08/dinapoli-oswego-teacher-charged-stealing-over-4000-citi-bocesDiNapoli: New Federal Funds Give New York a Chance To Expand Broadband, Close Digital Divide
… that New York state will get nearly $665 million in federal funding to invest in improvements to broadband availability gives the state an … universal deployment of the highest-speed connections in every corner of the state, according to a new analysis … that New York state will get nearly $665 million in federal funding to invest in improvements to broadband …
https://www.osc.ny.gov/press/releases/2023/07/dinapoli-new-federal-funds-give-new-york-chance-expand-broadband-close-digital-divideCanarsie Childhood Center, Inc. – Compliance With the Reimbursable Cost Manual
… who are 3 and 4 years of age. During the 2017-18 school year, CCC served approximately 90 students in its … in fringe benefits claimed by the Executive Director and Principal. $504 in unsupported compensation, including $433 …
https://www.osc.ny.gov/state-agencies/audits/2022/02/01/canarsie-childhood-center-inc-compliance-reimbursable-cost-manualNew York State Health Insurance Program - Empire Plan Members With Dual Family Coverage
… and members are paying excessively for dual Empire Plan Family coverage. The audit covered the period January 1, 2014 … policies and procedures. The annual cost for Empire Plan Family coverage ranged from $20,570 to $28,953 during the … to the full cost of coverage. The State does not allow two Family coverages for its employees; if a member and their …
https://www.osc.ny.gov/state-agencies/audits/2021/01/07/new-york-state-health-insurance-program-empire-plan-members-dual-family-coverageAuditory Oral Learning Center – Compliance With the Reimbursable Cost Manual
… year ended June 30, 2014. About the Program AOLC is a New York City-based not-for-profit organization authorized by … in 21 different school districts in four counties in New York City excluding the Bronx. During the fiscal year …
https://www.osc.ny.gov/state-agencies/audits/2019/12/31/auditory-oral-learning-center-compliance-reimbursable-cost-manualE&D Children Center, Inc. – Compliance With the Reimbursable Cost Manual
… June 30, 2015, E&D reported approximately $11.8 million in reimbursable costs for the SEIT preschool cost-based … 3 fiscal years ended June 30, 2015, we identified $711,676 in reported costs that did not comply with the requirements in the RCM and the CFR Manual, as follows: $300,142 in …
https://www.osc.ny.gov/state-agencies/audits/2021/11/16/ed-children-center-inc-compliance-reimbursable-cost-manualNew York State Health Insurance Program – Payments by Empire BlueCross for Hospital Services for Ineligible Members
… after the date their coverage ended; for example, action can be taken to disenroll a member on December 31, 2018, but …
https://www.osc.ny.gov/state-agencies/audits/2020/08/18/new-york-state-health-insurance-program-payments-empire-bluecross-hospital-servicesEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012
… whether Empire BlueCross BlueShield (Empire) paid claims for special items according to the provisions of the … portion of the Empire Plan (Plan), which includes coverage for inpatient and outpatient hospital services. Empire processes Plan claims for hospital services in accordance with agreements they …
https://www.osc.ny.gov/state-agencies/audits/2013/12/13/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughPositive Beginnings, Inc. – Compliance With the Reimbursable Cost Manual
To determine whether the costs reported by Positive Beginnings Inc Positive Beginnings on its Consolidated Fiscal Reports CFRs were reasonable necessary directly related to the special education program and sufficiently documented pursuant to the State Education Departments SED
https://www.osc.ny.gov/state-agencies/audits/2024/03/13/positive-beginnings-inc-compliance-reimbursable-cost-manualUnitedHealthcare Insurance Company of New York – Overpayments for Physician-Administered Drugs (Follow-Up)
… (Report 2021-S-32 ). About the Program The New York State Health Insurance Program (NYSHIP), administered by the … prescription drug, medical/surgical, hospital, and mental health and substance abuse coverage. Civil Service … Plan and to process and pay claims submitted by health care providers. Medical/surgical benefits cover a range of …
https://www.osc.ny.gov/state-agencies/audits/2025/05/21/unitedhealthcare-insurance-company-new-york-overpayments-physician-administered-drugsDiNapoli: Livingston County Woman Pleads Guilty to Stealing Over $25,000 in Her Deceased Mother's State Pension Payments
… Police Superintendent Steven G. James today announced that Patricia Chatley, 61, of Nunda, New York, pleaded guilty to … Police Superintendent Steven G James today announced that Patricia Chatley 61 of Nunda New York pleaded guilty to …
https://www.osc.ny.gov/press/releases/2025/06/dinapoli-livingston-county-woman-pleads-guilty-stealing-over-25000-her-deceased-mothers-state-pension