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III.9 Provisions for 15 Day Prompt Payment Interest Eligibility – III. Statewide Financial System (SFS)
… the Statewide Financial System (SFS) electronic vendor portal. Completion of this certification will identify that … certification is removed by the vendor through this same portal. The Office of the State Comptroller reserves the … website ( https://www.osc.state.ny.us/state-vendors/portal/15-day-prompt-payments-small-businesses ) for more …
https://www.osc.ny.gov/state-agencies/gfo/chapter-iii/iii9-provisions-15-day-prompt-payment-interest-eligibilityDiNapoli: Former Town Supervisor Sentenced to Prison for Embezzlement
… that any public official would choose to betray their promise to safeguard taxpayers’ money, but today Dennis Brown … restitution, of which he has already paid $125,000. Brown’s crimes were uncovered in 2018 by DiNapoli’s office, who then partnered with the State Police and …
https://www.osc.ny.gov/press/releases/2021/09/dinapoli-former-town-supervisor-sentenced-prison-embezzlementRegulation for Scheduling, Adjourning and Conduct of Administrative Hearings
… §317.1 Background Whereas, Sections 74 and 374 of the Retirement and Social Security Law direct that the Comptroller, upon timely receipt of a written demand, shall hold a hearing to review and … in such manner as to protect equally the interests of the applicant and of the retirement system, it being the …
https://www.osc.ny.gov/retirement/members/regulation-for-hearingsXII.10.A Lapsing and Year-End Procedures for Payment Processing – XII. Expenditures
… CUNY Stabilization Account appropriations lapse on March 31st, and SUNY Stabilization Account appropriations lapse on …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii10a-lapsing-and-year-end-procedures-payment-processingDiNapoli: Saranac Town Clerk Arrested for Falsifying Town Records
… in cash for various clerk fees including dog licenses, marriage licenses, building permits and a death certificate, but deposited only $392 of that cash into the … Bell was arraigned Thursday in Clinton County Court and was released on her own recognizance. She is due …
https://www.osc.ny.gov/press/releases/2021/04/dinapoli-saranac-town-clerk-arrested-falsifying-town-recordsDiNapoli: Former School District Treasurer Sentenced for Stealing Funds
… by depositing checks payable to the school district into bank accounts that she controlled. She also admitted stealing … Fraud Hotline at 1-888-672-4555, by filing a complaint online at [email protected] , or by mailing a …
https://www.osc.ny.gov/press/releases/2021/05/dinapoli-former-school-district-treasurer-sentenced-stealing-fundsDiNapoli: Westchester Sisters Sentenced for Stealing Deceased Mother's Pension
… announced the sentencings of Annette Bigelow, 61, and Mary Nash, 59, who hid their mother’s death to pocket nearly … to pay full restitution of $22,000. “Annette Bigelow and Mary Nash hid their mother’s death and tried to cheat the … Rocah announced the sentencings of Annette Bigelow 61 and Mary Nash 59 who hid their mothers death to pocket nearly …
https://www.osc.ny.gov/press/releases/2021/02/dinapoli-westchester-sisters-sentenced-stealing-deceased-mothers-pensionAlternatives For Children – Compliance With the Reimbursable Cost Manual
… (CFR) were properly calculated, adequately documented, and allowable under the State Education Department’s (SED) … Alternatives’ CFR for the fiscal year ended June 30, 2015, and certain expenses reported on Alternatives’ CFRs for the … to children with disabilities who are between three and five years of age. Alternatives is reimbursed for …
https://www.osc.ny.gov/state-agencies/audits/2018/04/05/alternatives-children-compliance-reimbursable-cost-manualOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… report, Overpayments for Services Also Covered by Medicare Part B (Report 2012-S-27). Background Many of the State’s Medicaid recipients are also enrolled in Medicare Part B, which provides supplementary medical insurance for a … enhanced reimbursements from Medicaid and Medicare for the Part B services they provide. FQHCs are “safety net” …
https://www.osc.ny.gov/state-agencies/audits/2015/06/26/overpayments-services-also-covered-medicare-part-b-followSubway Service Diversions for Maintenance and Capital Projects (Follow-Up)
… in our initial audit report, Subway Service Diversions for Maintenance and Capital Projects ( 2010-S-34 ). … that while Transit has a number of policies and procedures for managing and controlling subway diversions, more needed … not planned using current ridership data, and the budget for diversion advertisements to communicate information about …
https://www.osc.ny.gov/state-agencies/audits/2015/09/16/subway-service-diversions-maintenance-and-capital-projects-followOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… for Medicare Part B, which provides supplementary medical insurance covering a broad range of outpatient medical … to dual-eligible recipients. After Medicare adjudicates a claim, Medicaid pays the balance that is not covered by …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followUnnecessary Medicaid Payments for Children at Voluntary Agencies (Follow-Up)
… in Medicaid. For these children, the State establishes a “Daily Child Care Rate” (Daily Rate), which is the basis for Medicaid funding that the … children in their custody. For services not covered by the Daily Rate, health care providers bill Medicaid directly and …
https://www.osc.ny.gov/state-agencies/audits/2014/10/23/unnecessary-medicaid-payments-children-voluntary-agencies-followImproper Managed Care Payments for Certain Medicaid Recipients (Follow-Up)
… made in our audit report, Improper Managed Care Payments for Certain Medicaid Recipients (Report 2010-S-66). … 2010, Medicaid made $15.6 million in improper managed care payments on behalf of 14,899 recipients who, by State law, … the $15.6 million in improper Medicaid managed care payments and strengthen efforts to oversee and monitor …
https://www.osc.ny.gov/state-agencies/audits/2015/01/20/improper-managed-care-payments-certain-medicaid-recipients-followStatus of the Board-Approved Capital Plan for 2005-2011 (Follow-Up)
… in this review. Other Related Audits/Reports of Interest New York State Thruway Authority: Status of the Board-Approved Capital Plan for 2005-2011 (2008-S-48) New York State Thruway Authority: Proposed Toll Increases for … of the five recommendations included in our initial report New York State Thruway Authority Status of the BoardAppro …
https://www.osc.ny.gov/state-agencies/audits/2013/06/27/status-board-approved-capital-plan-2005-2011-followEmpire BlueCross BlueShield – Controls Over Payments for Special Items
… range of services including, but not limited to, hospital services, office visits, home care, medical … rate schedules for the payment of inpatient and outpatient hospital services. Empire’s hospital contracts also allow certain special items, such as …
https://www.osc.ny.gov/state-agencies/audits/2017/06/22/empire-bluecross-blueshield-controls-over-payments-special-itemsImproper Medicaid Payments for Recipients in Hospice Care (Follow-Up)
… Objective To determine the extent of implementation of the 11 recommendations made in our initial audit report, … To determine the extent of implementation of the 11 recommendations made in our …
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/improper-medicaid-payments-recipients-hospice-care-followMedicaid Program – Improper Medicaid Payments for Misclassified Patient Discharges
… to reimburse hospitals for inpatient medical care. When a hospital bills Medicaid for an inpatient stay, the hospital reports certain information on its claims, such as … information is used to calculate the payment made to the hospital. Hospitals must also use certain patient status …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/medicaid-program-improper-medicaid-payments-misclassified-patient-dischargesBenefits Advisement Services for Individuals With Disabilities Seeking Employment
… findings and recommendation related to benefits advisement in the New York State Employment First Commission report. The … Working-age New Yorkers with disabilities participate in the work force at a rate of less than half that of people … U.S. Census Bureau’s 2018 American Community Survey (ACS). In 2018, there were approximately 1 million working-age …
https://www.osc.ny.gov/state-agencies/audits/2021/07/20/benefits-advisement-services-individuals-disabilities-seeking-employmentUse of Federal Funding for Election Technology and Security
… Objective To determine whether the Board of Elections utilized available funding from the 2018 Help … Vote Act Election Security Grant to enhance the security of the State’s election technology and infrastructure. The … 1, 2018 to February 11, 2021. About the Program The Board of Elections (BOE) is responsible for administering and …
https://www.osc.ny.gov/state-agencies/audits/2021/09/17/use-federal-funding-election-technology-and-securityUnitedHealthcare – Reasonable and Customary Reimbursement Rates for Delayed Claims
… claims is 80 percent of the R&C rate for the service. R&C rates are updated every six months. From January 1, 2017 … million for 255,807 out-of-network claims based on R&C rates. Key Findings United's automated claims processing … the two most recent R&C rate periods (i.e., reimbursement rates from the prior 12 months) to process all R&C claims – …
https://www.osc.ny.gov/state-agencies/audits/2019/12/12/unitedhealthcare-reasonable-and-customary-reimbursement-rates-delayed-claims