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Medicaid Program – Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY

… from June 1, 2012 through May 31, 2017. Background Many of the State’s Medicaid recipients are also eligible for … supplementary medical insurance coverage for a range of outpatient medical services, physician services, and … B cost-sharing amounts (e.g., deductibles and coinsurance) on behalf of dual-eligibles. In December 2009, the Department …

Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 3, 4, 5 and 6 Members – Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 3, 4, 5 and 6 Members

Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 1 and 2 Members – Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 1 and 2 Members

Medicaid Program – Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance

… premiums) were paid to MCOs that were related through some form of ownership (such as parent, subsidiary, or affiliate) …

UnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59 (Follow-Up)

… Purpose To determine the implementation status of the three recommendations made in our audit report, …

DiNapoli Statement on Greenville Arrest for Alleged Theft of Taxpayer Funded Resources

… New York State Comptroller Thomas P. DiNapoli released the … following an investigation by DiNapoli’s office and the New York State Police. "Mr. Williams allegedly abused his …

DiNapoli Announces Interim CIO for the New York State Common Retirement Fund

… of the New York State Common Retirement Fund. The Fund’s current CIO Vicki Fuller is retiring the week of July 30 … a wealth of experience to the position and has proven her skill and knowledge over her years as our Deputy CIO. I have great confidence that she …

School for Language and Communication Development – Compliance With the Reimbursable Cost Manual

… calculated, adequately documented, and allowable under the State Education Department’s (SED) guidelines, including the …

UnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers

… 1, 2012 through December 31, 2016. Background The New York State Health Insurance Program (NYSHIP), administered by the State Department of Civil Service (Civil Service), provides … in-network Ambulatory Surgery Centers (ASCs) contain contract provisions that require all anesthesia services …

Children’s Unit for Treatment and Evaluation – Compliance With the Reimbursable Cost Manual

… calculated, adequately documented, and allowable under the State Education Department’s (SED) guidelines, including the …

Educators for Children, Youth and Families, Inc. – Use of Contract Funds (Follow-Up)

… Purpose To determine the extent of implementation of the three recommendations included in our initial audit … Background Our initial audit report, which was issued on August 20, 2010, examined whether Educators for Children, …

DiNapoli: Contractor Sentenced in Federal Court for Defrauding State of Over $360,000

… A former state contractor who pleaded guilty to federal fraud charges … year, as a result of a joint investigation by New York State Comptroller Thomas P. DiNapoli and U.S. Attorney for …

West Corners Fire Company – Accounting for Cash Receipts and Disbursements (2014M-215)

… 1, 2013 through May 16, 2014. Background The West Corners Fire Company is a volunteer organization that is located in, … from foreign fire insurance, fundraising activities and donations, and also reported approximately $14,600 in …

DiNapoli: State Pays Drug Treatment Center Nearly $4 Million for Ineligible Expenses

… addiction services to New Yorkers.” OASAS, which oversees one of the nation’s largest programs for the prevention and … affiliates throughout the country. When an affiliate in one state did not have the revenue to fund their share of …

DiNapoli Audit Highlights Need for Better Compliance with School Violence Reporting Law

… The State Education Department (SED) has agreed to improve its … Against Violence in Education Act (SAVE Act) after a state audit found schools failed to report numerous cases of … designate schools on the 2014-15 persistently dangerous list. While SED has used this data in the past to identify …

Lifeline Center for Child Development, Inc. – Compliance With the Reimbursable Cost Manual

… whether the costs reported by Lifeline Center for Child Development, Inc. (Lifeline) on its Consolidated Fiscal … whether the costs reported by Lifeline Center for Child Development Inc on its Consolidated Fiscal Reports were …

Brookville Center for Children’s Services, Inc. – Compliance With the Reimbursable Cost Manual

… fiscal years ended June 30, 2013. Background Brookville is a Nassau County-based not-for-profit organization …

Medicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims

… guidance to assist hospitals in determining when to bill services as inpatient or outpatient likely contributed …

Medicaid Program – Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance

… Objective To determine if Medicaid made inappropriate fee-for-service payments to pharmacies on behalf of recipients … administers New York’s Medicaid program. Under the fee-for-service (FFS) payment method, the Department makes Medicaid payments directly to health care providers for services rendered to Medicaid recipients. Many recipients …

DiNapoli: State is Slow in Disbursing Some Federal Relief Funds for Housing

… crisis,” DiNapoli said. “We need every dollar available for housing needs in our state, particularly those that can … agreement through 2030. HCR acts as the pass through for the money by awarding it, in the form of grants, to local … Federally funded programs often set time frames for spending funds awarded, especially in temporary streams …