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Hebrew Academy for Special Children, Inc. – Compliance With the Reimbursable Cost Manual
… Special Class (SC), and full- and half-day Special Class in an Integrated Setting (SCIS) programs to children with … under these programs and under the SEIT program effective in the 2015-16 fiscal year are based on fixed fees. Hebrew … year, Hebrew Academy served approximately 539 students in its SED preschool cost-based programs. The New York City …
https://www.osc.ny.gov/state-agencies/audits/2020/02/04/hebrew-academy-special-children-inc-compliance-reimbursable-cost-manualAdministration of the Contract With the Postgraduate Center for Mental Health (Follow-Up)
… of implementation of the nine recommendations included in our initial audit report, Administration of the Contract … had a severe bedbug problem. We also identified $697,938 in unsupported and/or inappropriate expenses charged to the … fees and staff travel. We also found deficiencies in efforts by OMH program staff to follow up on …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/administration-contract-postgraduate-center-mental-health-followImproper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up)
… of implementation of the nine recommendations included in our initial audit report, Improper Medicaid Payments for … and supplies; and drugs. When individuals are enrolled in both Medicaid and Medicare (referred to as … services, while Medicaid is the payer of last resort. In addition to delivering services, hospice providers are …
https://www.osc.ny.gov/state-agencies/audits/2023/02/13/improper-medicaid-payments-individuals-receiving-hospice-services-covered-medicare-followMedicaid Program – Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance
… have other third-party health insurance (TPHI) for pharmacy services in addition to Medicaid (e.g., … is considered the payer of last resort and, as such, FFS pharmacy providers are required to coordinate benefits with … to claims reviewed and recovered by Gainwell. These reviews are important, as shown by the audit whereby we made …
https://www.osc.ny.gov/state-agencies/audits/2023/05/11/medicaid-program-improper-fee-service-pharmacy-payments-recipients-third-party-healthMedicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims
… inpatient and outpatient services. A recipient’s status in a hospital – inpatient versus outpatient – affects … care generally requires recipients to stay overnight in the hospital and be monitored by the health care team at … services are medical procedures that can be performed in the same day. Medicaid uses the All Patient Refined …
https://www.osc.ny.gov/state-agencies/audits/2023/08/30/medicaid-program-improper-medicaid-payments-outpatient-services-billed-inpatient-claimsChildren’s Unit for Treatment and Evaluation – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Children’s Unit for Treatment and … calculated, adequately documented, and allowable under the State Education Department’s (SED) guidelines, including the Reimbursable Cost Manual (RCM). The audit covered … To determine whether the costs reported by Childrens Unit for Treatment and …
https://www.osc.ny.gov/state-agencies/audits/2019/07/15/childrens-unit-treatment-and-evaluation-compliance-reimbursable-cost-manualMedicaid Program – Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY
… under 65 with certain disabilities. Individuals enrolled in both programs are commonly referred to as “dual-eligible.” … deductibles and coinsurance) on behalf of dual-eligibles. In December 2009, the Department of Health (Department) … the accuracy of Medicaid payments for dual-eligibles. In certain instances, providers may still submit these claims …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-part-b-services-billed-directly-emednyMedicaid Program – Opioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program
… Programs should check I-STOP and, with a patient’s consent (as required by federal law), seek coordination of … providers to coordinate patient care even without patient consent, and to remove the federal confidentiality … asked at least once during treatment to sign a consent form to coordinate care with the recipient’s opioid …
https://www.osc.ny.gov/state-agencies/audits/2018/11/20/medicaid-program-opioid-prescriptions-medicaid-recipients-opioid-treatment-programMedicaid Program – Overpayments for Therapy Services and Prescription Drugs Covered by Medicare
… recipients, health care providers are required to bill Medicare, which is generally the primary payer, before … dual-eligible recipients that, according to the automated claim information, should have been paid by Medicare, as … services were covered by Medicare and, therefore, did not bill Medicare. $1.5 million was paid for prescription drugs. …
https://www.osc.ny.gov/state-agencies/audits/2019/10/30/medicaid-program-overpayments-therapy-services-and-prescription-drugs-covered-medicareTown of Kingsbury – Multiyear Planning for Fund Balance and Reserves (2025M-66)
… [read complete report – pdf] Audit Objective Did the Town of Kingsbury (Town) Board (Board) and officials … Period January 1, 2022 – March 31, 2025 Understanding the Audit Area Multiyear financial planning can be a vital … long-term priorities, work toward goals several years into the future and increase transparency. Fund balance and …
https://www.osc.ny.gov/local-government/audits/town/2025/11/21/town-kingsbury-multiyear-planning-fund-balance-and-reserves-2025m-66Exploration Elementary Charter School for Science and Technology – Non-Payroll Disbursements (2023M-100)
… School officials approved disbursements without knowing what was purchased or whether the disbursements were for … certain grades on State exams but the cards were given to 19 teachers and support staff based on student grades. The … were not adequately segregated as she was able to make purchases, prepare checks, sign checks with a Board …
https://www.osc.ny.gov/local-government/audits/charter-school/2025/10/24/exploration-elementary-charter-school-science-and-technology-non-payrollWest Corners Fire Company – Accounting for Cash Receipts and Disbursements (2014M-215)
… Fire Company is a volunteer organization that is located in, and provides fire protection services for, the Town of Union in Broome County. The Company’s Officers consist of four … fiscal year, the Company reported approximately $20,000 in revenues from foreign fire insurance, fundraising …
https://www.osc.ny.gov/local-government/audits/fire-company-or-department/2014/12/05/west-corners-fire-company-accounting-cash-receipts-andDiNapoli: State Education Employment Program For New Yorkers With Disabilities Falling Short
… “People with disabilities often face great obstacles in finding and keeping the jobs they want, and the pandemic … failure to monitor progress and by significant delays in implementing the individual plans for achieving … a chief disability officer, and hope that this will result in much-needed improvements to the state’s services and …
https://www.osc.ny.gov/press/releases/2022/03/dinapoli-state-education-employment-program-new-yorkers-disabilities-falling-shortDiNapoli Announces Nominee for the Commission on Ethics and Lobbying in Government
… 2010 to 2019. “Nancy is well known for her integrity and independence,” DiNapoli said. “New York is facing challenging … State Long-Term Care Ombudsman Program, helping nursing home residents understand their rights. Groenwegen graduated …
https://www.osc.ny.gov/press/releases/2022/07/dinapoli-announces-nominee-commission-ethics-and-lobbying-governmentDiNapoli: State is Slow in Disbursing Some Federal Relief Funds for Housing
… 2020 (CARES Act) with a HUD-HCR funding agreement through 2026. $120 million in HOME Investment Partnership Program … for CDBG CARES Act funding runs through September 23, 2026, and HCR must expend at least 80% of the funds by … The remaining $122 million must be spent by September 2026 to prevent further potential loss of funding. In …
https://www.osc.ny.gov/press/releases/2022/09/dinapoli-state-slow-disbursing-some-federal-relief-funds-housingDiNapoli: No Good Options for MTA to Manage Hole in Capital Funding
… Authority (MTA) adjusts to the loss of $15 billion in congestion pricing revenue and decides which capital … to cancel or delay, it must prioritize keeping the system in a state of good repair and it must be transparent about … State Comptroller Thomas P. DiNapoli. “The MTA’s decisions in the coming weeks and months will affect riders for years …
https://www.osc.ny.gov/press/releases/2024/06/dinapoli-no-good-options-mta-manage-hole-capital-fundingDiNapoli: State Pension Fund Investments Return 5.84% for State Fiscal Year 2024-25
… the year with an estimated value of $272.8 billion. (Note: In July 2025, following the annual audit of the Fund's … to $273.1 billion.) “Market volatility has been pronounced in the first half of 2025, with unpredictable actions out of … uncertainty for investors that is likely to continue in the short term,” DiNapoli said. “The state pension fund’s …
https://www.osc.ny.gov/press/releases/2025/06/dinapoli-state-pension-fund-investments-return-584-state-fiscal-year-2024-25State Comptroller DiNapoli Statement on Arrest of Muge Ma for COVID-Related Scam
… of the State Comptroller, Division of Investigations, 8th Floor, 110 State St., Albany, NY 12236. …
https://www.osc.ny.gov/press/releases/2020/05/state-comptroller-dinapoli-statement-arrest-muge-ma-covid-related-scamDiNapoli: State Needs to Help Addiction Support Providers Better Prepare for Emergencies
… Some addiction treatment programs may not be adequately prepared in an emergency to … of nearly 400 certified providers that offer vital programs to thousands of New Yorkers battling substance use … should work to improve its oversight over its providers’ programs to ensure gaps in potentially life-saving care do …
https://www.osc.ny.gov/press/releases/2023/11/dinapoli-state-needs-help-addiction-support-providers-better-prepare-emergenciesDiNapoli: New York May Be Paying Medicaid Premiums for People Living Out-of-State
… Medicaid members, and found close to $1.2 billion in managed care premiums that were paid for members who may … is a vital program and the single biggest expense in the state budget. We cannot afford any wasteful spending,” DiNapoli said. “If a person is enrolled in more than one state at the same time, both states may end …
https://www.osc.ny.gov/press/releases/2025/09/dinapoli-new-york-may-be-paying-medicaid-premiums-people-living-out-state