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Medicaid Program - Improper Payments for Recipients No Longer Enrolled in Managed Long Term Care Partial Capitation Plans (2015-S-9)
To determine whether the Medicaid program made inappropriate capitation payments to Managed Long Term Care Partial Capitation plans for recipients who were no longer enrolled in these plans.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2016-15s9.pdfWorkers’ Compensation Program: Statement of Assessable Expenses for the Three Fiscal Years Ended March 31, 2011 (2012-S-71)
To express an opinion on the fair presentation of the Report of Workers’ Compensation Program Statement of Assessable Expenses for the three fiscal years ended
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2012-12s71.pdfSelected Payments for Special Items Made to Saratoga Hospital from January 1, 2011 through March 31, 2011 (2012-S-55)
This report is part of a series of audits of Empire’s payments to selected hospitals for “special items” during the three months ended March 31, 2011.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2013-12s55.pdfEye Care Provider and Family Inappropriately Enroll as Recipients and Overcharge for Vision Services (2013-S-1), 90-Day Response
We conducted an audit of the Department of Health (Department) to determine whether certain eye care providers who appeared to be affiliated complied with
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2016-13s1-response.pdfCalendar Year Municipalities That Have Not Filed in Time for a FSMS Score in All Three Years 2012 - 2014
Calendar Year Municipalities That Have Not Filed in Time for a FSMS Score in All Three Years 2012 - 2014
https://www.osc.ny.gov/files/local-government/fiscal-monitoring/pdf/persistentnonfilingmunis.pdfNew York Center for Child Development, Inc - Compliance With the Reimbursable Cost Manual (2015-S-101), 90-Day Response
To determine whether the costs reported by the New York Center for Child Development, Inc. (NYCCD) on its Consolidated Fiscal Reports (CFRs) were reasonable
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2017-15s101-response.pdfTax Cap Tightens As Inflation Drops: Local Governments Will Need to Prepare for Little or No Levy Growth
Tax Cap Tightens As Inflation Drops: Local Governments Will Need to Prepare for Little or No Levy Growth
https://www.osc.ny.gov/files/local-government/publications/pdf/taxcaptightens0715.pdfNew York League for Early Learning, Inc. - Compliance With the Reimbursable Cost Manual (2015-S-43) 90-Day Response
To determine whether the costs reported by New York League for Early Learning, Inc. (NYL) on its Consolidated Fiscal Reports (CFRs) were reasonable, necessary
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2017-15s43-response.pdfRecovering Managed Care Payments for Inpatient Services on Behalf of Recipients With Third-Party Health Insurance (Follow-Up) 2025-F-10
To assess the extent of implementation of the eight recommendations included in our initial audit report, Medicaid Program – Recovering Managed Care Payments for Inpatient Services on Behalf of Recipients With Third-party Health Insurance (Report 2021-S-24).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2026-25f10.pdfFormer Treasurer of Patterson Fire Department Sentenced to 33 Months in Prison for Embezzlement and Filing False Tax Returns
… Judge Nelson S. Roman to 33 months in prison for fraud and tax charges arising out of his embezzlement of more than $1.1 … 20 years in prison, and one count of subscribing to false tax returns, which carries a maximum sentence of three years … Judge Nelson S Roman to 33 months in prison for fraud and tax charges …
https://www.osc.ny.gov/press/releases/2017/02/former-treasurer-patterson-fire-department-sentenced-33-months-prison-embezzlement-and-filing-falseComptroller DiNapoli and AG Schneiderman Announce Guilty Plea and Sentencing of Jean Noel for Theft of Putnam Co. Funds
… the state. The investigation was handled by Investigator Dennis Churns. The Attorney General’s Investigations Bureau … with the New York State Police, Troop K and Investigator Dennis Churns, who handled the case for the Attorney …
https://www.osc.ny.gov/press/releases/2016/02/comptroller-dinapoli-and-ag-schneiderman-announce-guilty-plea-and-sentencing-jean-noel-theft-putnamComptroller DiNapoli & Manhattan U.S. Attorney Announce $2.95 Million Settlement With Hospital Group For Improperly Delaying Repayment of Medicaid Funds
… New York State Comptroller, today announced a $2,950,000 settlement of a civil fraud lawsuit against Beth Israel Medical Center d/b/a Mount Sinai … repayment of over $ 800,000 in Medicaid overpayments. The settlement resolves claims under the federal False Claims Act …
https://www.osc.ny.gov/press/releases/2016/08/comptroller-dinapoli-manhattan-us-attorney-announce-295-million-settlement-hospital-group-improperlyComptroller DiNapoli And A.G Schneiderman Announce Guilty Pleas By Former Met Council Directors For Stealing $9M In Kickback Scheme
… corruption.” Rapfogel, 59, pleaded guilty today before the Honorable Larry Stephen in New York County Supreme Court to … in prison. Cohen, 70, pleaded guilty today before the Honorable Michael Obus in New York County Supreme Court to …
https://www.osc.ny.gov/press/releases/2014/04/comptroller-dinapoli-and-ag-schneiderman-announce-guilty-pleas-former-met-council-directors-stealingDiNapoli and Ulster County DA Nneji: Father and Son Arrested for Stealing $1.2 million in Medicaid Transportation Fraud Scheme
… A father and son, both owners of companies providing Medicaid recipients with … was arraigned in Shawangunk Town Court. Both are residents of Campbell Hall. “The Khans allegedly fraudulently enriched … A father and son both owners of companies providing Medicaid recipients …
https://www.osc.ny.gov/press/releases/2025/06/dinapoli-and-ulster-county-da-nneji-father-and-son-arrested-stealing-12-million-medicaidComptroller DiNapoli and A.G. Scheneiderman Announce 2 to 6 Year Prison Sentence for Former Councilman Ruben Wills in Public Corruption Scheme
… Thomas P. DiNapoli. "We must have a zero tolerance for public corruption and we will continue to partner with … services, and that the money was instead redirected to a non-profit corporation called NY 4 Life, which Wills … the money to pay individuals who had carried out campaign work for his City Council race. Judge Ira Margulis presided …
https://www.osc.ny.gov/press/releases/2017/08/comptroller-dinapoli-and-ag-scheneiderman-announce-2-6-year-prison-sentence-former-councilman-rubenIncorrect Payments by CVS Caremark for Medicare Rx Drug Claims That Were Improperly Paid Under the Commercial Plan (Follow-up)
… Rx Drug Claims That Were Improperly Paid Under the Commercial Plan (Report 2022-S-24 ). About the Program The … drug program for the Empire Plan. This program includes a Commercial Plan for members and their dependents who do not … subsidies that are not available for claims paid under the Commercial Plan. Therefore, ensuring that claims for …
https://www.osc.ny.gov/state-agencies/audits/2025/06/18/incorrect-payments-cvs-caremark-medicare-rx-drug-claims-were-improperly-paid-underAssessment of Costs to Administer the Workers’ Compensation Program for the Three State Fiscal Years Ended March 31, 2023
… administering the Workers’ Compensation Program (Program) for the 3 State Fiscal Years ended March 31, 2023. About the … and non-occupational disability and sickness. Coverage for these benefits, with limited exception, is to be provided … ascertain the Board’s expenses to administer the Program for the 3 State Fiscal Years ended March 31, 2023. Annual …
https://www.osc.ny.gov/state-agencies/audits/2024/10/09/assessment-costs-administer-workers-compensation-program-three-state-fiscal-years-endedMotor Vehicle Financial Security and Safety Responsibility Acts – Assessable Expenses for the Two Fiscal Years Ended March 31, 2013
… administration of these laws. Our audit covered the period April 1, 2011 through March 31, 2013. Background The … or whose property they might damage as a result of an accident. According to Article VI, Section 317 and Article … for the Three Fiscal Years Ended March 31, 2011 (2012-S-25) …
https://www.osc.ny.gov/state-agencies/audits/2015/03/19/motor-vehicle-financial-security-and-safety-responsibility-acts-assessable-expenses-twoEmpire BlueCross BlueShield – Selected Payments for Special Items Made to Saratoga Hospital From January 1, 2011 Through March 31, 2011
… if BlueCross BlueShield's (Empire's) payments to Saratoga Hospital (Saratoga) for special items were made according to the provisions of the … portion of the Plan. Empire processes Plan claims for hospital services in accordance with agreements they …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-selected-payments-special-items-made-saratoga-hospital-januarySelected Payments for Special Items Made to St. Francis Hospital of Poughkeepsie from January 1, 2011 through March 31, 2011
… determine if BlueCross BlueShield’s (Empire’s) payments to St. Francis Hospital of Poughkeepsie (St. Francis) for special items were made according to the provisions of the agreement between Empire and St. Francis. Background The New York State Health Insurance …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-st-francis-hospital-poughkeepsie-january-1-2011