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Improper 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). … which was issued on July 24, 2012, determined that, for the five years ended June 30, 2010, Medicaid made $15.6 … Department of Health: Improper Managed Care Payments for Certain Medicaid Recipients ( 2010-S-66 ) … To determine …
https://www.osc.ny.gov/state-agencies/audits/2015/01/20/improper-managed-care-payments-certain-medicaid-recipients-followUnnecessary Medicaid Payments for Children at Voluntary Agencies (Follow-Up)
… in voluntary agencies. The Department administers the New York State Medicaid program. Many foster care children who are …
https://www.osc.ny.gov/state-agencies/audits/2014/10/23/unnecessary-medicaid-payments-children-voluntary-agencies-followDiNapoli Announces State Contract & Payment Actions for July 2014
… 1,250 payments valued at $3.1 million due to fraud, waste or other improprieties. As the state’s chief financial …
https://www.osc.ny.gov/press/releases/2014/08/dinapoli-announces-state-contract-payment-actions-july-2014DiNapoli: Scores Reveal Fiscal Stress Continues for Certain Communities
… nine financial indicators and creates a fiscal condition score. Indicators include fund balance, cash-on-hand and … Each municipality receives a separate environmental score. When examining the scoring results, DiNapoli noted 14 … their financial data in time to receive a fiscal stress score in all three reporting years. This includes the city of …
https://www.osc.ny.gov/press/releases/2015/09/dinapoli-scores-reveal-fiscal-stress-continues-certain-communitiesDiNapoli: Farms Generate $4.8 Billion for New York's Economy
… New York state's farms generated $4.8 billion in revenue, with 15 agricultural products ranked in the top … $2.7 billion in sales in 2017, more than half of the total for all agricultural products. The state's production of milk … produced in the nation and its volume of concord grapes for juice ranked second, with production nearly doubling from …
https://www.osc.ny.gov/press/releases/2018/09/dinapoli-farms-generate-48-billion-new-yorks-economyOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… included in our initial audit report, Overpayments for Services Also Covered by Medicare Part B (2010-S-50). … Many of the State's Medicaid recipients are also eligible for Medicare Part B, which provides supplementary medical … Generally, Medicare is the primary payer of claims for services provided to dual-eligible recipients. After …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followEmpire BlueCross BlueShield – Controls Over Payments for Special Items
… Purpose To determine if Empire BlueCross BlueShield: implemented … over the identification and recovery of overpayments made to hospitals for special medical items; and took sufficient …
https://www.osc.ny.gov/state-agencies/audits/2017/06/22/empire-bluecross-blueshield-controls-over-payments-special-itemsDiNapoli Report Finds Medicaid Costs for Treating Asthma Rising
… New York's asthma-related Medicaid expenditures rose more than 26 percent in the last five years, as the state's overall annual asthma bill topped $1.3 billion for … just costly, it can be lethal," DiNapoli said. "For the New Yorkers fighting this chronic disease, a flare-up can …
https://www.osc.ny.gov/press/releases/2014/04/dinapoli-report-finds-medicaid-costs-treating-asthma-risingMedicaid Program - Medicaid Overpayments for Certain Medicare Part C Claims
… enrolled in UnitedHealthcare’s Medicare Advantage plan: UnitedHealthcare Dual Complete. The audit covered the … (deductibles, coinsurance, and copayments). Key Finding From a review of Medicare Part C claims for services rendered … or indicated UnitedHealthcare did not cover the service. From a review of a sample of 125 claims totaling $151,069, we …
https://www.osc.ny.gov/state-agencies/audits/2015/01/16/medicaid-program-medicaid-overpayments-certain-medicare-part-c-claimsDiNapoli: IDA Audits Reveal Need For Improved Project Oversight
… reports from project owners, which is not considered a best practice. Wyoming County IDA IDA officials failed to …
https://www.osc.ny.gov/press/releases/2015/09/dinapoli-ida-audits-reveal-need-improved-project-oversightDiNapoli Finds Opportunities for Improved NYPD Hate Crimes Reporting
… acts involving violence, intimidation and destruction of property based on bias and prejudice cannot be tolerated,” …
https://www.osc.ny.gov/press/releases/2014/09/dinapoli-finds-opportunities-improved-nypd-hate-crimes-reportingSubway 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-followManagement of Indoor Air Quality for Individuals With Asthma
… Objective To determine if the Department of Health (Department) … and enable project monitoring; therefore, it is uncertain how effectively the Department monitored the program and how the Department determined if LHDs were meeting the goals …
https://www.osc.ny.gov/state-agencies/audits/2022/08/02/management-indoor-air-quality-individuals-asthmaDiNapoli Announces State Contract & Payment Actions for October 2014
… fees to the federal government. Tax Refunds and Credits $490.7 million for personal income, corporate and other tax refunds and tax credits. Office of Alcoholism and Substance Abuse Services …
https://www.osc.ny.gov/press/releases/2014/11/dinapoli-announces-state-contract-payment-actions-october-2014Use of Federal Funding for Election Technology and Security
… to enhance the security of the State’s election technology and infrastructure. The audit covered the period from May 1, … Board of Elections (BOE) is responsible for administering and enforcing election laws in the State. To fulfill these … the BOE supports 57 County Boards of Elections and the New York City Board of Elections (County Boards). …
https://www.osc.ny.gov/state-agencies/audits/2021/09/17/use-federal-funding-election-technology-and-securityBenefits Advisement Services for Individuals With Disabilities Seeking Employment
… was about 33 percent compared to about 75 percent for people without disabilities. Further, ACS data shows that … may not be receiving notifications on important benefits for which they may be eligible, as notifications are … who are educated in public benefits and work incentives for individuals with disabilities; collaborate with other …
https://www.osc.ny.gov/state-agencies/audits/2021/07/20/benefits-advisement-services-individuals-disabilities-seeking-employmentDiNapoli: Former School District Treasurer Sentenced for Stealing Funds
… Thomas P. DiNapoli announced Kristina Hand was sentenced in federal court for stealing $34,000 from the Morris Central School District in Otsego County. Hand, 47, of Morris, pled guilty last … at least $10,000 more by using the school district’s Amazon account and credit cards to purchase personal items …
https://www.osc.ny.gov/press/releases/2021/05/dinapoli-former-school-district-treasurer-sentenced-stealing-fundsRegulation 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 … A record of the proceedings shall be made and kept, and a copy shall be furnished to all parties and the hearing … closed. (c) After all parties have rested, and received a copy of the record; the parties may submit a memorandum of …
https://www.osc.ny.gov/retirement/members/regulation-for-hearingsImproper Medicaid Payments for Recipients in Hospice Care (Follow-Up)
… or when hospice claims should have been covered by other insurance. We recommended that the Department review …
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/improper-medicaid-payments-recipients-hospice-care-followEmpire BlueCross – Controls Over Payments for Special Items (Follow-Up)
… Empire’s contracts with member hospitals include rate schedules for the payment of inpatient and outpatient … hospitals that did not include language that limits the reimbursement of special items. The audit covered the period …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/empire-bluecross-controls-over-payments-special-items-follow