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Monitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Follow-Up)

… audit report, Monitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Report 2010-S-21). Background Our … was issued on December 9, 2010, examined whether nursing home claims submitted to Medicaid for hospital bed reserve … days were appropriate, and if not, to what extent nursing home claims exceeded the bed reserve day limits. During the …

https://www.osc.ny.gov/state-agencies/audits/2013/01/10/monitoring-medicaid-payments-nursing-home-bed-reserve-days-follow

Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)

… audit report, Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Report 2014-S-5 ). … Medicaid inappropriately paid 29,289 fee-for-services pharmacy claims totaling $978,251 on behalf of 18,010 Medicaid recipients whose pharmacy benefits were covered by managed care. We …

https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-follow

DiNapoli: 16 School Districts Designated in Fiscal Stress

… their financial condition in the current and future budget cycles as one-time federal funds are depleted and state aid …

https://www.osc.ny.gov/press/releases/2024/01/dinapoli-16-school-districts-designated-fiscal-stress

DiNapoli and Brooklyn D.A. Gonzalez: Public Employee Arrested for Using Co-Workers' Identities to Steal Thousands in Gas

… since 2014. His responsibilities at OPWDD required him to drive agency vehicles from time to time. Certain employees at the Metro DDSO who drive as part of their duties are provided a personal … by filing a complaint online at investigations@osc.ny.gov , or by mailing a complaint to: Office of the State …

https://www.osc.ny.gov/press/releases/2018/06/dinapoli-and-brooklyn-da-gonzalez-public-employee-arrested-using-co-workers-identities-steal

Comptroller DiNapoli and A.G. Schneiderman Announce Conviction of Florida Resident For Stealing $275k in NYS Pension Benefits

… General’s investigation was conducted by Investigators Barbara Butler and Mitchell Paurowski and Deputy Chief … by filing a complaint online at [email protected].ny.us , or by mailing a complaint to: Office of the State … of Investigations, 14th Floor, 110 State St., Albany, NY 12236. See prior cases at …

https://www.osc.ny.gov/press/releases/2015/09/comptroller-dinapoli-and-ag-schneiderman-announce-conviction-florida-resident-stealing-275k-nys

DiNapoli: New York City Man Charged with Stealing Over $50,000 in Pension Benefits Meant for Deceased Sister-in-Law

… death and used the money to pay credit card bills, travel, and make online purchases. Ray was arraigned on a charge of grand … by filing a complaint online at investigations@osc.ny.gov , or by mailing a complaint to: Office of the State …

https://www.osc.ny.gov/press/releases/2024/09/dinapoli-new-york-city-man-charged-stealing-over-50000-pension-benefits-meant-deceased-sister-law

DiNapoli: Florida Man Pleads Guilty to Stealing Nearly $80,000 in Pension Payments Meant for His Deceased Father

… payments monthly via direct deposit into his checking account. He died on Nov. 9, 2019 and all pension payments … card to steal $79,0845.59 in benefits deposited into the account from 2019 to 2022. Gaines Jr. was not an account holder on his father’s checking account and did not …

https://www.osc.ny.gov/press/releases/2025/05/dinapoli-florida-man-pleads-guilty-stealing-nearly-80000-pension-payments-meant-his-deceased-father

Special 20-Year Plan for Investigators in the Office of a District Attorney (Sections 89-d and 89-d(m))

… (Return to Top) (Return to Top) (Return to Top) VO1875 (Rev. 7/11) © 2011, New York State and … about your benefits, please contact us . (Return to Top) … plan for Tier 1 and Tier 2 investigators assigned to the office of a district attorney …

https://www.osc.ny.gov/retirement/publications/special-20-year-plan-investigators-office-district-attorney-sections-89-d-and-89-dm

DiNapoli: Queens Woman Pleads Guilty to Stealing $85,000 in NYS Pension Payments Meant for Her Deceased Father

… was receiving a direct deposit of his pension into a bank account that was in his and his deceased wife’s name. He died … in pension payments were paid into Hansen’s father’s account after his death and then fraudulently taken by Deanna … information. A review of the deceased pensioner’s account showed that Deanna Hansen, who was not listed as a …

https://www.osc.ny.gov/press/releases/2024/06/dinapoli-queens-woman-pleads-guilty-stealing-85000-nys-pension-payments-meant-her-deceased-father

DiNapoli: Queens Woman Charged With Stealing Nearly $85,000 in NYS Pension Payments Meant for Her Deceased Father

… was arrested today for allegedly stealing nearly $85,000 in New York state pension payments meant for her deceased father, State Comptroller … system learned Richard Hansen was deceased and stopped payments. At that time, Deanna Hansen contacted the … was arrested today for allegedly stealing nearly $85000 in New York state pension payments meant for her deceased …

https://www.osc.ny.gov/press/releases/2024/05/dinapoli-queens-woman-charged-stealing-nearly-85000-nys-pension-payments-meant-her-deceased-father

DiNapoli Op-Ed in the NY Daily News Cautions NYC Leaders to Prepare for Challenging Fiscal Times Ahead

… recover from a terrorist attack, a recession fueled by a stock market collapse, a superstorm and now a global … over the long term. Other economic concerns surround the stock market’s resilience amid questions over lingering … annually, exist despite healthy FY 2021 year-end operating results. While the city has increased the size of its newly …

https://www.osc.ny.gov/press/releases/2021/09/dinapoli-op-ed-ny-daily-news-cautions-nyc-leaders-prepare-challenging-fiscal-times-ahead

Medicaid Program – Ambulatory Patient Groups Payments for Duplicate Claims and Services in Excess of Medicaid Service Limits

… Purpose To determine whether the Department of Health established adequate controls to prevent duplicate and excessive Medicaid payments to … To determine whether the Department of Health established adequate controls to prevent duplicate and excessive Medicaid payments to …

https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-ambulatory-patient-groups-payments-duplicate-claims-and-services-excess

Medicaid Program – Improper Payments for Recipients No Longer Enrolled in Managed Long Term Care Partial Capitation Plans

… to Managed Long Term Care Partial Capitation plans for recipients who were no longer enrolled in these plans. The audit covered the period January 1, 2010 … home care, adult day health care, or other long-term care for more than 120 days; have both Medicaid and Medicare; and …

https://www.osc.ny.gov/state-agencies/audits/2016/03/30/medicaid-program-improper-payments-recipients-no-longer-enrolled-managed-long-term-care

Identifying, Reporting, and Providing Services for Youth at Risk of Sexual Human Trafficking in New York City

… report on, and provide services for victims of child sex trafficking and those at risk of child sex trafficking. The audit covered the period from January 2017 … In 2014, the U.S. Congress enacted the Preventing Sex Trafficking and Strengthening Families Act, which requires …

https://www.osc.ny.gov/state-agencies/audits/2022/06/06/identifying-reporting-and-providing-services-youth-risk-sexual-human-trafficking-new-york

Medicaid Program – Improper Medicaid Payments for Claims Not in Compliance With Ordering, Prescribing, Referring, and Attending Requirements

… the Department must verify that all providers are not prohibited from participating in a Medicaid program by … improperly allowed payments for Medicaid claims that did not contain an appropriate NPI in the OPRA fields and … in payments for clinic and professional claims that did not contain an appropriate referring or attending NPI (for …

https://www.osc.ny.gov/state-agencies/audits/2021/08/17/medicaid-program-improper-medicaid-payments-claims-not-compliance-ordering-prescribing

Inappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)

… extent of implementation of the five recommendations made in our initial audit report, Inappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Report … extent of implementation of the five recommendations made in our initial audit report Inappropriate Premium Payments …

https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-and

Excessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans (Follow-Up)

… (Report 2021-S-37 ). About the Program DOH administers New York’s Medicaid program. Many Medicaid recipients are … recipients who became dual-eligible prior to the date the new IB-Dual rate became effective. Key Findings DOH officials …

https://www.osc.ny.gov/state-agencies/audits/2024/05/08/excessive-premium-payments-dual-eligible-recipients-enrolled-mainstream-managed-care-and

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