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UnitedHealthcare – Reasonable and Customary Reimbursement Rates for Delayed Claims
… reimbursement rate schedules that did not correlate with the date of the service on the claims, and to calculate the … system uses only the two most recent R&C rate periods (i.e., reimbursement rates from the prior 12 months) to …
https://www.osc.ny.gov/state-agencies/audits/2019/12/12/unitedhealthcare-reasonable-and-customary-reimbursement-rates-delayed-claimsImplementation of the Dignity for All Students Act (Follow-Up)
… our initial audit report, Implementation of the Dignity for All Students Act (Report 2016-S-28 ). About the Program New York State’s Dignity for All Students Act (DASA) seeks to provide students in New … July 1, 2013 defined cyberbullying and added requirements for investigating and reporting alleged incidents. The State …
https://www.osc.ny.gov/state-agencies/audits/2019/11/21/implementation-dignity-all-students-act-followMaximizing Drug Rebates for Health and Recovery Plans (Follow-Up)
… use disorders. We issued our initial audit report on June 22, 2018. The audit objective was to determine … after the issuance of the follow-up to provide information on any actions that are planned to address the unresolved …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/maximizing-drug-rebates-health-and-recovery-plans-followDiNapoli: Saranac Town Clerk Arrested for Falsifying Town Records
… State Comptroller Thomas P. DiNapoli and Clinton County … cover for missing cash she was supposed to deposit,” said State Comptroller DiNapoli. “Thanks to our partnership with … accountable.” Bell’s actions were brought to light by the State Comptroller’s Office during the course of a routine …
https://www.osc.ny.gov/press/releases/2021/04/dinapoli-saranac-town-clerk-arrested-falsifying-town-recordsMedicaid Program – Improper Medicaid Payments for Misclassified Patient Discharges
… whether the Medicaid program made inappropriate fee-for-service (FFS) payments to hospitals that failed to … computer system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients and …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/medicaid-program-improper-medicaid-payments-misclassified-patient-dischargesDiNapoli: State Needs to Improve Services for Vulnerable Adults
… number of open referrals being assessed. 10 didn’t list how many referrals were withdrawn at intake. 6 didn’t include … up took place and the problems were fixed and said it does not require providers submit documents to show … including that it work more closely with providers to improve documentation of case progress and assessments of …
https://www.osc.ny.gov/press/releases/2021/11/dinapoli-state-needs-improve-services-vulnerable-adultsDiNapoli: Woman Arrested for Stealing Deceased Sister's Pension Checks
… was charged with grand larceny in the third and fourth degree; scheme to defraud in the first and second degree; identity theft in the first and second degree; 20 counts of criminal possession of a forged …
https://www.osc.ny.gov/press/releases/2021/11/dinapoli-woman-arrested-stealing-deceased-sisters-pension-checksDiNapoli: Former School District Treasurer Sentenced for Stealing Funds
… court for stealing $34,000 from the Morris Central School District in Otsego County. Hand, 47, of Morris, pled guilty … of federal program theft, for stealing from a school district that received federal funds. She was sentenced … thought she could get away with stealing from the school district to fund her personal shopping,” DiNapoli said. “She …
https://www.osc.ny.gov/press/releases/2021/05/dinapoli-former-school-district-treasurer-sentenced-stealing-fundsEmpire BlueCross – Controls Over Payments for Special Items (Follow-Up)
… district employees, and their dependents. The Empire Plan is the primary health benefits plan for NYSHIP. Empire … services according to contracts it negotiates with member hospitals. Empire’s contracts with member hospitals include rate schedules for the payment of inpatient and outpatient hospital services. …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/empire-bluecross-controls-over-payments-special-items-followDiNapoli: Former Town Supervisor Sentenced to Prison for Embezzlement
… out corruption.” “We are certainly disappointed that the judge did not follow our sentencing recommendation. Not only …
https://www.osc.ny.gov/press/releases/2021/09/dinapoli-former-town-supervisor-sentenced-prison-embezzlementIII.9 Provisions for 15 Day Prompt Payment Interest Eligibility – III. Statewide Financial System (SFS)
… Finance Law 179-f effective April 1, 2017 require the payment of prompt payment interest to certain small businesses on invoices not … government and identifies that it is seeking expedited payment as a small business. This section details the … State Finance Law 179f effective April 1 2017 require the payment of prompt payment interest to certain small …
https://www.osc.ny.gov/state-agencies/gfo/chapter-iii/iii9-provisions-15-day-prompt-payment-interest-eligibilityImproper Medicaid Payments for Recipients in Hospice Care (Follow-Up)
… care to terminally ill individuals, with a focus on easing symptoms rather than treating the disease. Generally, when …
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/improper-medicaid-payments-recipients-hospice-care-followDiNapoli: Bombay Clerk Sentenced for Pocketing Justice Court Fees
… Town Court to three years’ probation and ordered to pay full restitution after his February 1 guilty plea to official …
https://www.osc.ny.gov/press/releases/2017/05/dinapoli-bombay-clerk-sentenced-pocketing-justice-court-feesXI.10 Third Party Contracting - Contracting "for" the State – XI. Procurement and Contract Management
… but rather, is to procure such goods or services for the State through a contract with a third party (the … acts as a procurement conduit and enter into contract(s) “for” the state agency. In such situations, the third-party … the State Contractor and the Third Party Contractor for those goods or services are contracts “for” the State and …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi10-third-party-contracting-contracting-stateDiNapoli Releases New Tool for Monitoring NYC 311 Complaints
Nonemergency 311 calls have increased dramatically in New York City since the COVID19 pandemic
https://www.osc.ny.gov/press/releases/2025/05/dinapoli-releases-new-tool-monitoring-nyc-311-complaintsDiNapoli & NYC Make it Easier to Save for College
… to attend college. We're grateful to New York City and to NYC Kids RISE for their efforts to increase college … Office of the State Comptroller by the Mayor's Office and NYC Kids RISE. "The elimination of the minimum contribution … the Mayor's Office of Media and Entertainment and chair of NYC Kids RISE . "The NYC Kids RISE Save for College Program …
https://www.osc.ny.gov/press/releases/2017/09/dinapoli-nyc-make-it-easier-save-collegeDiNapoli: Help for Vulnerable Adults in NYC Falls Short
… and high caseloads, according to an audit by New York State Comptroller Thomas P. DiNapoli. The audit found that inadequate state oversight led to missed visits and delayed service … Human Resources Administration (HRA) and overseen by the state Office of Children and Family Services (OCFS). APS …
https://www.osc.ny.gov/press/releases/2025/10/dinapoli-help-vulnerable-adults-nyc-falls-shortMedicaid Program – Improper Payments for Certain Third-Party Cost-Sharing Claims
… 2020 through May 2024. About the Program The Department of Health (DOH) administers New York State’s Medicaid program. Medicaid members may have other sources of health care coverage, such as Medicare and group health … (third-party insurers). Medicaid is considered the payer of last resort and, as such, providers are required to …
https://www.osc.ny.gov/state-agencies/audits/2025/11/05/medicaid-program-improper-payments-certain-third-party-cost-sharing-claimsDiNapoli Announces State Contract & Payment Actions for May 2014
… School Equivalency Exams $8.1 million with CTB McGraw-Hill LLC to develop paper and computer-based high school … NYS Legislature $497,000 contract with Code and Theory LLC for Senate website development. $250,000 contract … 50,000 state contracts, visit http://www.openbooknewyork.com/ . The easy-to-use website was created by Comptroller …
https://www.osc.ny.gov/press/releases/2013/06/dinapoli-announces-state-contract-payment-actions-may-2014DiNapoli Finds Slow Property Tax Growth for Local Governments
… maintenance and capital purchases or cut public services. For example, between FYE 2009 and 2013, counties reduced … limit. The tax freeze credit, which reimburses qualifying homeowners for property tax increases in communities that don’t exceed …
https://www.osc.ny.gov/press/releases/2015/01/dinapoli-finds-slow-property-tax-growth-local-governments