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DiNapoli: Former School District Treasurer Sentenced for Stealing Funds
… State Comptroller 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 September to two counts … and ordered to serve 50 hours of community service. Hand was also ordered to pay $34,000 in restitution. “Ms. …
https://www.osc.ny.gov/press/releases/2021/05/dinapoli-former-school-district-treasurer-sentenced-stealing-fundsDiNapoli: Westchester Sisters Sentenced for Stealing Deceased Mother's Pension
… announced the sentencings of Annette Bigelow, 61, and Mary Nash, 59, who hid their mother’s death to pocket nearly … to pay full restitution of $22,000. “Annette Bigelow and Mary Nash hid their mother’s death and tried to cheat the … Rocah announced the sentencings of Annette Bigelow 61 and Mary Nash 59 who hid their mothers death to pocket nearly …
https://www.osc.ny.gov/press/releases/2021/02/dinapoli-westchester-sisters-sentenced-stealing-deceased-mothers-pensionDiNapoli Calls for Transparency From Companies Regarding Affordability Concerns
… — our identities, interests, locations, credit histories, medical conditions, sexual interests, and religious and … in “phantom debt” that can lead lenders to extend credit without knowledge of borrowers’ full existing liability. Use … Decisions DiNapoli also filed shareholder proposals with insurance companies Humana Inc. and The Cigna Group, calling …
https://www.osc.ny.gov/press/releases/2026/03/dinapoli-calls-transparency-companies-regarding-affordability-concernsAlternatives For Children – Compliance With the Reimbursable Cost Manual
… not-for-profit special education provider located in Long Island, New York. Alternatives provides preschool special … for preschool special education services through rates set by SED. The reimbursement rates are based on financial information, including costs …
https://www.osc.ny.gov/state-agencies/audits/2018/04/05/alternatives-children-compliance-reimbursable-cost-manualMedicaid Program - Medicaid Overpayments for Certain Medicare Part C Claims
… “dual-eligibles.” In 1997, Congress established Medicare Part C, the Medicare managed care program also known as Medicare Advantage. Under Medicare Part C, private managed care companies administer Medicare … plan providers bill Medicaid directly for the enrollee’s Part C cost-sharing liabilities (deductibles, coinsurance, …
https://www.osc.ny.gov/state-agencies/audits/2015/01/16/medicaid-program-medicaid-overpayments-certain-medicare-part-c-claimsOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… Covered by Medicare Part B (Report 2012-S-27). Background Many of the State’s Medicaid recipients are also enrolled in … which would otherwise be the financial obligation of the patient (such as deductibles and coinsurance). Federally … implemented. Key Recommendation Officials are given 30 days after the issuance of the follow-up report to provide …
https://www.osc.ny.gov/state-agencies/audits/2015/06/26/overpayments-services-also-covered-medicare-part-b-followSubway 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-followOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… report, Overpayments for Services Also Covered by Medicare Part B (2010-S-50). Background Many of the State's Medicaid recipients are also eligible for Medicare Part B, which provides supplementary medical insurance … health care providers' Medicaid claims for Medicare Part B deductibles and coinsurance. The audit covered the …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followUnnecessary Medicaid Payments for Children at Voluntary Agencies (Follow-Up)
… Purpose To determine the extent of implementation of the five recommendations made in our audit report, … To determine the extent of implementation of the five recommendations made in our …
https://www.osc.ny.gov/state-agencies/audits/2014/10/23/unnecessary-medicaid-payments-children-voluntary-agencies-followImproper 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 ) …
https://www.osc.ny.gov/state-agencies/audits/2015/01/20/improper-managed-care-payments-certain-medicaid-recipients-followStatus of the Board-Approved Capital Plan for 2005-2011 (Follow-Up)
… that completing the plan as approved would take longer and cost significantly more than was originally forecast. Key … (2008-S-48) New York State Thruway Authority: Proposed Toll Increases for July 2008 Through January 2010 (2008-S-6) …
https://www.osc.ny.gov/state-agencies/audits/2013/06/27/status-board-approved-capital-plan-2005-2011-followEmpire BlueCross BlueShield – Controls Over Payments for Special Items
… of special items on the hospitals’ gross charges (i.e., no limit); and 16 did not allow for additional reimbursement …
https://www.osc.ny.gov/state-agencies/audits/2017/06/22/empire-bluecross-blueshield-controls-over-payments-special-itemsManagement of Indoor Air Quality for Individuals With Asthma
… asthma. The COVID-19 pandemic has had significant impacts on those living with chronic diseases such as asthma. … evaluate impacts in reducing the levels of asthma in the State. The Department has not conducted an overall evaluation … assess the impact of the HNP on the asthma burden in the State. Develop an evaluation to determine the overall …
https://www.osc.ny.gov/state-agencies/audits/2022/08/02/management-indoor-air-quality-individuals-asthmaImproper Medicaid Payments for Recipients in Hospice Care (Follow-Up)
… audit report, Improper Medicaid Payments for Recipients in Hospice Care ( 2017-S-76 ). About the Program Hospice is a program that provides care to terminally ill … Generally, when eligible Medicaid recipients elect hospice care, they waive their right to use Medicaid for …
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/improper-medicaid-payments-recipients-hospice-care-followMedicaid Program – Improper Medicaid Payments for Misclassified Patient Discharges
… to reimburse hospitals for inpatient medical care. When a hospital bills Medicaid for an inpatient stay, the hospital … a patient was transferred to another facility may result in a lower payment than if a patient was simply discharged … status codes. Key Recommendations Review the $252,107 in overpayments and recover as appropriate. Review the …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/medicaid-program-improper-medicaid-payments-misclassified-patient-dischargesBenefits 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 … OMH has not taken steps to assess the effectiveness of its email notification system. Active system customers may not be … may be eligible, as notifications are delivered only via email and less than half of the 40,000 WINR customers were …
https://www.osc.ny.gov/state-agencies/audits/2021/07/20/benefits-advisement-services-individuals-disabilities-seeking-employmentUse of Federal Funding for Election Technology and Security
… available funding from the 2018 Help America Vote Act Election Security Grant to enhance the security of the State’s election technology and infrastructure. The audit covered the … available funding from the 2018 Help America Vote Act Election Security Grant to enhance the security of the States …
https://www.osc.ny.gov/state-agencies/audits/2021/09/17/use-federal-funding-election-technology-and-securityUnitedHealthcare – Reasonable and Customary Reimbursement Rates for Delayed Claims
… To determine whether UnitedHealthcare (United) paid claims using reasonable and customary (R&C) reimbursement … that did not correlate with the date of the service on the claims, and to calculate the corresponding financial impact. … United’s reimbursement for certain out-of-network claims is 80 percent of the R&C rate for the service. R&C …
https://www.osc.ny.gov/state-agencies/audits/2019/12/12/unitedhealthcare-reasonable-and-customary-reimbursement-rates-delayed-claimsMaximizing Drug Rebates for Health and Recovery Plans (Follow-Up)
… in our initial audit report, Maximizing Drug Rebates for Health and Recovery Plans (Report 2017-S-61 ). About the … behavioral health needs began to be enrolled into Health and Recovery Plans (HARPs). HARPs are a type of … in our initial audit report Maximizing Drug Rebates for Health and Recovery Plans Report 2017S61 …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/maximizing-drug-rebates-health-and-recovery-plans-followEmpire BlueCross – Controls Over Payments for Special Items (Follow-Up)
… of implementation of the two recommendations included in our initial audit report, Controls Over Payments for … Key Findings Empire officials made significant progress in addressing the problems we identified in the initial audit. In particular, Empire recovered $11.5 …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/empire-bluecross-controls-over-payments-special-items-follow