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UnitedHealthcare – Reasonable and Customary Reimbursement Rates for Delayed Claims
… (Civil Service), provides health insurance coverage to over 1.2 million active and retired State, local government … reimbursement for certain out-of-network claims is 80 percent of the R&C rate for the service. R&C rates are … January 1, 2017 through December 31, 2018, United paid over $416 million for 255,807 out-of-network claims based on …
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)
… 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 York … report some DASA incidents or may not report them at all, and incident records often were not adequate to clearly …
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)
… Drug Rebate Program, which allows states to recover a portion of their Medicaid prescription drug costs by … significant behavioral health needs began to be enrolled into Health and Recovery Plans (HARPs). HARPs are a type of … that provides specialized care, including prescription drugs, to Medicaid recipients age 21 or older with serious …
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 District Attorney Andrew J. Wylie announced the arrest … Bell, 54, was arrested Thursday for allegedly falsifying records to hide her failure to deposit more than $800 in cash … DiNapoli. “Thanks to our partnership with Clinton County District Andrew Wylie and the Clinton County Sheriff’s …
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
… that. The agency responsible for protecting them must do a better job.” Elder abuse is a problem nationwide, with 1 in 10 older … government financial records, track state contracts, and find commonly requested data. …
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
… State Comptroller Thomas P. DiNapoli and Brooklyn District Attorney Eric Gonzalez today announced the … the Bronx, is charged with illegally cashing 20 checks in Brooklyn for nearly $8,000 issued by the New York State and … law abiding taxpayers end up paying the price,” said Brooklyn District Attorney Gonzalez. “I would like to thank …
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
… 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 … of community service. Hand was also ordered to pay $34,000 in restitution. “Ms. Hand took advantage of her position as …
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)
… plan for NYSHIP. Empire BlueCross (Empire) administers the hospital portion of the Empire Plan. Empire processes claims for hospital services according to contracts it negotiates with … rate schedules for the payment of inpatient and outpatient hospital services. Hospitals may be entitled to additional …
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
… Brown was sentenced to serve one to three years in a state prison. In June, Brown pleaded guilty to stealing $240,000 in … Brown was sentenced to serve one to three years in a state prison …
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)
… Improper Medicaid Payments for Recipients in Hospice Care ( 2017-S-76 ). About the Program Hospice is a program that provides care to terminally ill individuals, with a focus on easing … Generally, when eligible Medicaid recipients elect hospice care, they waive their right to use Medicaid for curative …
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
… court clerk – his mother – was on sick leave, according to State Comptroller Thomas P. DiNapoli. Eric Fleury, 44, was sentenced in Dickinson Town Court to three years’ probation and ordered to pay full restitution after his February 1 guilty plea to … other court clerk his mother was on sick leave according to State Comptroller Thomas P DiNapoli …
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: 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
… the charge exceeds the maximum allowable fee. Providers can submit claims for unpaid cost-sharing, such as …
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 December 2014
… on his commitment to added transparency via his Open Book New York website. Highlights for December 2014: Major … of Environmental Conservation $12.4 million with New England Interstate Water Pollution for coordination and …
https://www.osc.ny.gov/press/releases/2015/01/dinapoli-announces-state-contract-payment-actions-december-2014Restrictions on Consecutive Hours of Work for Nurses (Follow-Up)
… provide direct patient care in hospitals, nursing homes, treatment centers, and other facilities licensed under …
https://www.osc.ny.gov/state-agencies/audits/2019/09/09/restrictions-consecutive-hours-work-nurses-followDiNapoli: Farms Generated $5.7 Billion for New York Economy
… generated $5.7 billion in revenue in 2017, according to a report released today by State Comptroller Thomas P. DiNapoli. “Agriculture is an essential part of New York’s economy,” DiNapoli said. “Farms generate … for beer. New York is the third largest producer of wine, with its wineries producing nearly 32 million gallons …
https://www.osc.ny.gov/press/releases/2019/08/dinapoli-farms-generated-57-billion-new-york-economy