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Medicaid Program – Claims Processing Activity October 1, 2020 Through March 31, 2021
… clinic, inpatient, durable medical equipment, episodic home health care, and psychiatric claims that did not comply …
https://www.osc.ny.gov/state-agencies/audits/2022/04/19/medicaid-program-claims-processing-activity-october-1-2020-through-march-31-2021DiNapoli: Orange County Resident Arrested for Stealing Her Late Mother’s Pension Benefits
… with grand larceny in the second degree (Class C Felony) for allegedly stealing $51,532.64 of her late mother’s … District Attorney Hoovler and the New York State Police for their partnership and sending the message that those who … pension benefits will be caught and will face consequences for their criminal actions.” “The theft of public funds is …
https://www.osc.ny.gov/press/releases/2021/06/dinapoli-orange-county-resident-arrested-stealing-her-late-mothers-pension-benefitsDiNapoli: Former Bemus Point Clerk Arrested for Theft of Over $60,000
… Chautauqua County District Attorney Jason Schmidt and Chautauqua County Sheriff James B. Quattrone today … checks to herself using forged signatures of officials and had village officials sign blank checks which she then … Jaeger used the village bank account to pay for herself and her family’s personal cell phones and car payments, and …
https://www.osc.ny.gov/press/releases/2021/02/dinapoli-former-bemus-point-clerk-arrested-theft-over-60000Access Controls Over Selected Critical Systems (Follow-Up)
… children, youth, families, and vulnerable populations in New York State. Its responsibilities encompass a wide range of … stored on systems, agencies, such as OCFS, must follow New York State Information Technology (NYS IT) security …
https://www.osc.ny.gov/state-agencies/audits/2020/12/29/access-controls-over-selected-critical-systems-followSafety at Stations (Follow-Up)
… in our initial report, Safety at Stations (Report 2016-S-91 ). About the Program Staten Island Railway (SIR) is a …
https://www.osc.ny.gov/state-agencies/audits/2020/01/06/safety-stations-followTechnology Transfer Program and Royalty Payments
… Objective To determine if the Research Foundation for the State University of New York (Research Foundation) … protect the State University of New York’s (SUNY) interest in the transfer of technology and royalties received for intellectual property developed at SUNY campuses. The …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/technology-transfer-program-and-royalty-paymentsDiNapoli Releases Bond Calendar for Second Quarter
… New York State Comptroller Thomas P. DiNapoli today announced … the committee to assist participants in the municipal bond market. It is contingent upon execution of all project …
https://www.osc.ny.gov/press/releases/2021/04/dinapoli-releases-bond-calendar-second-quarterOversight of Construction Management Contracts
… and Historic Preservation (Parks) is responsible for operating and maintaining the State park, recreation, and … This system includes 180 State parks with opportunities for hiking, camping, swimming, golfing, and snowmobiling as … with private firms that total approximately $27.9 million for 58 projects. Key Findings Parks has generally established …
https://www.osc.ny.gov/state-agencies/audits/2021/06/24/oversight-construction-management-contractsAn Analysis of Reasonable and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in the New York State Health Insurance Program
… The Empire Plan is the primary health benefits plan for NYSHIP, covering 1.1 million of the NYSHIP members. The … (out-of-network) providers. United bases payment for most services provided by out-of-network providers either … rate. The R&C rate is generally based on provider charges for the same or similar service in the same or similar …
https://www.osc.ny.gov/state-agencies/audits/2020/04/01/analysis-reasonable-and-customary-out-network-reimbursement-rates-medicalsurgical-servicesOversight of Homeless Shelters
… – between 2007 and 2018. The Office administers programs for the State’s low-income residents and provides support to … compliance with applicable rules and regulations. For 2018, Local Districts submitted $2 billion in gross claims to the Office for homeless housing reimbursement. Key Findings The Office …
https://www.osc.ny.gov/state-agencies/audits/2020/03/10/oversight-homeless-sheltersOversight of Selected Fiscal Aspects of Homeless Shelter Services (Follow-Up)
… is responsible for providing transitional housing and services for eligible homeless families and individuals in New York City and for fiscal oversight of the homeless shelters. The …
https://www.osc.ny.gov/state-agencies/audits/2020/05/06/oversight-selected-fiscal-aspects-homeless-shelter-services-followOversight of Residential Domestic Violence Programs (Follow-Up)
… well-being and survival depend on emergency housing – and for whom homelessness is a daily threat. The Domestic … violence, and establishes mainstream funding mechanisms for these programs. As a result of the Act, the Office of … Services (OCFS) created regulations to promote standards for the establishment and operation of non-residential and …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/oversight-residential-domestic-violence-programs-followVacancies at the Clinton Towers Mitchell-Lama Housing Development (Follow-Up)
… Towers Housing Company, Inc., which was formed in 1972 for the purpose of constructing, owning, and operating the … of their affordability; consequently, the waiting lists for these apartments can be quite lengthy. As of August 2, … there were over 10,000 applicants on the waiting lists for apartments at Clinton Towers. The initial audit found …
https://www.osc.ny.gov/state-agencies/audits/2020/01/30/vacancies-clinton-towers-mitchell-lama-housing-development-followMedicaid Program – Claims Processing Activity April 1, 2020 Through September 30, 2020
… by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments … for inpatient claims that were billed at a higher level of care than what was actually provided; $892,790 was paid for … for clinic, practitioner, pharmacy, inpatient, managed care capitation, and episodic home health care claims that …
https://www.osc.ny.gov/state-agencies/audits/2021/09/21/medicaid-program-claims-processing-activity-april-1-2020-through-september-30-2020Public Officers – Membership and Enrollment
… eligible for membership in NYSLRS. This applies regardless of whether individuals are elected or appointed as public officers. You must give them the opportunity to join NYSLRS. A public officer is a person either elected … by statute, resolution or charter to exercise part of the sovereign power of the governmental entity. The duties …
https://www.osc.ny.gov/retirement/employers/membership-enrollment/public-officersKids & the Training Institute, Inc. – Compliance With the Reimbursable Cost Manual
… 2009. Background KTI, a privately-owned company located in New York City, provides special education itinerant … SED, which are based on financial information KTI presents in an annual CFR filed with SED. The State reimburses the DoE … ended June 30, 2009, KTI claimed and received $3.3 million in public support. Key Findings KTI claimed $287,952 in costs …
https://www.osc.ny.gov/state-agencies/audits/2013/02/07/kids-training-institute-inc-compliance-reimbursable-cost-manualSelected Employee Travel Expenses
… Purpose To determine whether the use of travel monies by selected government employees complied … appropriate, we audited travel expenses for the highest-cost travelers in the State as well as other outliers. These …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/selected-employee-travel-expenses-0Overtime and Other Time and Attendance Matters Found in the Use of Certain Federal Funds
… and Reinvestment Act (Recovery Act) funds efficiently and for authorized purposes, and whether the funds were properly … their employees to ensure that Recovery Act funds are used for authorized purposes and instances of fraud, waste, and … officials should improve the timekeeping method used for conductors to better ensure they are actually working the …
https://www.osc.ny.gov/state-agencies/audits/2014/01/24/overtime-and-other-time-and-attendance-matters-found-use-certain-federal-funds-0Kids Quality Care, Inc. – Compliance With the Reimbursable Cost Manual
… 2009. Background KQC, a privately-owned company located in New York City, provides special education itinerant … to disabled preschool children. KQC leases office space in Manhattan for its business operations. In turn, KQC subleases to and shares office space with …
https://www.osc.ny.gov/state-agencies/audits/2013/02/07/kids-quality-care-inc-compliance-reimbursable-cost-manualDiNapoli: MetroPlus Enrollment Reached a Record High Over the Course of the Pandemic
… and members either do not renew or become ineligible for coverage. To help members, MetroPlus needs to actively … in the city and the state to ensure a smooth transition for its members and avoid interruptions in insurance coverage … plays a vital role in providing healthcare access for many low-income New Yorkers and is an important part of …
https://www.osc.ny.gov/press/releases/2022/09/dinapoli-metroplus-enrollment-reached-record-high-over-course-pandemic