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Medicaid Program – Managed Care Organizations’ Readiness for the Encounter Intake System
… Purpose To determine the readiness of all Medicaid managed care organizations (MCOs) to submit Medicaid encounter transactions to the new … MCOs were specialized health plans, which generally have fewer enrollees than mainstream Medicaid managed care …
https://www.osc.ny.gov/state-agencies/audits/2016/03/29/medicaid-program-managed-care-organizations-readiness-encounter-intake-systemDiNapoli: Tennessee Woman Sentenced for Stealing Deceased Mother's NYS Pension Checks
… over $56,000 in restitution and serve eight months home detention and two years’ probation before the Honorable …
https://www.osc.ny.gov/press/releases/2022/07/dinapoli-tennessee-woman-sentenced-stealing-deceased-mothers-nys-pension-checksDiNapoli: Syosset Man Sentenced for Role in $12 Million Ponzi Scheme
… and 2017. Matthew Eckstein, 52, pleaded guilty on Feb. 8, 2022, before Judge Teresa Corrigan to charges of Grand … and using the money to fund business ventures and pay for his own personal expenses,” said DA Donnelly. “I am … safely, Eckstein, a registered CPA, used their funds to pay Conmac’s bills and for his own personal interests. He …
https://www.osc.ny.gov/press/releases/2022/07/dinapoli-syosset-man-sentenced-role-12-million-ponzi-schemeDiNapoli: Employment Services System for New Yorkers with Disabilities Is Underutilized
… among all New Yorkers, but from April 2020 to March 2021, the unemployment rate for people with a disability … with Disabilities Have Been Derailed by COVID-19 , June 2021 DiNapoli’s Executive Order on Inclusion of People with …
https://www.osc.ny.gov/press/releases/2022/08/dinapoli-employment-services-system-new-yorkers-disabilities-underutilizedDiNapoli Urges NYC to Continue to Prepare for Shifting Fiscal Landscape
… Total revenue for New York City’s budget is expected to drop by 9.4% to … at this time. On August 5, 2022, a Manhattan Supreme Court judge found that the city had violated required procedures and ruled that the city must return …
https://www.osc.ny.gov/press/releases/2022/08/dinapoli-urges-nyc-continue-prepare-shifting-fiscal-landscapeXIII.11 Submitting Travel and Expense Reimbursement Requests for Inactive Employees – XIII. Employee Expense Reimbursement
… on submitting Travel and Expense reimbursement requests for inactive employees for expenses that were incurred during the employee’s State … no later than the employee’s last day of employment. For any questions relating to the lock or removal of access, …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiii/xiii11-submitting-travel-and-expense-reimbursement-requests-inactive-employeesTroy City School District – Payments for Unused Leave Accruals (2020M-167)
… District of Troy (District) accurately calculated payments for unused leave accruals. Audit Results During the audit … period, the District paid 51 employees a total of $477,000 for their unused leave accruals. We reviewed payments … officials identified unused sick leave reporting errors for District retirees. These errors were reported in …
https://www.osc.ny.gov/local-government/audits/school-district/2021/06/04/troy-city-school-district-payments-unused-leave-accruals-2020m-167DiNapoli: Local Sales Tax Collections Drop for Second Quarter of 2020
… Sales tax revenue for local governments in New York state dropped 27.1 percent in the second quarter … saw their second quarter collections drop. Downstate, Long Island experienced the largest decrease outside of New York …
https://www.osc.ny.gov/press/releases/2020/07/dinapoli-local-sales-tax-collections-drop-second-quarter-2020DiNapoli: Former Potter Town Clerk Arrested for Theft of Nearly $24,000
… of the Town of Potter. Brown, 49, was arrested Friday for allegedly stealing nearly $24,000 in cash payments to the … actions were exposed and she is now being held accountable for her abuse of taxpayer funds.” “Yates County Sheriff’s … criminal investigation that has been ongoing since 2019 for embezzlement,” said Yates County Sheriff Spike. “A public …
https://www.osc.ny.gov/press/releases/2020/11/dinapoli-former-potter-town-clerk-arrested-theft-nearly-24000DiNapoli: Former Riverside Village Clerk Sentenced to Jail for $50K Theft
… restitution of $50,000 to the village. “Too many public servants confuse the public purse with their own,” DiNapoli …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-former-riverside-village-clerk-sentenced-jail-50k-theftMedicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (Follow-Up)
… The Department of Health (Department) administers the State’s Medicaid Program. Many Medicaid recipients are also … appropriate; formally advise providers to report accurate claim information when billing Medicaid for Part B … audit. For instance, the Department implemented a new claim processing control to prevent payment of excessive Part …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-part-b-services-billed-directly-emedny-followGASB Statement No. 33 "Accounting and Financial Reporting for Nonexchange Transactions"
… revenues. The statement describes four categories of nonexchange transaction: Derived tax revenues (for example … (for example grants entered into voluntarily). The purpose of this bulletin is to discuss the Statement No. 33 impact on … revenue recognition when using the modified accrual basis of accounting. Modified accrual will be used in preparing …
https://www.osc.ny.gov/local-government/publications/gasb-statement-no-33-accounting-and-financial-reporting-nonexchange-transactionsOpioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program (Follow-Up)
… to identify undisclosed opioid prescriptions or drug abuse. State law requires Treatment Programs to consult … – auditors noted 493 of the 18,786 recipients required medical care as a result of opioid or narcotic overdoses that … and 12 of those individuals died during the time of their medical care involving the overdose. Based on a review of …
https://www.osc.ny.gov/state-agencies/audits/2020/05/07/opioid-prescriptions-medicaid-recipients-opioid-treatment-program-followDiNapoli and Hein Announce Training For Fire Districts and EMS Agencies
… protect their assets by tightening their internal controls and strengthening checks and balances,” DiNapoli said. “Prevention is the best way to … vast majority of fire departments are run by committed and amazing volunteers who risk their lives protecting people …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-and-hein-announce-training-fire-districts-and-ems-agenciesCity of Long Beach - Payments for Unused Leave Accruals (2019M-68)
… Audit Objective Assess whether payments to certain City officers and employees for unused leave accruals were … Key Recommendations Amend the City Code to clarify how the City intends to compensate officers and employees for … in this report and seek recovery of such payments that are inconsistent with the City Code or any other applicable …
https://www.osc.ny.gov/local-government/audits/city/2019/12/11/city-long-beach-payments-unused-leave-accruals-2019m-68DiNapoli: Former Director Allegedly Stole $1,700 From Hornell Partners for Growth
The former Executive Director of Hornell Partners for Growth HPG was charged with Grand Larceny in the Fourth Degree
https://www.osc.ny.gov/press/releases/2020/01/dinapoli-former-director-allegedly-stole-1700-hornell-partners-growthManaged Care Premium Payments for Recipients With Comprehensive Third-Party Insurance (Follow-Up)
… our initial audit report, Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance … Recipients should, instead, be enrolled in Medicaid fee-for-service to avoid the expense of monthly managed care premiums (for instance, under fee-for-service, after the comprehensive …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/managed-care-premium-payments-recipients-comprehensive-third-party-insurance-followWestchester School for Special Children – Compliance With the Reimbursable Cost Manual
… the WSSC did not maintain the required vehicle logs or any other documentation to support the business use of the …
https://www.osc.ny.gov/state-agencies/audits/2013/07/02/westchester-school-special-children-compliance-reimbursable-cost-manualDebt Approvals for Public Authorities, Municipalities, School Districts and District Corporations
… notes and bonds at private or negotiated sale to first secure the New York State Comptroller’s approval. Certain … City, Buffalo, Yonkers, Erie County and Nassau County must secure the Comptroller’s approval of the terms and conditions … (“Guidelines”) and Debt Issuance Approval Request Form (“Request Form”). The Guidelines summarize the process …
https://www.osc.ny.gov/debt/approvalsAll Services for Kids, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by All Services for … (CFRs) are adequately documented and allowable pursuant to the State Education Department's (SED) Reimbursable Cost …
https://www.osc.ny.gov/state-agencies/audits/2014/02/25/all-services-kids-inc-compliance-reimbursable-cost-manual