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New York State Health Insurance Program - Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (2020-S-34) 180-Day Response

To determine whether UnitedHealthcare Insurance Company of New York paid claims for Empire Plan members who were not eligible.

Election Form for 25-Year Retirement Plan for Tier 3 Sheriffs, Undersheriffs, Deputy Sheriffs and Correction Officers (Section 89-p) (RS5473-P)

NYSLRS election form for only Tier 3 sheriffs, undersheriffs, deputy sheriffs and correction officers not already enrolled in a plan that permits retirement.

Improper Medicaid Payments to Hospitals for Outpatient Services Billed as Inpatient Services for Recipients Enrolled in Managed Care (2023-S-23)

To determine whether Medicaid made improper payments to hospitals for outpatient services that were erroneously billed as inpatient services for recipients enrolled in managed care.

Comptroller DiNapoli and Attorney General Underwood Announce Criminal Conviction and False Claims Act Settlement with Bottini Fuel for Diverting Customers' Credit Balances for Their Own Benefit

… State Comptroller Thomas P. DiNapoli and Attorney General Barbara D. Underwood today announced the … Degree in the Village of Wappingers Falls Justice Court. Attorney General Underwood also announced the company's civil …

Contract Amendments Eligibility Determination

Provides guidance for State authorities to identify contract amendments that must be submitted to OSC for filing or for prior approval.

New Contracts Eligibility Determination

Provides guidance for State authorities to identify new contracts that must be submitted to OSC for filing or for prior approval.

Monitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance (Follow-Up)

To determine the extent of implementation of the four recommendations included in our initial audit report Monitoring of NotforProfit Cemeteries for Fiscal Stability and Adequate Facility Maintenance 2016S79

Medicaid Program – Opioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program

… Purpose To determine if the Department of Health has taken sufficient steps to safeguard Medicaid … 30, 2017. Background The United States currently faces an opioid misuse epidemic, which began in the 1990s with the … and behavioral therapies for people diagnosed with an opioid use disorder. New York State maintains a database …

Medicaid Program – Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY

… the claims bypass the payment controls enforced by the crossover system. Key Findings Auditors identified up … limits. Key Recommendations Review the payments identified by the audit and recover overpayments, as appropriate. …

Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 3, 4, 5 and 6 Members – Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 3, 4, 5 and 6 Members

Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 1 and 2 Members – Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 1 and 2 Members

Medicaid Program – Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance

… 7.4 million enrollees and Medicaid claims totaled about $58 billion. Under managed care, Medicaid pays managed … people were enrolled in mainstream managed care plans – about 2.5 million were enrolled through New York State of … Key Findings During the audit period, the Department paid about $1.28 billion in Medicaid managed care premium payments …

UnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59 (Follow-Up)

… Improper Payments for Medical Services Designated By Modifier Code 59 (Report 2013-S-82 ). Background The New … modifier 59. We identified 13 claims that were overpaid by $39,345 because a distinct or independent service was not … Improper Payments for Medical Services Designated by By Modifier Code 59 Report 2013S82 …

DiNapoli Statement on Greenville Arrest for Alleged Theft of Taxpayer Funded Resources

… following statement regarding the arrest of Terry Williams for alleged theft of fuel from the Town of Greenville Highway … "Mr. Williams allegedly abused his position by taking, for his own personal use, fuel that was meant for official … Police, Mr. Williams' alleged acts have been brought to light and he will be held accountable." … New York State …

DiNapoli Announces Interim CIO for the New York State Common Retirement Fund

… New York State Comptroller Thomas P. DiNapoli today announced his … Fund is the third largest public pension fund in the United States, with an audited value of $207.4 billion as of …

School for Language and Communication Development – Compliance With the Reimbursable Cost Manual

… to direct care preschool employees; $7,152 in costs for a teacher assistant that was incorrectly charged to the …

UnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers

… through December 31, 2016. Background The New York State Health Insurance Program (NYSHIP), administered by the State … Department of Civil Service (Civil Service), provides health insurance coverage to active and retired State, … testing, outpatient surgery, physical therapy, and home care services. United processes and pays claims from …

Children’s Unit for Treatment and Evaluation – Compliance With the Reimbursable Cost Manual

… on its CFRs for the two fiscal years ended June 30, 2015. About the Program CUTE, an SED-approved provider located in …

Educators for Children, Youth and Families, Inc. – Use of Contract Funds (Follow-Up)

… payments pertained to seven contracts, four administered by SED and three administered by OCFS. We found that Educators could not support or justify … of expenditures claimed. Of this amount, $687,360 was paid by SED and $196,170 was paid by OCFS. The $196,170 of …

DiNapoli: Contractor Sentenced in Federal Court for Defrauding State of Over $360,000

… by New York State Comptroller Thomas P. DiNapoli and U.S. Attorney for the Southern District Preet Bharara, was … over 24 hours a day on a few occasions. This is the latest example of the ongoing collaboration between DiNapoli … by filing a complaint online at  [email protected].ny.us , or by mailing a complaint to: Office of the State …