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United HealthCare – Overpayments for Services Provided by Eastern Orange Ambulatory Surgery Center
… employees and their dependents. The Empire Plan is the primary health benefits plan for NYSHIP, covering a range of services from inpatient hospital care to outpatient surgical procedures and physician office visits. The New York State Department of …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-eastern-orange-ambulatory-surgery-centerMedicaid Program – Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits
… Purpose To determine whether the Department of Health paid pharmacy providers for controlled substances … of controlled substances that pharmacies can dispense when prescriptions are ordered via telephone or fax, due to … identified two MCOs that, similar to the Department, do not have system edits to prevent the payment of pharmacy …
https://www.osc.ny.gov/state-agencies/audits/2015/02/06/medicaid-program-improper-payments-controlled-substances-exceed-allowed-dispensing-limitsUnited HealthCare – Overpayments for Services Provided by Orthopedic Associates of Long Island
… employees and their dependents. The Empire Plan is the primary health benefits plan for NYSHIP, covering a range of services from inpatient hospital care to outpatient surgical procedures and physician office visits. The New York State Department of …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-orthopedic-associates-long-islandDiNapoli Proposal Would Provide More Accountability for Personal Income Tax Check-Off Funds
… would require the entities administering tax check off funds to improve efforts to spend dedicated contributions … these challenges. My bill will help make sure these funds are being put to good use in a timely manner.” … found that over the previous five years, receipts for the funds reached $12 million, while expenditures were only $5.1 …
https://www.osc.ny.gov/press/releases/2015/04/dinapoli-proposal-would-provide-more-accountability-personal-income-tax-check-fundsDiNapoli Announces Nominee for the Commission on Ethics and Lobbying in Government
… the Independent Review Commission of New York’s law school deans for review and approval or denial to serve on the …
https://www.osc.ny.gov/press/releases/2022/07/dinapoli-announces-nominee-commission-ethics-and-lobbying-governmentDiNapoli: Former Village of Sherman Treasurer Arrested for Alleged Theft of $20,000
… personal gain.” Ms. Gilbert allegedly embezzled village funds to pay for her personal utility bills and purchases …
https://www.osc.ny.gov/press/releases/2022/08/dinapoli-former-village-sherman-treasurer-arrested-alleged-theft-20000DiNapoli: Orange County Resident Arrested for Stealing Her Late Mother’s Pension Benefits
… with hiding her mother’s death from the retirement system to steal over $50,000. She was wrong and now will be held accountable,” DiNapoli said. “I am grateful to Orange County District Attorney Hoovler and the New York … Brockett and released on her own recognizance. She is due back in court on July 8, 2021. Since taking office in …
https://www.osc.ny.gov/press/releases/2021/06/dinapoli-orange-county-resident-arrested-stealing-her-late-mothers-pension-benefitsImproper Fee-for-Service Payments for Services Covered by Managed Long-Term Care Plans (Follow-Up)
… Care Plans (Report 2018-S-65 ). About the Program The State’s Medicaid program offers managed long-term care (MLTC) … member enrolled. Some services are excluded (i.e., carved out) from benefit packages and may be paid separately by … (FFS). The Medicaid program should not pay claims on a FFS basis for MLTC plan covered services. We issued our …
https://www.osc.ny.gov/state-agencies/audits/2021/08/31/improper-fee-service-payments-services-covered-managed-long-term-care-plans-followDiNapoli: School District Tax Levy Cap Below 2 Percent for Second Straight Year
… Property tax levy growth for school districts will be capped at 1.23 percent, down … a levy growth rate of 1.23 percent and below 2 percent for the second year in a row, means they must examine their … The 1.23 percent cap affects the tax cap calculations for 676 school districts and 10 cities with fiscal years …
https://www.osc.ny.gov/press/releases/2021/01/dinapoli-school-district-tax-levy-cap-below-2-percent-second-straight-yearAdministration of the Contract With the Postgraduate Center for Mental Health (Follow-Up)
… of implementation of the nine recommendations included in our initial audit report, Administration of the Contract … had a severe bedbug problem. We also identified $697,938 in unsupported and/or inappropriate expenses charged to the … fees and staff travel. We also found deficiencies in efforts by OMH program staff to follow up on …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/administration-contract-postgraduate-center-mental-health-followDiNapoli: Former Clerk Treasurer for the Village of Speculator Charged With Larceny
… Bonnie Page was charged with grand larceny and corrupting the government for allegedly scamming the village out of $25,988 for health … by filing a complaint online at investigations@osc.ny.gov , or by mailing a complaint to: Office of the State …
https://www.osc.ny.gov/press/releases/2020/02/dinapoli-former-clerk-treasurer-village-speculator-charged-larcenyDiNapoli: NYC Projects $3 Billion Surplus for 2015, Balanced Budget Next Year
… New York City is projecting a surplus of $3 billion for fiscal year (FY) 2015 and a balanced budget for FY 2016 with relatively small gaps in the following three years, according to a review of the … billion in FY 2014; and The Metropolitan Transportation Authority faces a $14 billion funding gap in its proposed …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-nyc-projects-3-billion-surplus-2015-balanced-budget-next-yearState Comptroller DiNapoli Statement on Arrest of Muge Ma for COVID-Related Scam
… to help fight fraud and abuse. New Yorkers can report allegations of fraud involving taxpayer money by calling the …
https://www.osc.ny.gov/press/releases/2020/05/state-comptroller-dinapoli-statement-arrest-muge-ma-covid-related-scamQuality Services for the Autism Community – Compliance With the Reimbursable Cost Manual
… not provide sufficient documentation, such as invoices, bank statements, or canceled checks issued to vendors to …
https://www.osc.ny.gov/state-agencies/audits/2019/12/31/quality-services-autism-community-compliance-reimbursable-cost-manualHebrew Academy for Special Children, Inc. – Compliance With the Reimbursable Cost Manual
… operated several other programs, including SED-approved school-age programs, an Early Intervention program … a camp, and a day care program. During the 2016-17 school year, Hebrew Academy served approximately 539 students …
https://www.osc.ny.gov/state-agencies/audits/2020/02/04/hebrew-academy-special-children-inc-compliance-reimbursable-cost-manualMedicaid Program – Improper Fee-for-Service Payments for Services Covered by Long-Term Care Plans
… durable medical equipment, to people who are chronically ill or disabled. Medicaid pays MLTC plans monthly managed …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/medicaid-program-improper-fee-service-payments-services-covered-long-term-care-plansDiNapoli: Village of Candor Mayor Arrested for Allegedly Stealing From the Village
… and the New York State Police announced the arrest of Village of Candor Mayor Eric Halstead for stealing from the village’s … by filing a complaint online at https://www.osc.ny.gov/investigations , or by mailing a complaint to: Office …
https://www.osc.ny.gov/press/releases/2024/07/dinapoli-village-candor-mayor-arrested-allegedly-stealing-villageMedicaid Program – Improper Payments for Ancillary Services Provided During Hospital Inpatient Admissions
… by Medicare. Enhance existing eMedNY edits or implement new edits to detect any improper claim for ancillary …
https://www.osc.ny.gov/state-agencies/audits/2014/04/03/medicaid-program-improper-payments-ancillary-services-provided-during-hospital-inpatientDiNapoli: State Missing Out on Millions in Medicare Payments for Kidney Patients
… disease (ESRD) who meet certain eligibility requirements get the Medicare benefits to which they are entitled, … in the audit, many of the state's Medicaid recipients are also eligible for Medicare. Medicare is the federal health … they may be eligible for Medicare and how to apply. DOH can also obtain recoveries from Medicare (up to 12 months of …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-state-missing-out-millions-medicare-payments-kidney-patientsState Pension Fund Adds $30 Million for Investments in New York Companies
… Retirement Fund has committed an additional $30 million to Primary Venture Partners to invest in state-based companies, New York State … In-State Private Equity Investment Program, designed to make profitable investments in companies located in New …
https://www.osc.ny.gov/press/releases/2015/03/state-pension-fund-adds-30-million-investments-new-york-companies