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Improper Fee-for-Service Payments for Services Covered by Managed Long-Term Care Plans (Follow-Up)
… Covered by Managed Long-Term Care Plans (Report 2018-S-65 ). About the Program The State’s Medicaid program offers …
https://www.osc.ny.gov/state-agencies/audits/2021/08/31/improper-fee-service-payments-services-covered-managed-long-term-care-plans-followQuality Services for the Autism Community – Compliance With the Reimbursable Cost Manual
… included expenses claimed on QSAC’s CFR for the fiscal year ended June 30, 2015. About the Program QSAC is a New … programs are located in Douglaston, Queens. For the fiscal year ended June 30, 2015, QSAC served 164 students, which … in an employee’s salary. We disallowed a total of $12,428 in non-mandated fringe benefits because the benefits …
https://www.osc.ny.gov/state-agencies/audits/2019/12/31/quality-services-autism-community-compliance-reimbursable-cost-manualDiNapoli: SED Makes Progress on Implementation of Dignity for All Students Act
… academic achievement and aspirations. Provisions of the law include curriculum and annual reporting requirements and …
https://www.osc.ny.gov/press/releases/2019/11/dinapoli-sed-makes-progress-implementation-dignity-all-students-actMedicaid Program – Improper Fee-for-Service Payments for Services Covered by Long-Term Care Plans
… services. The Medicaid program should not pay claims on a FFS basis for services covered by MLTC plans. …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/medicaid-program-improper-fee-service-payments-services-covered-long-term-care-plansGlobal Investor Coalition Calls on Exxon to Prepare for a Lower Carbon Future
… A group of investors led by New York State Comptroller Thomas P. DiNapoli and the Church of England are urging ExxonMobil to disclose the resilience of its business model in the wake of the Paris Agreement on climate change. The group of investors, …
https://www.osc.ny.gov/press/releases/2016/01/global-investor-coalition-calls-exxon-prepare-lower-carbon-futureDiNapoli: State Education Employment Program For New Yorkers With Disabilities Falling Short
… The program run by the State Education Department (SED) to help New Yorkers with disabilities gain employment, transition to independent living, and rise out of poverty is not … the participant, the services that will be provided and how progress will be measured. DiNapoli’s auditors, however, …
https://www.osc.ny.gov/press/releases/2022/03/dinapoli-state-education-employment-program-new-yorkers-disabilities-falling-shortAdministration of the Contract With the Postgraduate Center for Mental Health (Follow-Up)
… of the Contract With the Postgraduate Center for Mental Health ( 2015-S-88 ). About the Program Our … Supportive Housing Contract with the Postgraduate Center for Mental Health (PCMH). The audit found sampled clients … negatively affect the health and/or safety of clients. For example, three apartments had significantly damaged …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/administration-contract-postgraduate-center-mental-health-followDiNapoli: Orange County Resident Arrested for Stealing Her Late Mother’s Pension Benefits
… State Comptroller Thomas P. DiNapoli, Orange County District Attorney David M. Hoovler, and the New … with hiding her mother’s death from the retirement system to steal over $50,000. She was wrong and now will be held … totaling $54,047.43, were deposited into the bank account she had shared with White. White, 57, withdrew …
https://www.osc.ny.gov/press/releases/2021/06/dinapoli-orange-county-resident-arrested-stealing-her-late-mothers-pension-benefitsDiNapoli: School District Tax Levy Cap Below 2 Percent for Second Straight Year
… by State Comptroller Thomas P. DiNapoli. “School district and municipal officials must remain fiscally cautious to stay … annual tax levy increases to the lesser of the rate of inflation or 2 percent with certain exceptions, including a … to local officials in the wake of the pandemic. List of allowable tax levy growth factors for all local governments …
https://www.osc.ny.gov/press/releases/2021/01/dinapoli-school-district-tax-levy-cap-below-2-percent-second-straight-yearMedicaid Program – Overpayments for Therapy Services and Prescription Drugs Covered by Medicare
… Objective To determine if the Department of Health overpaid health care providers’ Medicaid claims for … 31, 2017 for therapy services. About the Program Many of the State’s Medicaid recipients are also enrolled in … recipients, health care providers are required to bill Medicare, which is generally the primary payer, before …
https://www.osc.ny.gov/state-agencies/audits/2019/10/30/medicaid-program-overpayments-therapy-services-and-prescription-drugs-covered-medicareUnited HealthCare – Overpayments for Services Provided by Eastern Orange Ambulatory Surgery Center
… The Empire Plan is the primary health benefits plan for NYSHIP, covering a range of services from inpatient … process and pay medical claims from health care providers for services provided to Empire Plan members. United … pay a nominal co-payment to the participating provider for the services rendered. Members may also choose to receive …
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
… use. The supply limits that the Act imposes vary depending on the classification of the controlled substance. Generally, … 2011, most pharmacy benefits were covered by managed care. Key Findings Medicaid overpaid pharmacies $1,183,601 for … Medicaid MCOs also do not have such controls. Key Recommendations Review the improper pharmacy claims and …
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
… Orthopedic Associates accepted the $6,932 as payment-in-full and waived the $1,733 due from the member. Orthopedic … Because Orthopedic Associates accepted $6,932 as the full payment, United should have only paid $5,546 on the …
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
… Legislation being proposed by State Comptroller Thomas P. DiNapoli would require the … able to contribute to a new Homeless Veterans Assistance fund starting with the 2015 tax year. A 2014 State …
https://www.osc.ny.gov/press/releases/2015/04/dinapoli-proposal-would-provide-more-accountability-personal-income-tax-check-fundsMedicaid Program – Medicaid Payments for Pharmacy Claims: Joia Pharmacy and a Related Prescriber
… made proper payments to Joia Pharmacy, Inc. (Joia) and a related prescriber (herein referred to as “the Doctor”) … with a review by other external oversight authorities of some of the matters addressed in this report. Subsequent to … payments to Joia were for patients who lived approximately one hour away (one way); and 134 of the 270 claims in the …
https://www.osc.ny.gov/state-agencies/audits/2017/06/27/medicaid-program-medicaid-payments-pharmacy-claims-joia-pharmacy-and-related-prescriberDiNapoli: State Pension Fund Investments Return 11.55% for State Fiscal Year 2023-24
… As of March 31, 2024, the Fund had 42.85% of its assets invested in publicly traded equities. The remaining Fund assets by allocation are invested in cash, bonds and … (22.26%), private equity (14.60%), real estate and real assets (12.77%) and credit, absolute return strategies and …
https://www.osc.ny.gov/press/releases/2024/06/dinapoli-state-pension-fund-investments-return-1155-state-fiscal-year-2023-24DiNapoli Announces Improvements to College Savings Plan to Save Money for College
… will offer more investment options, lower costs, raise the maximum allowable balance and eliminate the $25 minimum contribution, State Comptroller Thomas P. … announced today. "Now's the time to take advantage of the improvements we're making to New York's 529 College …
https://www.osc.ny.gov/press/releases/2017/09/dinapoli-announces-improvements-college-savings-plan-save-money-collegeAdministration of the CityFHEPS Program for Department of Homeless Services Shelter Residents
… the Welfare Management System, the system of record for various social services programs in New York. For example, data shared between the two systems helps identify households who are potentially eligible for CityFHEPS. Households who are identified from the match …
https://www.osc.ny.gov/state-agencies/audits/2024/10/30/administration-cityfheps-program-department-homeless-services-shelter-residentsDiNapoli: Fulton County Snowmobile President Arrested for Stealing Over $8,000 From Nonprofit
… Mike Poulin announced the arrest of Chad Daley, 52, for allegedly stealing over $8,000 from a nonprofit that … purchase snowmobiles and trailers using the organization’s funds while registering the vehicles to himself. Daley used some of the stolen funds to make at least one deposit on a snowmobile for …
https://www.osc.ny.gov/press/releases/2024/11/dinapoli-fulton-county-snowmobile-president-arrested-stealing-over-8000-nonprofitDiNapoli: Former Durhamville Fire Department Treasurer Arrested for Allegedly Stealing Over $92,000
… Simchik allegedly spent Fire Department funds on personal items like a movie channel subscription, plane … County central arraignment for the Town of Verona Court on charges of grand larceny in the second degree and … government in the second degree. She is due back in court on Nov. 26. Since taking office in 2007, DiNapoli has …
https://www.osc.ny.gov/press/releases/2024/11/dinapoli-former-durhamville-fire-department-treasurer-arrested-allegedly-stealing-over-92000