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United HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial audit … determined that Davis Ethical likely fabricated nearly all of the improper claims. Davis Ethical processed many of the … Determine extent of implementation of 3 recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyLeague for the Handicapped – Compliance With the Reimbursable Cost Manual
… in Springville, New York, is an SED-approved provider of special education services. LFH offers a range of services and programs to children with disabilities from birth through eight years of age. In 2014, LFH provided preschool special education …
https://www.osc.ny.gov/state-agencies/audits/2016/06/03/league-handicapped-compliance-reimbursable-cost-manualNewmeadow, Inc. – Compliance With the Reimbursable Cost Manual
… between the ages of three and five years. Newmeadow is reimbursed for preschool special education services …
https://www.osc.ny.gov/state-agencies/audits/2015/12/29/newmeadow-inc-compliance-reimbursable-cost-manualState Agencies Bulletin No. 974
… Contribution Rate of Employer Contribution T6SNYB 0% 12% up to $16,500 15% over $16,500 T7SNYB 0% 11% for 7 years 13% …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/974-elimination-mandatory-employee-contribution-members-optional-retirementBenchmark Family Services, Inc. – Compliance With the Reimbursable Cost Manual
… in Watertown, New York, is an SED-approved provider of preschool special education services. For the fiscal year … the State, in turn, reimburses the counties 59.5 percent of the preschool special education tuition that the counties … to BFS’s tuition reimbursement rates. Remind BFS officials of the pertinent SED requirements that relate to the …
https://www.osc.ny.gov/state-agencies/audits/2016/12/29/benchmark-family-services-inc-compliance-reimbursable-cost-manualInstitutes of Applied Human Dynamics – Compliance With the Reimbursable Cost Manual
… of Applied Human Dynamics were calculated properly document …
https://www.osc.ny.gov/state-agencies/audits/2014/12/31/institutes-applied-human-dynamics-compliance-reimbursable-cost-manualRiverbank State Park – Administration of the Concession Contract With Riverbank Restaurant Group
… Purpose We assessed the Office of Parks, Recreation and Historic Preservation’s (Parks) administration of the concession services at Riverbank … The objectives of our audit were to determine whether Parks received all of the income it was entitled to, and RRG …
https://www.osc.ny.gov/state-agencies/audits/2014/11/24/riverbank-state-park-administration-concession-contract-riverbank-restaurant-groupAffordable Home Ownership Development Program
… To determine whether Affordable Home Ownership Development Program Program grant managers are awarding grant monies to …
https://www.osc.ny.gov/state-agencies/audits/2014/10/06/affordable-home-ownership-development-programDiNapoli: Syracuse Man Pleads Guilty to Stealing Nearly $22,000 in Pension Checks Sent to His Deceased Mother
… to stealing nearly $22,000 in pension payments sent to his deceased mother, State Comptroller Thomas P. DiNapoli, … by DiNapoli’s office. “Mr. Glinski tried to hide his mother’s death to cash her pension checks. Attempts to … had deposited 17 pension checks, totaling $21,946.36, into his personal bank account by endorsing the checks using his …
https://www.osc.ny.gov/press/releases/2025/05/dinapoli-syracuse-man-pleads-guilty-stealing-nearly-22000-pension-checks-sent-his-deceased-motherFormer Village of Candor Mayor Sentenced to Jail Time for Stealing Village Funds
… Mayor Eric Halstead was sentenced to 60 days in jail for his theft of $23,000 in village funds. “Halstead was elected to serve his community but chose instead to steal from it,” DiNapoli said. “He now faces the consequences of his crime. Public corruption does lasting damage to people’s …
https://www.osc.ny.gov/press/releases/2025/04/former-village-candor-mayor-sentenced-jail-time-stealing-village-fundsThe Child School – Compliance With the Reimbursable Cost Manual
… is certified to provide special education services for up to 239 children. Pursuant to the State Education Law, …
https://www.osc.ny.gov/state-agencies/audits/2015/09/11/child-school-compliance-reimbursable-cost-manualCity of Troy – Budget Review (B5-15-22)
… Purpose of Budget Review The purpose of our budget review was to determine whether the significant … the 2016 fiscal year are reasonable. Background The City of Troy, located in Rensselaer County, issued debt totaling … City of Troy Budget Review B51522 …
https://www.osc.ny.gov/local-government/audits/city/2015/11/10/city-troy-budget-review-b5-15-22State Agencies Bulletin No. 1140
… (DCS) to process payments to employees with proof of other health insurance who elect to opt-out of State health insurance. Affected Employees Employees currently … beginning January 1, 2012, employees with proof of other health insurance may elect to opt-out of State health …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1140-new-york-state-health-insurance-plan-nyship-opt-out-paymentsMedicaid Program – Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care
… health care needs. In general, the Medicaid program pays medical providers through either the fee-for-service … plan method. Under the feefor- service method, Medicaid pays providers directly for Medicaid-eligible services … recipients. Under the managed care plan method, Medicaid pays managed care organizations (MCOs) a monthly premium for …
https://www.osc.ny.gov/state-agencies/audits/2015/01/05/medicaid-program-improper-fee-service-payments-pharmacy-services-covered-managed-careCity of Olean – Budget Review (B1-16-2)
… Purpose of Budget Review The purpose of our budget review was to determine whether the significant … review letter issued in March 2015. Background The City of Olean, located in Cattaraugus County, issued debt totaling … City of Olean Budget Review B1162 …
https://www.osc.ny.gov/local-government/audits/city/2016/03/14/city-olean-budget-review-b1-16-2Excessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)
… this amount occurred because the Department did not ensure New York’s regulatory structure has kept pace with other …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/excessive-medicaid-payments-services-recipients-receiving-medicare-benefits-followGanrormic, Inc. – Compliance With the Reimbursable Cost Manual
… services. Ganrormic serves about 35 preschool students with disabilities from 13 different school districts in two … be eligible for reimbursement, reported costs must comply with the guidelines in the RCM. For the fiscal year ended … that Ganrormic reported on its CFR that did not comply with SED’s requirements for reimbursement. We also questioned …
https://www.osc.ny.gov/state-agencies/audits/2017/03/21/ganrormic-inc-compliance-reimbursable-cost-manualSpotted Zebra Learning Center, Inc. – Compliance With the Reimbursable Cost Manual
… located in Albany, New York, is an SED-approved provider of preschool special education services. During the 2013-14 … the State, in turn, reimburses the counties 59.5 percent of the tuition that the counties pay. SED sets the rates … years ended June 30, 2014, Spotted Zebra reported over $2.5 million in reimbursable costs on its CFRs for the …
https://www.osc.ny.gov/state-agencies/audits/2017/04/12/spotted-zebra-learning-center-inc-compliance-reimbursable-cost-manualOverpayments of Hospitals’ Claims for Lengthy Acute Care Admissions (Follow-Up)
… in our audit report, Overpayments of Hospitals’ Claims for Lengthy Acute Care Admissions (2010-S-30). Background … have special health care needs. When billing Medicaid for inpatient services, hospitals must indicate a patient’s … occurred primarily because hospitals billed Medicaid for higher (and more costly) levels of care when, in fact, …
https://www.osc.ny.gov/state-agencies/audits/2015/07/07/overpayments-hospitals-claims-lengthy-acute-care-admissions-followComptroller DiNapoli Releases School Audits
… P. DiNapoli today announced his office completed audits of the Broadalbin-Perth Central School District , Medina … and the Sullivan West Central School District . “In an era of limited resources and increased accountability, it’s … payments were accurate, in compliance with the terms of employee contracts and approved by the board. Medina …
https://www.osc.ny.gov/press/releases/2014/08/comptroller-dinapoli-releases-school-audits-1