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Medicaid Program – Improper Payments for Ancillary Services Provided During Hospital Inpatient Admissions
… Purpose To determine whether the Department of Health's eMedNY system processes Medicaid claims for … rates for inpatient hospital claims include the costs of most medical care provided during a hospital …
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
… (ESRD) who meet certain eligibility requirements get the Medicare benefits to which they are entitled, according to an … with day-to-day life should be informed of their Medicare eligibility, which could reduce their out-of-pocket …
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
… be made through the pension fund’s In-State Private Equity Investment Program, designed to make profitable investments … pension fund, I’m committed to seeking out profitable investment opportunities for the Retirement System’s members, … Read about the pension fund’s In-State Private Equity Investment Program . About the Common Retirement Fund New …
https://www.osc.ny.gov/press/releases/2015/03/state-pension-fund-adds-30-million-investments-new-york-companiesDiNapoli: Former Clerk Treasurer for the Village of Speculator Charged With Larceny
… District Attorney Christopher C. Shambo for working with my office to hold her accountable and send a message to those …
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
… is strong and shows no signs of slowing. Still, Mayor de Blasio and the city’s budget team deserve credit for …
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
… P. DiNapoli released a statement today after the arrest of Muge Ma following a joint investigation by his office, … so many New Yorkers are suffering and sacrificing because of the pandemic, Muge Ma allegedly pretended to work for the … fight fraud and abuse. New Yorkers can report allegations of fraud involving taxpayer money by calling the toll-free …
https://www.osc.ny.gov/press/releases/2020/05/state-comptroller-dinapoli-statement-arrest-muge-ma-covid-related-scamHebrew Academy for Special Children, Inc. – Compliance With the Reimbursable Cost Manual
… to children with disabilities who are between the ages of three and five years. For purposes of this report, the SC and SCIS programs for the three years … Early Intervention program administered by the Department of Health, programs funded through the Office for People With …
https://www.osc.ny.gov/state-agencies/audits/2020/02/04/hebrew-academy-special-children-inc-compliance-reimbursable-cost-manualDiNapoli: Lack of Oversight Hinders Home Meal Delivery Program for Vulnerable Seniors
… not require case managers to share clients’ complaints. English Only Client Surveys Among the city’s senior population, 28% speak limited English, based on DFTA’s 2019 demographic report. In some … did not take steps to make sure people with limited English-speaking skills were able to participate in its …
https://www.osc.ny.gov/press/releases/2022/01/dinapoli-lack-oversight-hinders-home-meal-delivery-program-vulnerable-seniorsImproper 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
… Objective To determine whether the costs reported by Quality Services for the Autism … directly related to the special education program, and sufficiently documented pursuant to the State Education …
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
… The State Education Department (SED) made progress in … across New York are protecting students from harassment and discrimination, according to a follow-up report released … problem that can cause lasting damage to a child’s health and well-being. We need to make sure we are doing … Find out how your government money is spent at Open Book New York . …
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
… Objective The objective of this audit was to determine whether the Department of Health (Department) made improper fee-for-service (FFS) … Department administers New York’s Medicaid program. Many of the State’s Medicaid recipients are enrolled in MLTC …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/medicaid-program-improper-fee-service-payments-services-covered-long-term-care-plansDiNapoli: State Education Employment Program For New Yorkers With Disabilities Falling Short
… gain employment, transition to independent living, and rise out of poverty is not fulfilling its mission because … with disabilities often face great obstacles in finding and keeping the jobs they want, and the pandemic has only made things harder,” DiNapoli said. …
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)
… Objective To determine the extent of implementation of the nine recommendations … of the Contract With the Postgraduate Center for Mental Health ( 2015-S-88 ). About the Program Our initial report, …
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
… New York State Police today announced that Valerie White, of Middletown, was arrested and charged with grand larceny in … degree (Class C Felony) for allegedly stealing $51,532.64 of her late mother’s pension payments. “Ms. White thought she … face consequences for their criminal actions.” “The theft of public funds is simply inexcusable. I applaud Comptroller …
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
… created a financial toolkit containing many resources that can be useful to local officials in the wake of the pandemic. … Open Book New York . Track municipal spending, the state's 180,000 contracts, billions in state payments and public …
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
… of Health overpaid health care providers’ Medicaid claims for therapy services and prescription drugs that are covered … covered the period January 1, 2012 to December 31, 2016 for prescription drugs and January 1, 2012 to December 31, 2017 for therapy services. About the Program Many of the State’s …
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
… Center, LLC waived Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments made by United HealthCare resulting from … out-of-pocket costs. To limit the negative financial impact to the Empire Plan, United reduced its payments on …
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 in … 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
… Purpose To determine whether Orthopedic Associates of Long Island, LLP waived Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments made … primary health benefits plan for NYSHIP, covering a range of services from inpatient hospital care to outpatient …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-orthopedic-associates-long-island