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Nanuet Fire District - Credit and Gasoline Cards (2018M-193)

Determine if claims for credit card bills were audited and the purchases were for appropriate purposes.

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

… From 2004 to 2016, Bottini Fuel improperly retained customer overpayments and duplicative payments for heating … for heating oil; instead, the company swept excess customer balances out of customer accounts and used them to benefit its owners and …

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

… opioids while also in a Treatment Program for opioid use disorder. This audit covered the period October 1, 2013 … therapies for people diagnosed with an opioid use disorder. New York State maintains a database to monitor … the debate over the sharing of substance use disorder treatment information among different health care …

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

… of the State’s Medicaid recipients are also eligible for Medicare, the federal health insurance program for people age … is met. After the deductible is met, Medicare begins to pay its share and the enrollee is responsible for any coinsurance. Typically, Medicare will pay 80 percent of its approved amount for a service and …

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

To determine whether the costs reported by the School for Language and Communication Development on its Consolidated Fiscal Reports were properly calculated adequately

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 … four types of health insurance coverage: medical/surgical, hospital, prescription drugs, and mental health and substance abuse. Civil Service contracts …

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

… of Health (Department) made Medicaid mainstream managed care premium payments on behalf of individuals who had … funded program that provides a wide range of health care services to those who are economically disadvantaged and/or have special health care needs. The Department administers the State’s Medicaid …

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

… status of the three recommendations made in our audit report, UnitedHealthcare: Improper Payments for Medical Services Designated By Modifier Code 59 (Report 2013-S-82 ). Background The New York State Health … status of the three recommendations made in our audit report UnitedHealthcare Improper Payments for Medical …

Special 25-Year Plan for Institutional Safety Officers (Sections 89-t and 604(q))

… Information for members about special 25 year retirement plan providing an alternative retirement benefit for institutional safety officers and safety and secur …

United HealthCare – Overpayments for Services Provided by Eastern Orange Ambulatory Surgery Center

… To determine whether Eastern Orange Ambulatory Surgery Center, LLC waived Empire Plan members’ out-of-pocket costs, … submitted to United by Eastern Orange Ambulatory Surgery Center, LLC (Eastern Orange), a non-participating provider … for Services at the Capital Region Ambulatory Surgery Center (2007-S-72) New York State Health Insurance Program: …

Medicaid Program – Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits

… whether the Department of Health paid pharmacy providers for controlled substances in compliance with the New York … risk of drugs ordered in this manner being diverted for inappropriate or unauthorized use. The supply limits that … Medicaid program paid pharmacy providers through the fee-for-service method and the managed care method. Under …

Special Plan for Suffolk County Park Police Officers (Sections 89-r and 603(n))

… for members about Special Plan for Suffolk County Park Police Officers Sections 89r and 603n …

DiNapoli: State Pays Drug Treatment Center Nearly $4 Million for Ineligible Expenses

… $3.9 million in ineligible payments due to the processing of invalid claims and inadequate oversight by the state Office of Alcoholism and Substance Abuse Services (OASAS), according … to,” said DiNapoli. “Our audit revealed that millions of dollars were claimed and spent on ineligible costs. …

Medicaid Program – Medicaid Payments for Pharmacy Claims: Joia Pharmacy and a Related Prescriber

… as the rules and policies set forth by the Department of Health (Department) and the State Education Department. Our … the drug and drug strength were different from what the physician prescribed; and Claims for unauthorized and … the appropriateness of the providers’ (pharmacists and physicians) future participation in the Medicaid program. …

Medicaid Program – Reducing Medicaid Costs for Recipients With End Stage Renal Disease

… renal disease who were eligible for, but not enrolled in, Medicare. The audit covered the period January 1, 2010 … with ESRD. Medicaid recipients with ESRD are eligible for Medicare coverage if they receive regular dialysis treatments … When Medicaid recipients with ESRD are also enrolled in Medicare, Medicare becomes the primary insurer (payer) and …

Oversight of Hotels and Motels Used for Homeless and Mixed-Use Temporary Residency

… Purpose To determine if the Office of Temporary and Disability Assistance (OTDA) and the Department of Health … (DOH) are adequately ensuring that hotels and motels used for homeless and mixed-use temporary residency are properly … in New York State (2016-D-3) Office of Temporary and Disability Assistance: Oversight of Homeless Shelters …

Lifeline Center for Child Development, Inc. – Compliance With the Reimbursable Cost Manual

… claimed on Lifeline’s CFR for the fiscal year ended June 30, 2015, and included certain expenses claimed on Lifeline’s … provide preschool special education services to children with disabilities who are between the ages of three and five … a retiring employee, and $56 for flowers; Lifeline used an allocation methodology that was neither fair nor …