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Improper Fee-for-Service Payments for Services Covered by Managed Long-Term Care Plans (Follow-Up)
… included in our initial audit report, Improper Fee-for-Service Payments for Services Covered by Managed Long-Term Care Plans (Report … that identify the services that plans must cover and pay for (benefit packages) in exchange for monthly premium …
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
… has 13 SC classrooms attended by children from various school districts in New York City’s five boroughs and Long …
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
… DiNapoli said. “I commend the State Education Department for acting on my audit and strengthening its efforts to enforce the Dignity for All Students Act.” An audit released by DiNapoli in … not implemented some critical requirements of the Dignity for All Students Act (DASA). Several schools lacked training …
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
… (FFS) payments for certain services covered by managed long-term care (MLTC) plans. The audit covered the … services. The Medicaid program should not pay claims on a FFS basis for services covered by MLTC plans. Individuals … Local Departments of Social Services (Local Districts) or a contractor that operates a statewide enrollment center for …
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
… New York State Common Retirement Fund is the third largest public pension fund in the United States, with $184.5 billion … beneficiaries. The Fund has a diversified portfolio of public and private equities, fixed income, real estate and …
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
… rates in New York, which peaked in April 2020. For the one-year period between September 2020 and August 2021, … job placement for 5,609 participants for federal fiscal year (FFY) 2020 compared to 7,792 for FFY 2019, a decrease of …
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 included in our initial audit report, Administration of the Contract With the Postgraduate Center for Mental …
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
… her own recognizance. She is due back in court on July 8, 2021. Since taking office in 2007, DiNapoli has committed to …
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
… be capped at 1.23 percent, down from 1.81 percent last year, according to data released today by State Comptroller … rate of 1.23 percent and below 2 percent for the second year in a row, means they must examine their budgets more … will be capped at 123 percent down from 181 percent last year according to data released today by State Comptroller …
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 … by licensed therapists. Payments were made on behalf of 6,712 dual-eligible recipients, and 20 providers accounted …
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
… participating providers who agree to accept payments, at rates established by United, to furnish medical services … United reimburses claims from non-participating providers at amounts that are generally higher (and often significantly … This caused United to continue to make overpayments. At the time of our audit fieldwork, United was negotiating …
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 compliance with the New York State Controlled Substances Act, which limits … that exceed supply limits allowed by the Act. There is considerable risk that other participating Medicaid MCOs …
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
… may also choose to receive services from out-of-network (or “non-participating”) providers. United reimburses claims …
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
… “New Yorkers have contributed more than $50 million for worthy causes through check-offs on their personal income … report found that over the previous five years, receipts for the funds reached $12 million, while expenditures were … 90 percent of this was in health-related dedicated funds – for research, detection and education for breast cancer and …
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
… and a related prescriber (herein referred to as “the Doctor”) in compliance with applicable Medicaid laws and … oversight authorities of some of the matters addressed in this report. Subsequent to that review, we provided 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
… 31, 2024. The Fund closed the year with an estimated value of $267.7 billion. “Strong performances across asset classes … paid out during the fiscal year. Employer contribution rates are determined by investment results over a multi-year … along with numerous other actuarial assumptions, including wage growth, inflation, age of retirement, and mortality. …
https://www.osc.ny.gov/press/releases/2024/06/dinapoli-state-pension-fund-investments-return-1155-state-fiscal-year-2023-24DiNapoli: Owner and Employee of Medical Transport Company Arrested for Defrauding Medicaid
… Transportation and Heather Smith an employee/driver for the company, for the alleged theft of over $700,000 from the state’s … rides and thereby unlawfully received mileage payments for each individual in the group. "Muhammad Adnan Saeed and …
https://www.osc.ny.gov/press/releases/2024/08/dinapoli-owner-and-employee-medical-transport-company-arrested-defrauding-medicaidDiNapoli Announces Improvements to College Savings Plan to Save Money for College
… Savings Program," DiNapoli said. "We're making it easier for New Yorkers of all income levels to invest in their loved … program fees will be reduced. The total asset-based fee for all Direct Plan portfolios will drop to 0.15 percent, … participants will pay $1.50 in program fees each year for every $1,000 invested in the plan. The maximum account …
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
… County District Attorney Mike Poulin announced the arrest of Chad Daley, 52, for allegedly stealing over $8,000 from a … snowmobile trails in the Adirondacks. Daley, the president of the Snowdrifters of Stratford, was also accused of … used some of the stolen funds to make at least one deposit on a snowmobile for personal use and to pay for his everyday …
https://www.osc.ny.gov/press/releases/2024/11/dinapoli-fulton-county-snowmobile-president-arrested-stealing-over-8000-nonprofit