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Medicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims
… inpatient and outpatient services. A recipient’s status in a hospital – inpatient versus outpatient – affects … care generally requires recipients to stay overnight in the hospital and be monitored by the health care team at … services are medical procedures that can be performed in the same day. Medicaid uses the All Patient Refined …
https://www.osc.ny.gov/state-agencies/audits/2023/08/30/medicaid-program-improper-medicaid-payments-outpatient-services-billed-inpatient-claimsMedicaid Program – Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance
… on behalf of recipients who had third-party insurance and, if so, whether appropriate recoveries were made. The … Part D). Medicaid is considered the payer of last resort and, as such, FFS pharmacy providers are required to … with Gainwell Technologies (Gainwell) to identify and recover Medicaid payments made for services that should …
https://www.osc.ny.gov/state-agencies/audits/2023/05/11/medicaid-program-improper-fee-service-pharmacy-payments-recipients-third-party-healthDiNapoli: 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 … too often leaves participants with inadequate plans that do not accomplish those goals, according to an audit released … The program run by the State Education Department to help New Yorkers with disabilities gain employment …
https://www.osc.ny.gov/press/releases/2022/03/dinapoli-state-education-employment-program-new-yorkers-disabilities-falling-shortDiNapoli: Lack of Oversight Hinders Home Meal Delivery Program for Vulnerable Seniors
… New York City’s Department for the Aging (DFTA) needs to do more to ensure the meals it … trouble preparing their own meals. The city’s Department for the Aging is responsible for helping to ensure their well-being, but its lack of … New York Citys Department for the Aging DFTA needs to do more to ensure the meals it …
https://www.osc.ny.gov/press/releases/2022/01/dinapoli-lack-oversight-hinders-home-meal-delivery-program-vulnerable-seniorsDiNapoli: Orange County Resident Arrested for Stealing Her Late Mother’s Pension Benefits
… Thomas P. DiNapoli, Orange County District Attorney David M. Hoovler, and the New York State Police today announced that Valerie White, of Middletown, was arrested and charged with grand larceny in the second degree … protecting public funds,” Orange County District Attorney David Hoovler said. Betty James died on April 11, 2017, but …
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 … pandemic, combined with a levy growth rate of 1.23 percent and below 2 percent for the second year in a row, means they must examine their budgets more closely …
https://www.osc.ny.gov/press/releases/2021/01/dinapoli-school-district-tax-levy-cap-below-2-percent-second-straight-yearQuality Services for the Autism Community – Compliance With the Reimbursable Cost Manual
… similar or available to all QSAC employees in compliance with RCM rules. Other Than Personal Services We … warranted. Work with QSAC officials to help ensure their compliance with the provisions in the RCM. To QSAC: Ensure …
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
… students from harassment and discrimination, according to a follow-up report released today by State Comptroller … we can to stop it from happening,” DiNapoli said. “I commend the State Education Department for acting on my … days of school, experience higher rates of depression, and have lower academic achievement and aspirations. Provisions …
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
… Many of the State’s Medicaid recipients are enrolled in MLTC plans. MLTC plans provide long-term care services, such as home health care, nursing home care, and durable medical equipment, to people who are chronically … Medicaid pays MLTC plans monthly managed care premiums and, in return, MLTC plans pay for all MLTC covered services. …
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
… 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 … System, the University of California Retirement Plan and The Brainerd Foundation, represents nearly $300 billion …
https://www.osc.ny.gov/press/releases/2016/01/global-investor-coalition-calls-exxon-prepare-lower-carbon-futureDiNapoli: Former Clerk Treasurer for the Village of Speculator Charged With Larceny
… clerk-treasurer Bonnie Page was charged with grand larceny and corrupting the government for allegedly scamming the … insurance coverage for her family without permission, and without making this benefit available for all village … to create her own health insurance benefit at village and taxpayer expense,” DiNapoli said. “I thank the New York …
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 … ten-year capital strategy totals $83.8 billion through 2025, which is $30 billion (56 percent) larger than the prior …
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
… working with my office to hold this scammer accountable.” Press Release Chinese National Arrested For $20 Million Scheme To …
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
… Work with Hebrew Academy officials to help ensure their compliance with the provisions of the RCM and the CFR Manual. …
https://www.osc.ny.gov/state-agencies/audits/2020/02/04/hebrew-academy-special-children-inc-compliance-reimbursable-cost-manualImproper Fee-for-Service Payments for Services Covered by Managed Long-Term Care Plans (Follow-Up)
To determine the extent of implementation of the three recommendations included in our initial audit report Improper FeeforService Payments for Services Covered by Managed LongTerm Care Plans Report 2018S65
https://www.osc.ny.gov/state-agencies/audits/2021/08/31/improper-fee-service-payments-services-covered-managed-long-term-care-plans-followAdministration 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 … To determine the extent of implementation of the nine recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/administration-contract-postgraduate-center-mental-health-followMedicaid 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 by Medicare. The audit … covered the period January 1, 2012 to December 31, 2016 for prescription drugs and January 1, 2012 to December 31, … of Health overpaid health care providers Medicaid claims for therapy services and prescription drugs that are covered …
https://www.osc.ny.gov/state-agencies/audits/2019/10/30/medicaid-program-overpayments-therapy-services-and-prescription-drugs-covered-medicareDiNapoli: State Pension Fund Investments Return 11.55% for State Fiscal Year 2023-24
… many companies reporting better than expected earnings and consumer spending remaining strong,” DiNapoli said. “While inflation persists and global tensions pose risks to investors, the Fund, thanks … March 31, 2024, the Fund had 42.85% of its assets invested in publicly traded equities. The remaining Fund assets by …
https://www.osc.ny.gov/press/releases/2024/06/dinapoli-state-pension-fund-investments-return-1155-state-fiscal-year-2023-24DiNapoli: No Good Options for MTA to Manage Hole in Capital Funding
… Authority (MTA) adjusts to the loss of $15 billion in congestion pricing revenue and decides which capital … to cancel or delay, it must prioritize keeping the system in a state of good repair and it must be transparent about … State Comptroller Thomas P. DiNapoli. “The MTA’s decisions in the coming weeks and months will affect riders for years …
https://www.osc.ny.gov/press/releases/2024/06/dinapoli-no-good-options-mta-manage-hole-capital-fundingDiNapoli: State is Slow in Disbursing Some Federal Relief Funds for Housing
… they were monitoring contractors and subrecipients for compliance with federal requirements that govern the use of …
https://www.osc.ny.gov/press/releases/2022/09/dinapoli-state-slow-disbursing-some-federal-relief-funds-housing