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Medicaid Program – Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY
… from June 1, 2012 through May 31, 2017. Background Many of the State’s Medicaid recipients are also eligible for … supplementary medical insurance coverage for a range of outpatient medical services, physician services, and … Medicare enrollees are responsible for paying all costs of Part B services until their annual deductible is met. …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-part-b-services-billed-directly-emednySchool 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 (SLCD) on its Consolidated Fiscal Reports (CFR) were properly … The audit covered the expenses reported on SLCD’s CFR for the fiscal year ended June 30, 2015, and certain expenses …
https://www.osc.ny.gov/state-agencies/audits/2018/04/16/school-language-and-communication-development-compliance-reimbursable-cost-manualMonitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance (Follow-Up)
… of the four recommendations included in our initial audit report, Monitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate … falling into disrepair or insolvency. Our initial audit report, which was issued on July 11, 2017, found that: As of …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/monitoring-not-profit-cemeteries-fiscal-stability-and-adequate-facility-maintenance-followEducators for Children, Youth and Families, Inc. – Use of Contract Funds (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Educators for Children, Youth … claims amounting to $1.8 million, out of $3.2 million in contract payments, to determine if the claims were … fraudulent transactions to an inactive Board of Directors. In addition, we found no evidence that there were any …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/educators-children-youth-and-families-inc-use-contract-funds-followDiNapoli Audit Highlights Need for Better Compliance with School Violence Reporting Law
… Department (SED) has agreed to improve its enforcement of the Safe Schools Against Violence in Education Act (SAVE … state audit found schools failed to report numerous cases of violent and disruptive incidents and misclassified dozens of others, often as less serious events, State Comptroller …
https://www.osc.ny.gov/press/releases/2015/01/dinapoli-audit-highlights-need-better-compliance-school-violence-reporting-lawDiNapoli: State Pays Drug Treatment Center Nearly $4 Million for Ineligible Expenses
… by New York State Comptroller Thomas P. DiNapoli. "Phoenix House is contracted to provide services to New Yorkers who … signed a five-year $47.6 million contract with Phoenix House New York (PHNY) in 2009 to provide outpatient, …
https://www.osc.ny.gov/press/releases/2019/01/dinapoli-state-pays-drug-treatment-center-nearly-4-million-ineligible-expensesWest Corners Fire Company – Accounting for Cash Receipts and Disbursements (2014M-215)
… Purpose of Audit The purpose of our audit was to determine whether Company officials … in, and provides fire protection services for, the Town of Union in Broome County. The Company’s Officers consist of …
https://www.osc.ny.gov/local-government/audits/fire-company-or-department/2014/12/05/west-corners-fire-company-accounting-cash-receipts-andUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers
… To determine whether UnitedHealthcare overpaid for out-of-network anesthesia services provided at Ambulatory Surgery … Program (NYSHIP), administered by the State Department of Civil Service (Civil Service), provides health insurance … The Empire Plan provides its members with four types of health insurance coverage: medical/surgical, hospital, …
https://www.osc.ny.gov/state-agencies/audits/2018/08/13/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryMedicaid Program – Improper Payments for Ancillary Services Provided During Hospital Inpatient Admissions
… of Health's eMedNY system processes Medicaid claims for ancillary services in accordance with Medicaid reimbursement policies. The audit covers the … categories: diagnostic, therapeutic, and custodial. For example, laboratory, physical therapy, and home health …
https://www.osc.ny.gov/state-agencies/audits/2014/04/03/medicaid-program-improper-payments-ancillary-services-provided-during-hospital-inpatientDiNapoli: Former Vernon Center Fire Department Treasurer Arrested for Stealing Over $300,000
… members along with our partners at the Comptroller’s Office for their outstanding work on this arrest,” New York … tolerance for those who abuse their position for their own personal gain.” A joint investigation by DiNapoli’s office … innocent unless and until proven guilty in a court of law. Since taking office in 2007, DiNapoli has committed to …
https://www.osc.ny.gov/press/releases/2025/02/dinapoli-former-vernon-center-fire-department-treasurer-arrested-stealing-over-300000DiNapoli: Preschool Special Education Provider Received Nearly $6 Million for Ineligible Expenses
… Thomas P. DiNapoli announced today. DiNapoli's audit of New York League for Early Learning Inc. (NYL) focused on $138 million in expenses the school claimed for special education services …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-preschool-special-education-provider-received-nearly-6-million-ineligible-expensesDiNapoli: State Missing Out on Millions in Medicare Payments for Kidney Patients
… over a six-year period if it had helped Medicaid patients with end stage renal disease (ESRD) who meet certain … for counties and New York City. "New Yorkers dealing with kidney failure and struggling with day-to-day life should be informed of their Medicare …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-state-missing-out-millions-medicare-payments-kidney-patientsNew York Institute for Special Education – Compliance With the Reimbursable Cost Manual
… to children with disabilities who are between the ages of 3 and 5 years. For the purpose of this report, this program is referred to as the SED … residential programs for students who are between the ages of 5 and 21 years and are blind or visually impaired. During …
https://www.osc.ny.gov/state-agencies/audits/2024/12/18/new-york-institute-special-education-compliance-reimbursable-cost-manualState Pension Fund Adds $30 Million for Investments in New York Companies
… a total of $293 million to the pension fund. There is $467 million available for new investments. Read about the …
https://www.osc.ny.gov/press/releases/2015/03/state-pension-fund-adds-30-million-investments-new-york-companiesDiNapoli: Owner and Employee of Medical Transport Company Arrested for Defrauding Medicaid
… County Sheriff Dominic Dagostino announced the arrest of Muhammad Adnan Saeed, owner of Sublime Medical Transportation and Heather Smith an employee/driver for the company, for the alleged theft of over $700,000 from the state’s Medicaid program. Saeed and …
https://www.osc.ny.gov/press/releases/2024/08/dinapoli-owner-and-employee-medical-transport-company-arrested-defrauding-medicaidAdministration of the CityFHEPS Program for Department of Homeless Services Shelter Residents
… whether the New York City Department of Social Services is administering the City Fighting Homelessness and Eviction … them to initiate the search for housing. Once an apartment is identified and all requirements are met, HRA approves the … 2024, the program’s budget was $816 million. CityFHEPS is administered in accordance with Title 68, Chapter 10 of …
https://www.osc.ny.gov/state-agencies/audits/2024/10/30/administration-cityfheps-program-department-homeless-services-shelter-residentsDiNapoli: Former Durhamville Fire Department Treasurer Arrested for Allegedly Stealing Over $92,000
… A former treasurer of the Durhamville Fire Department, Kimberly Simchik, was … Police Superintendent Steven G. James said, “The arrest of Ms. Simchik sends a clear message that alleged criminal … any illegal financial acts, and I applaud the work of our members and our partners at the Comptroller’s Office …
https://www.osc.ny.gov/press/releases/2024/11/dinapoli-former-durhamville-fire-department-treasurer-arrested-allegedly-stealing-over-92000DiNapoli: Fulton County Snowmobile President Arrested for Stealing Over $8,000 From Nonprofit
… over $8,000 from a nonprofit that maintains snowmobile trails in the Adirondacks. Daley, the president of the … over $8000 from a nonprofit that maintains snowmobile trails in the Adirondacks …
https://www.osc.ny.gov/press/releases/2024/11/dinapoli-fulton-county-snowmobile-president-arrested-stealing-over-8000-nonprofitDiNapoli: Village of Candor Mayor Arrested for Allegedly Stealing From the Village
… and the New York State Police announced the arrest of Village of Candor Mayor Eric Halstead for stealing from the village’s … their positions will be brought to justice. The arrest of Mayor Halstead sends a strong message that we will not … and the New York State Police announced the arrest of Village of Candor Mayor Eric Halstead for stealing from …
https://www.osc.ny.gov/press/releases/2024/07/dinapoli-village-candor-mayor-arrested-allegedly-stealing-villageLifeline Center for Child Development, Inc. – Compliance With the Reimbursable Cost Manual
… to children with disabilities who are between the ages of three and five years. During the 2014-15 school year, … served about 52 students. The New York City Department of Education (DoE) refers students to Lifeline and pays for … by SED. The DoE is reimbursed by SED for a portion of its payments to Lifeline. For the three fiscal years ended …
https://www.osc.ny.gov/state-agencies/audits/2017/10/12/lifeline-center-child-development-inc-compliance-reimbursable-cost-manual