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UnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers

… Purpose To determine whether UnitedHealthcare overpaid for out-of-network anesthesia … health and substance abuse. Civil Service contracts with UnitedHealthcare (United) to administer the medical/surgical … services. Other Related Audits/Reports of Interest UnitedHealthcare: Improper Payments for Medical Services …

https://www.osc.ny.gov/state-agencies/audits/2018/08/13/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatory

Medicaid 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 … categories: diagnostic, therapeutic, and custodial. For example, laboratory, physical therapy, and home health … care are typical ancillary services. Medicaid claims for ancillary services are processed by eMedNY, the …

https://www.osc.ny.gov/state-agencies/audits/2014/04/03/medicaid-program-improper-payments-ancillary-services-provided-during-hospital-inpatient

DiNapoli: Former Vernon Center Fire Department Treasurer Arrested for Stealing Over $300,000

… District Attorney Todd Carville, and the New York State Police announced today. The defendant, Jonnell Rose, was … “I thank District Attorney Carville and the New York State Police for their partnership in this investigation.” “I want to commend our State Police members along with our partners at the Comptroller’s …

https://www.osc.ny.gov/press/releases/2025/02/dinapoli-former-vernon-center-fire-department-treasurer-arrested-stealing-over-300000

DiNapoli: Preschool Special Education Provider Received Nearly $6 Million for Ineligible Expenses

… preschool for children with disabilities charged the State Education Department (SED) nearly $6 million for … Learning Inc. (NYL) focused on $138 million in expenses the school claimed for special education services over the three fiscal years ended June 30, 2014. "This special …

https://www.osc.ny.gov/press/releases/2017/03/dinapoli-preschool-special-education-provider-received-nearly-6-million-ineligible-expenses

DiNapoli: State Missing Out on Millions in Medicare Payments for Kidney Patients

… of their Medicare eligibility, which could reduce their out-of-pocket expenses and may provide them with more options … This could allow Medicaid to pay ESRD recipients' Medicare out-of-pocket costs, such as premiums and coinsurance. … about Medicare benefits and Medicaid's payment of Medicare out-of-pocket costs, and to actively assist recipients in …

https://www.osc.ny.gov/press/releases/2017/03/dinapoli-state-missing-out-millions-medicare-payments-kidney-patients

New York Institute for Special Education – Compliance With the Reimbursable Cost Manual

To determine whether the costs reported by the New York Institute for Special Education Institute on its Consolidated Fiscal Reports CFRs were reasonable necessary directly related to the special education program and sufficiently documented pursuant to the State Education Departments

https://www.osc.ny.gov/state-agencies/audits/2024/12/18/new-york-institute-special-education-compliance-reimbursable-cost-manual

State Pension Fund Adds $30 Million for Investments in New York Companies

… will help grow the pension fund and expand businesses and jobs across New York state," said DiNapoli. "With $293 … Vnomics, a fleet management software company located near Rochester and FieldLens, a construction industry mobile … million in 298 companies and has supported nearly 4,000 jobs across the state through the In-State Program. To date, …

https://www.osc.ny.gov/press/releases/2015/03/state-pension-fund-adds-30-million-investments-new-york-companies

DiNapoli: Owner and Employee of Medical Transport Company Arrested for Defrauding Medicaid

… schemed to cheat the Medicaid program and diverted money meant to provide healthcare for New Yorkers in need … charging him with health care fraud, grand larceny, money laundering, medical assistance provider prohibited …

https://www.osc.ny.gov/press/releases/2024/08/dinapoli-owner-and-employee-medical-transport-company-arrested-defrauding-medicaid

Administration of the CityFHEPS Program for Department of Homeless Services Shelter Residents

… a process to verify that Unit Hold Incentives are paid only to eligible landlords. According to DSS records, a total … Monitoring monthly rent payments to ensure that DSS is only paying for units that are occupied by CityFHEPS clients. …

https://www.osc.ny.gov/state-agencies/audits/2024/10/30/administration-cityfheps-program-department-homeless-services-shelter-residents

DiNapoli: Former Durhamville Fire Department Treasurer Arrested for Allegedly Stealing Over $92,000

… movie channel subscription, plane tickets and at a spa and nail salon. She also used the Fire Department’s debit card to make …

https://www.osc.ny.gov/press/releases/2024/11/dinapoli-former-durhamville-fire-department-treasurer-arrested-allegedly-stealing-over-92000

DiNapoli: Fulton County Snowmobile President Arrested for Stealing Over $8,000 From Nonprofit

… organization. “Chad Daley allegedly violated the trust of club members and his community to serve his own ends,” said … stole $4,155 in checks made payable to the “Snowdrifters Club” by depositing them into his own personal bank account. …

https://www.osc.ny.gov/press/releases/2024/11/dinapoli-fulton-county-snowmobile-president-arrested-stealing-over-8000-nonprofit

DiNapoli: Village of Candor Mayor Arrested for Allegedly Stealing From the Village

… 2012. He was arraigned on charges of Grand Larceny in the 3rd degree and Corrupting the Government in 2nd degree before … Division of Investigations, 8th Floor, 110 State St., Albany, NY 12236. …

https://www.osc.ny.gov/press/releases/2024/07/dinapoli-village-candor-mayor-arrested-allegedly-stealing-village

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

… the ages of three and five years. During the 2014-15 school year, Lifeline served about 52 students. The New York … space and staff with a DoE District 75 program that serves school-age special education students. Key Findings For the …

https://www.osc.ny.gov/state-agencies/audits/2017/10/12/lifeline-center-child-development-inc-compliance-reimbursable-cost-manual

Brookville Center for Children’s Services, Inc. – Compliance With the Reimbursable Cost Manual

… services to children with disabilities between the ages of three and five years. During the 2013-14 school year, … by SED. Counties are reimbursed by SED for a portion of their payments to Brookville. For the three fiscal years … to help ensure their compliance with the provisions of the Manual. To Brookville: Ensure that all costs reported …

https://www.osc.ny.gov/state-agencies/audits/2017/10/04/brookville-center-childrens-services-inc-compliance-reimbursable-cost-manual

Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)

… included in our initial audit report, Payments for Fraudulent and Improper Claims Submitted by Davis Ethical … which was issued on August 13, 2013, determined that, for the period January 1, 2008 through December 13, 2011, … fraudulent claims to Medicaid and received payments for those claims. We coordinated our audit and investigative …

https://www.osc.ny.gov/state-agencies/audits/2016/02/18/payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacy-follow

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

… To determine whether Medicaid made proper payments to Joia Pharmacy, Inc. (Joia) and a related prescriber (herein … During the audit period, Joia, doing business as Soho Pharmacy, was a privately owned pharmacy located in Lower Manhattan. Soho Pharmacy was still …

https://www.osc.ny.gov/state-agencies/audits/2017/06/27/medicaid-program-medicaid-payments-pharmacy-claims-joia-pharmacy-and-related-prescriber

Exploration Elementary Charter School for Science and Technology – Non-Payroll Disbursements (2023M-100)

… Determine whether Exploration Elementary Charter School for Science and Technology (School) officials ensured … disbursements (disbursements) were supported and for appropriate School purposes, properly reviewed and … not ensure that disbursements were adequately supported, for appropriate School purposes, properly reviewed and …

https://www.osc.ny.gov/local-government/audits/charter-school/2025/10/24/exploration-elementary-charter-school-science-and-technology-non-payroll

Town of Kingsbury – Multiyear Planning for Fund Balance and Reserves (2025M-66)

… – pdf] Audit Objective Did the Town of Kingsbury (Town) Board (Board) and officials develop and adopt a multiyear … be a vital tool that allows decision-makers, such as town boards (boards), to set long-term priorities, work toward … adopt a multiyear financial plan, a fund balance policy or a reserve policy. As a result, officials continued to …

https://www.osc.ny.gov/local-government/audits/town/2025/11/21/town-kingsbury-multiyear-planning-fund-balance-and-reserves-2025m-66