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United HealthCare – Overpayments for Services Provided by Orthopedic Associates of Long Island
… United processes a non-participating provider’s claims, it is with the understanding that Empire Plan members are … collect (i.e., waives) the member’s out-of-pocket costs, it will result in United making an excessive payment on the …
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
… Legislation being proposed by State Comptroller Thomas P. DiNapoli would require the … on their personal income tax forms, but too much of this money remains unused when it should be fighting …
https://www.osc.ny.gov/press/releases/2015/04/dinapoli-proposal-would-provide-more-accountability-personal-income-tax-check-fundsImproper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up)
… for Individuals Receiving Hospice Services Covered by Medicare (Report 2018-S-71 ). About the Program Hospice is a … drugs. When individuals are enrolled in both Medicaid and Medicare (referred to as dual-eligibles), Medicare is the …
https://www.osc.ny.gov/state-agencies/audits/2023/02/13/improper-medicaid-payments-individuals-receiving-hospice-services-covered-medicare-followDiNapoli: Livingston County Woman Arrested for Theft of Deceased Mother's Pension Payments
… Attorney Gregory J. McCaffrey, and the New York State Police today announced the arrest of Patricia Chatley, 59, of … DiNapoli said. “Thanks to my investigative team, the State Police, and District Attorney McCaffrey, she is being held …
https://www.osc.ny.gov/press/releases/2024/01/dinapoli-livingston-county-woman-arrested-theft-deceased-mothers-pension-paymentsDiNapoli: State Needs to Help Addiction Support Providers Better Prepare for Emergencies
… P. DiNapoli. The audit, which covered the period from 2019 to 2022, found the state’s Office of Addiction Services …
https://www.osc.ny.gov/press/releases/2023/11/dinapoli-state-needs-help-addiction-support-providers-better-prepare-emergenciesDiNapoli: Village of Candor Mayor Arrested for Allegedly Stealing From the Village
… prey on the unsuspecting public for their own gain.” In March 2023, the Village of Candor hired an outside consultant …
https://www.osc.ny.gov/press/releases/2024/07/dinapoli-village-candor-mayor-arrested-allegedly-stealing-villageMedicaid Program – Improper Payments for Ancillary Services Provided During Hospital Inpatient Admissions
… Purpose To determine whether the Department of Health's eMedNY system processes Medicaid claims for … by Medicare. Enhance existing eMedNY edits or implement new edits to detect any improper claim for ancillary …
https://www.osc.ny.gov/state-agencies/audits/2014/04/03/medicaid-program-improper-payments-ancillary-services-provided-during-hospital-inpatientDiNapoli: State Missing Out on Millions in Medicare Payments for Kidney Patients
… disease (ESRD) who meet certain eligibility requirements get the Medicare benefits to which they are entitled, … $69 million from 2016 to 2018, which includes $17 million in savings for counties and New York City. "New Yorkers … their entitlement to Medicare and taken steps to help get them enrolled, the Medicaid program could have saved as …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-state-missing-out-millions-medicare-payments-kidney-patientsState Pension Fund Adds $30 Million for Investments in New York Companies
… Partners. "This new commitment to Primary Venture Partners for state-based investments will help grow the pension fund … to seeking out profitable investment opportunities for the Retirement System’s members, retirees and … pension fund made previous commitments to the firm in 2010 for $15 million and in 2003 for $27 million through the …
https://www.osc.ny.gov/press/releases/2015/03/state-pension-fund-adds-30-million-investments-new-york-companiesDiNapoli: Preschool Special Education Provider Received Nearly $6 Million for Ineligible Expenses
… and that it provided insufficient documentation. Read the report , or go to: …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-preschool-special-education-provider-received-nearly-6-million-ineligible-expensesMedicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims
… – inpatient versus outpatient – affects Medicaid’s reimbursement for services provided. Inpatient care generally … of illness, which provides the basis for calculating the reimbursement. Outpatient services are typically reimbursed …
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
… Program The Department of Health (Department) administers New York’s Medicaid program. Under the fee-for-service (FFS) …
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
… goals of people with a disability. SED has 15 ACCES-VR district offices with 293 full-time vocational counselors and …
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
… providers found that 27 issues nutritionists flagged in 2019 were found again in 2020: 17 food safety or cleanliness … dead cockroaches in their basement food storage area in 2019 and resolved it by getting an exterminator. Two months … recording evidence of mice did not reference the 2019 evidence of roaches. Complaint Response DFTA handles …
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
… with grand larceny in the second degree (Class C Felony) for allegedly stealing $51,532.64 of her late mother’s … District Attorney Hoovler and the New York State Police for their partnership and sending the message that those who … pension benefits will be caught and will face consequences for their criminal actions.” “The theft of public funds is …
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
… Property tax levy growth for school districts will be capped … tax levy growth factors for all local governments Property Tax Cap: Inflation and Allowable Levy Growth Factors …
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
… 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
… that they are required to keep records of incidents. This follow up audit found SED, in collaboration with the New … Find out how your government money is spent at Open Book New York … billions in state payments and public authority data. Visit the Reading Room for contract FOIL requests, bid …
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
… the Department of Health (Department) made improper fee-for-service (FFS) payments for certain services covered by managed long-term care (MLTC) … services. The Medicaid program should not pay claims on a FFS basis for services covered by MLTC plans. …
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
… to disclose the resilience of its business model in the wake of the Paris Agreement on climate change. The … peers have already done by stress testing their business strategies against low-carbon economic scenarios. US oil … holds and invests the assets of the New York State and Local Retirement System on behalf of more than one million …
https://www.osc.ny.gov/press/releases/2016/01/global-investor-coalition-calls-exxon-prepare-lower-carbon-future