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Medicaid Program – Improper Payments for Recipients No Longer Enrolled in Managed Long Term Care Partial Capitation Plans
… inappropriate capitation payments to Managed Long Term Care Partial Capitation plans for recipients who were no longer enrolled in these plans. The audit covered the period January 1, 2010 through January 31, 2015. Background …
https://www.osc.ny.gov/state-agencies/audits/2016/03/30/medicaid-program-improper-payments-recipients-no-longer-enrolled-managed-long-term-careComptroller DiNapoli and A.G. Schneiderman Announce Conviction of Florida Resident For Stealing $275k in NYS Pension Benefits
… over that time period. Eletz pleaded guilty today before Judge Peter Lynch in Albany County Court and paid $150,000 in … York State for an additional $124,987. This case is the latest joint investigation under the Operation Integrity …
https://www.osc.ny.gov/press/releases/2015/09/comptroller-dinapoli-and-ag-schneiderman-announce-conviction-florida-resident-stealing-275k-nysDiNapoli and Brooklyn D.A. Gonzalez: Public Employee Arrested for Using Co-Workers' Identities to Steal Thousands in Gas
… the public trust." "This defendant allegedly used public funds for his personal needs, which comes at a heavy cost to …
https://www.osc.ny.gov/press/releases/2018/06/dinapoli-and-brooklyn-da-gonzalez-public-employee-arrested-using-co-workers-identities-stealFar Rockaway Pre-School Provider "Investor" Pleads Guilty in Theft of Education Funds Intended for Special Needs Students
… and home renovations. Hiller had been ICDC’s former assistant director; Kurman had been ICDC’s Executive Director; and Hoffmann had been hired by ICDC to … Deputy Bureau Chiefs, and under the overall supervision of Executive Assistant District Attorney for Investigations …
https://www.osc.ny.gov/press/releases/2017/04/far-rockaway-pre-school-provider-investor-pleads-guilty-theft-education-funds-intended-special-needsMedicaid Program – Ambulatory Patient Groups Payments for Duplicate Claims and Services in Excess of Medicaid Service Limits
… limits. For example, Medicaid limits dental exams to two times per year, yet we found Medicaid reimbursed a clinic …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-ambulatory-patient-groups-payments-duplicate-claims-and-services-excessSpecial 20-Year Plan for Investigators in the Office of a District Attorney (Sections 89-d and 89-d(m))
… (Return to Top) (Return to Top) VO1875 (Rev. 7/11) © 2011, New York State and Local Retirement System This publication … and responsibilities, and is not a substitute for any New York State or federal law. For specific information about …
https://www.osc.ny.gov/retirement/publications/special-20-year-plan-investigators-office-district-attorney-sections-89-d-and-89-dmComptroller DiNapoli and A.G. Schneiderman Announce Guilty Plea by Former Met Council CFO in $9M Kickback Scheme
… Rapfogel and Joseph Ross, previously pleaded guilty in the case. Further information on the case is available here . “Herb Friedman abused his position … residents,” Attorney General Schneiderman said. “As this case has shown as much as any other, those who rip off …
https://www.osc.ny.gov/press/releases/2014/05/comptroller-dinapoli-and-ag-schneiderman-announce-guilty-plea-former-met-council-cfo-9m-kickbackDiNapoli: NYC Transportation and Warehousing Sector Fares Better Than Other Sectors in Recovery Amid Shift to E-Commerce
… as a whole (73%), according to a report released today by State Comptroller Thomas P. DiNapoli. The sector’s relatively … . Under State Comptroller DiNapoli’s open data initiative, search millions of state and local government financial …
https://www.osc.ny.gov/press/releases/2022/06/dinapoli-nyc-transportation-and-warehousing-sector-fares-better-other-sectors-recovery-amid-shift-eMedicaid Program – Improper Medicaid Payments for Claims Not in Compliance With Ordering, Prescribing, Referring, and Attending Requirements
… the Department of Health (Department) paid for claims in violation of federal and State regulations that require an … costs totaled $69.8 billion (comprising $27.4 billion in fee-for-service health care payments and $42.4 billion in managed care premium payments). The Affordable Care Act …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/medicaid-program-improper-medicaid-payments-claims-not-compliance-ordering-prescribingDiNapoli: 33.55 Percent Annual Investment Return for New York State Pension Fund Is Largest in Its History
… New York State Common Retirement Fund is the third largest public pension fund in the United States. The Fund holds and … announced that the New York State Common Retirement Funds estimated overall investment return was 3355 percent …
https://www.osc.ny.gov/press/releases/2021/05/dinapoli-33-point-55-percent-annual-investment-return-new-york-state-pension-fund-largest-its-historyInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… made in our initial audit report, Inappropriate Premium Payments for Recipients No Longer Enrolled in … recipients who were retroactively disenrolled from a Plan. We provided the claim data to the Office of the … from the Plans by the end of the audit. We also found the New York City Human Resources Administration misinterpreted …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andDiNapoli: Queens Woman Pleads Guilty to Stealing $85,000 in NYS Pension Payments Meant for Her Deceased Father
… in New York state pension payments meant for her deceased father, State Comptroller Thomas P. DiNapoli and Albany … part of the plea. “Deanna Hansen callously exploited her father’s death to steal from the state retirement system,” … the intended purpose, the defendant assumed her deceased father’s identity for personal gain,” Soares said. “I hope …
https://www.osc.ny.gov/press/releases/2024/06/dinapoli-queens-woman-pleads-guilty-stealing-85000-nys-pension-payments-meant-her-deceased-fatherDiNapoli: Former Treasurer of Frewsburg Central School District Pleads Guilty to Stealing Nearly $7,000 in School Funds
… for stealing nearly $7,000 in funds raised by students to support their extra-classroom activities. “Ms. Smoulder betrayed the students she was obligated to serve by stealing money that they raised themselves to help pay for their extracurricular activities,” DiNapoli …
https://www.osc.ny.gov/press/releases/2022/01/dinapoli-former-treasurer-frewsburg-central-school-district-pleads-guilty-stealing-nearly-7000-schoolDiNapoli Op-Ed in the NY Daily News Cautions NYC Leaders to Prepare for Challenging Fiscal Times Ahead
… The New York Daily News published an op-ed from New York State Comptroller Thomas P. DiNapoli today warning …
https://www.osc.ny.gov/press/releases/2021/09/dinapoli-op-ed-ny-daily-news-cautions-nyc-leaders-prepare-challenging-fiscal-times-aheadDiNapoli: Queens Woman Charged With Stealing Nearly $85,000 in NYS Pension Payments Meant for Her Deceased Father
… for May 24. The charges against the defendant are merely allegations, and the defendant is presumed innocent unless … to help fight fraud and abuse. New Yorkers can report allegations of fraud involving taxpayer money by calling the …
https://www.osc.ny.gov/press/releases/2024/05/dinapoli-queens-woman-charged-stealing-nearly-85000-nys-pension-payments-meant-her-deceased-fatherComptroller DiNapoli & A.G. Schneiderman Announce Sentencing of Defendants in Elaborate Multi-Million Dollar Bid-Rigging Case Involving Public Contracts
… State Comptroller Thomas P. DiNapoli. “These cases send a warning to any official who would abuse the public’s trust. … designed to be financed through an LDC and that Lynch is the only responding vendor that had access to that crucial … and Auditor John Serrapica. The Public Integrity Bureau is led by Bureau Chief Daniel Cort and Deputy Bureau Chief …
https://www.osc.ny.gov/press/releases/2016/05/comptroller-dinapoli-ag-schneiderman-announce-sentencing-defendants-elaborate-multi-million-dollarExcessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans (Follow-Up)
… Objective To assess the extent of implementation of the four recommendations included in our initial audit … to provide information about any actions planned to address the unresolved issues discussed in this follow-up …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/excessive-premium-payments-dual-eligible-recipients-enrolled-mainstream-managed-care-andDiNapoli: Former Town of Marion Court Clerk Sentenced to Jail, Ordered to Pay Over $59,000 in Restitution
… District Attorney Michael Calarco, and the New York State Police today announced that the former court clerk for the … her conviction for embezzling from the Court and altering records in an effort to hide her crimes. “Ms. Steurrys …
https://www.osc.ny.gov/press/releases/2023/10/dinapoli-former-town-marion-court-clerk-sentenced-jail-ordered-pay-over-59000-restitutionDiNapoli: One-in-Four Homeless Shelter Clients with Serious Mental Health Issues Were Not Placed in a Mental Health Shelter
… to help determine which of its five types of shelter best meet their needs: General, Mental Health, Substance … were also insufficient records documenting the rationale for placing clients in general shelters instead of … with serious mental illness, placements should be at sites that offer the highest level of supervision, services, …
https://www.osc.ny.gov/press/releases/2022/12/dinapoli-one-four-homeless-shelter-clients-serious-mental-health-issues-were-not-placed-mental-healthDiNapoli: New York City Man Charged with Stealing Over $50,000 in Pension Benefits Meant for Deceased Sister-in-Law
… in pension benefits meant for his deceased sister-in-law, New York State Comptroller Thomas P. DiNapoli announced. “Randy Ray … by filing a complaint online at investigations@osc.ny.gov , or by mailing a complaint to: Office of the State …
https://www.osc.ny.gov/press/releases/2024/09/dinapoli-new-york-city-man-charged-stealing-over-50000-pension-benefits-meant-deceased-sister-law