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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-inpatientDiNapoli: State Missing Out on Millions in Medicare Payments for Kidney Patients
… (ESRD) who meet certain eligibility requirements get the Medicare benefits to which they are entitled, according to an … with day-to-day life should be informed of their Medicare eligibility, which could reduce their out-of-pocket … of the state's Medicaid recipients are also eligible for Medicare. Medicare is the federal health insurance program …
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
… announced today. The commitment will be made through the pension fund’s In-State Private Equity Investment Program, … in companies located in New York state. This is the state pension fund’s third commitment to Primary Venture Partners. … Partners for state-based investments will help grow the pension fund and expand businesses and jobs across New York …
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
… fiscal years ended June 30, 2014, NYL, using taxpayer funds, paid $13.8 million in fees to YAI for such services. … and the recovery of more than $5 million in stolen public funds. For access to state and local government spending and …
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
… Objective To determine whether Medicaid made improper payments to hospitals for outpatient services that were … 2018 through March 2022. About the Program The State’s Medicaid program is administered by the Department of Health (Department). The Medicaid program reimburses …
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
… FFS pharmacy providers are required to coordinate benefits with the recipient’s TPHI prior to billing Medicaid for … Office of the Medicaid Inspector General (OMIG) contracts with Gainwell Technologies (Gainwell) to identify and recover … by comparing claims Medicaid paid for recipients with TPHI drug coverage to claims reviewed and recovered by …
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 State Education Department (SED) to help New Yorkers with disabilities gain employment, transition to independent … its mission because it too often leaves participants with inadequate plans that do not accomplish those goals, … today by State Comptroller Thomas P. DiNapoli. “People with disabilities often face great obstacles in finding 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
… New York City’s Department for the Aging (DFTA) needs to do more to ensure the meals it provides to homebound seniors … “There are nearly 2 million seniors in the city and many have trouble preparing their own meals. The city’s Department … home-delivered meals to senior citizens who rely on this critical service.” In fiscal year 2020, DFTA reported …
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
… and charged with grand larceny in the second degree (Class C Felony) for allegedly stealing $51,532.64 of her late … Yorkers can report allegations of fraud involving taxpayer money by calling the toll-free Fraud Hotline at …
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 at 1.23 percent, down from … today by State Comptroller Thomas P. DiNapoli. “School district and municipal officials must remain fiscally … July 1, 2021, including the “Big Four” cities of Buffalo, Rochester, Syracuse and Yonkers. The tax cap, which first …
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
… program, and sufficiently documented pursuant to the State Education Department’s (SED) Reimbursable Cost Manual … year ended June 30, 2015. About the Program QSAC is a New York City- and Long Island-based non-profit organization that …
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
… record retention requirements clear through professional development trainings. SED has also included the record …
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
… 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. … communicated to eMedNY, the Medicaid claims processing and payment system. Key Findings The audit identified $16.4 …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/medicaid-program-improper-fee-service-payments-services-covered-long-term-care-plansDiNapoli: Former Clerk Treasurer for the Village of Speculator Charged With Larceny
… today. Page is charged with using her official position to have the village pay $25,988 for optional insurance coverage … and without making this benefit available for all village employees. Page allegedly hid these payments from the Village … Gordon L. Purdy II. She is due back at the Lake Pleasant Town Court on April 28, 2020. New Yorkers can report …
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
New York City is projecting a surplus of $3 billion for fiscal year FY 2015 and a balanced budget for FY 2016 with relatively small gaps in the following three years according to a review of the citys updated financial plan released today by State Comptroller Thomas P DiNapoli
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
… by his office, United States Attorney Geoffrey Berman and the FBI. “At a time when so many New Yorkers are suffering and sacrificing because of the pandemic, Muge Ma allegedly … pretended to work for the government to obtain life-saving medical equipment in order to line his own pocket. Using a …
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
… programs, and sufficiently documented pursuant to the State Education Department’s (SED) Reimbursable Cost Manual … ended June 30, 2016. About the Program Hebrew Academy is a New York City-based not-for-profit organization authorized by SED …
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)
… Objective To determine the extent of implementation of the three … program offers managed long-term care (MLTC) coverage to people who are chronically ill or disabled and who wish to …
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)
… The audit found sampled clients were program-eligible and were referred to the program via the proper authorities and that client case files contained required documentation. … ongoing conditions that could negatively affect the health and/or safety of clients. For example, three apartments had …
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
… 2017 for therapy services. About the Program Many of the State’s Medicaid recipients are also enrolled in Medicare. … provided by licensed therapists. Payments were made on behalf of 6,712 dual-eligible recipients, and 20 providers …
https://www.osc.ny.gov/state-agencies/audits/2019/10/30/medicaid-program-overpayments-therapy-services-and-prescription-drugs-covered-medicare