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Medicaid Program – Managed Care Organizations: Payments to Ineligible Providers
… whether the Department of Health (Department) and managed care organizations (MCOs) have adequate processes in place to … are economically disadvantaged and/or have special health care needs. The Department administers New York’s Medicaid … claim costs totaled over $58 billion, of which managed care accounted for about $34 billion. Under managed care, …
https://www.osc.ny.gov/state-agencies/audits/2018/02/26/medicaid-program-managed-care-organizations-payments-ineligible-providersMedicaid Program – Medicaid Payments to Medicare Advantage Plan Providers
… Purpose To determine whether Medicaid inappropriately paid for … in Medicare. Such recipients are commonly referred to as “dual-eligibles.” In 1997, Congress established … providers that they reimburse for services provided to enrollees. For dual-eligibles, Medicaid reimburses the …
https://www.osc.ny.gov/state-agencies/audits/2018/09/10/medicaid-program-medicaid-payments-medicare-advantage-plan-providersForensic Audit of Payments to On-Board Service Managers (Follow-Up)
… Purpose To determine the extent of implementation of the three … in our initial audit report, Forensic Audit of Payments to on-Board Service Managers (2011-S-35). Background Our … To determine the extent of implementation of 3 …
https://www.osc.ny.gov/state-agencies/audits/2016/01/21/forensic-audit-payments-board-service-managers-followMedicaid Program – Medicaid Payments Made Pursuant to Medicare Part C
… Purpose To determine if Medicaid made excessive payments for Medicare … in Medicare. Such recipients are commonly referred to as "dual-eligibles." In 1997, Congress established … whom they reimburse directly for services provided to enrollees. For dual-eligible persons, plan providers bill …
https://www.osc.ny.gov/state-agencies/audits/2014/05/09/medicaid-program-medicaid-payments-made-pursuant-medicare-part-cTown of Attica – Payments to Not-for-Profit Organizations (2021M-125)
… report - pdf ] Audit Objective Determine whether payments Town of Attica (Town) officials made to not-for-profit organizations were for … Determine whether payments Town of Attica Town officials made to notforprofit …
https://www.osc.ny.gov/local-government/audits/town/2021/12/17/town-attica-payments-not-profit-organizations-2021m-125Town of Roxbury – Payments to Not-For-Profit Organizations (2022M-177)
… payments made by the Town of Roxbury (Town) officials to certain not-for-profit organizations were appropriate … Findings We reviewed the 25 payments Town officials made to not-for-profit organizations, totaling $33,760. Officials … legal counsel in connection with each proposed payment to ensure that it does not violate Article VIII, Section 1 of …
https://www.osc.ny.gov/local-government/audits/town/2023/01/27/town-roxbury-payments-not-profit-organizations-2022m-177DiNapoli: Fast Food Companies Agree to Stronger Supplier Oversight
… investments.” YUM! Brands is one of the world’s largest restaurant companies with nearly 43,000 restaurants in more …
https://www.osc.ny.gov/press/releases/2016/05/dinapoli-fast-food-companies-agree-stronger-supplier-oversightDiNapoli: FirstEnergy Corp. Agrees to Disclose Its Political Spending
… an agreement with Ohio-based utility FirstEnergy Corp. to comprehensively disclose its political spending, New York … trustee of the Fund, announced today. In response to the agreement, the Fund withdrew its shareholder … “Many publicly traded companies use corporate funds to influence the political process and it is important …
https://www.osc.ny.gov/press/releases/2021/02/dinapoli-firstenergy-corp-agrees-disclose-its-political-spendingStay Informed – Basic Plan with Increased-Take-Home-Pay (ITHP)
… 3 Article 11 5 and 6 under Sections 370a 371a and 375 How to Stay Informed …
https://www.osc.ny.gov/retirement/publications/1511/stay-informedComptroller DiNapoli and Mayor Brown Urge Buffalo Residents to Claim $88 Million in Lost Money
… Byron Brown today urged local residents to search for unclaimed funds during a news conference at City Hall. … with Mayor Byron Brown helps to increase awareness about unclaimed funds and get even more checks out in the mail to … Comptroller’s website to see if any of the $88 million in unclaimed funds in Buffalo belongs to you." Representatives …
https://www.osc.ny.gov/press/releases/2017/03/comptroller-dinapoli-and-mayor-brown-urge-buffalo-residents-claim-88-million-lost-moneyFormer Newburgh City Fire Chief Pleads Guilty To Wire Fraud For Fraudulently Obtaining Retirement Benefits
… for the Southern District of New York, announced that MICHAEL J. VATTER pled guilty today to wire fraud in … court. Manhattan U.S. Attorney Preet Bharara said: “Michael Vatter, the former Newburgh City Fire Chief, cheated … New York State Comptroller Thomas P. DiNapoli said "Michael Vatter duped the public by stealing $95,000 in …
https://www.osc.ny.gov/press/releases/2016/04/former-newburgh-city-fire-chief-pleads-guilty-wire-fraud-fraudulently-obtaining-retirement-benefitsDiNapoli and DA Carney: Owner of Medical Transport Company Pleads Guilty to Medicaid Fraud
… the guilty plea of Muhammad Adnan Saeed, owner of Sublime Medical Transportation, for stealing over $700,000 from the … ensure our vulnerable, low-income population receives the medical care it needs. Worse, the defendant’s fraud was … Saeed to justice." Saeed, 40, is the president of Sublime Medical Transportation, a Schenectady County company that is …
https://www.osc.ny.gov/press/releases/2025/01/dinapoli-and-da-carney-owner-medical-transport-company-pleads-guilty-medicaid-fraudDiNapoli: As Drug Overdoses Climbed the State Failed to Inspect Residential Drug Treatment Programs
… Supports (OASAS) to inspect and certify that the programs are safe and give proper treatment, both before and during … the agency to take swift steps to ensure these facilities are up to standards and providing the best care possible to … can be certified for 6-month, 1-, 2- or 3-year periods and are subject to recertification following an inspection. Due …
https://www.osc.ny.gov/press/releases/2021/12/dinapoli-drug-overdoses-climbed-state-failed-inspect-residential-drug-treatment-programsDiNapoli Op-Ed in Democrat & Chronicle Calls for Swift Action to Address Growing Food Insecurity
… one in three reporting insufficient food in April. Food banks have reported dramatic increases in calls from people … $25 billion in funding for nutrition programs, more must be done. The HEROES Act would increase SNAP benefits and … and urgent Find out how your government money is spent at Open Book New York . Track municipal spending, the state's …
https://www.osc.ny.gov/press/releases/2020/07/dinapoli-op-ed-democrat-chronicle-calls-swift-action-address-growing-food-insecurityIX.8.A Accounting for Federal Refunds – IX. Federal Grants
… of Appropriation/AP Adjustment Vouchers of this Guide for further information. There are two main reasons for … Fed Pymnts) must be used, the PCIP converted project ID / PCBU combination should be used. If the fund where the … original fund used is not available in SFS. If the Project ID is not in SFS, or there is no PCIP converted project ID / …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix8a-accounting-federal-refundsContracted Programs With Puerto Rican Organization to Motivate, Enlighten and Serve Addicts, Inc.
… Purpose To determine whether the Office of Alcoholism and Substance … under its contract with the Puerto Rican Organization to Motivate, Enlighten and Serve Addicts, Inc. (PROMESA) to ensure that claims are allowable, properly supported, and … To determine whether the Office of Alcoholism and Substance …
https://www.osc.ny.gov/state-agencies/audits/2016/06/08/contracted-programs-puerto-rican-organization-motivate-enlighten-and-serve-addicts-incDiNapoli: State Pension Fund Calls on Corporations to Address Environmental and Climate Risks
… New York State Common Retirement Fund (Fund), companies are taking action to address investment risks posed by … of our 1.1 million members, retirees and beneficiaries—are protected from the impact of climate change is a top … detailing—above and beyond legal requirements—what they are doing to identify and reduce their negative impact on the …
https://www.osc.ny.gov/press/releases/2022/04/dinapoli-state-pension-fund-calls-corporations-address-environmental-and-climate-risksNew York State Comptroller DiNapoli and California Controller Yee Urge S.E.C. to Mandate Climate Change Disclosures
… $19 billion in destruction and lost economic activity. In 2020, overall damages related to extreme weather in the U.S. … amount in 2019. Expectations are that the impact of these events will only get worse. We are encouraged by the Biden …
https://www.osc.ny.gov/press/releases/2021/06/new-york-state-comptroller-dinapoli-and-california-controller-yee-urge-sec-mandate-climate-changeRecent Trends and Impact of COVID-19 in the Bronx
… Population in the Bronx grew by 10.4 percent from 2000 to 2017 (faster than any other borough), driven primarily by … population, but it declined in the next two years to 1.42 million residents. More than 90 percent of Bronx … a higher share than any other borough. From 2009 to 2019, private sector employment in the Bronx grew by 20 …
https://www.osc.ny.gov/reports/osdc/recent-trends-and-impact-covid-19-bronxSelected Management and Operations Practices
… they started projects related to electric vehicle (EV) charging as early as 2011. The Charge NY program, … by raising awareness of the technology and making more EV charging stations—up to 3,000 public and workplace … on the original program, aiming to encourage and support EV adoption by increasing the number of charging stations …
https://www.osc.ny.gov/state-agencies/audits/2022/02/04/selected-management-and-operations-practices