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Medicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims
… Generally, outpatient services are medical procedures that can be performed in the same day. Medicaid uses the All …
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
… on behalf of recipients who had third-party insurance and, if so, whether appropriate recoveries were made. The … Part D). Medicaid is considered the payer of last resort and, as such, FFS pharmacy providers are required to … with Gainwell Technologies (Gainwell) to identify and recover Medicaid payments made for services that should …
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
… meet the deadlines for eligibility determinations (60 days after the application date), finalization of IPEs (90 days after eligibility date), or annual reviews of IPEs, … selected and reviewed 200 participants’ case files from April 2017 to December 2020 and found: 27 had late …
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
… the meals it provides to homebound seniors are prepared in sanitary conditions and are nutritious, high-quality … and food insecurity. “There are nearly 2 million seniors in the city and many have trouble preparing their own meals. … to senior citizens who rely on this critical service.” In fiscal year 2020, DFTA reported delivering more than 4.6 …
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
… wrong and now will be held accountable,” DiNapoli said. “I am grateful to Orange County District Attorney Hoovler and … “The theft of public funds is simply inexcusable. I applaud Comptroller DiNapoli and his staff for aiding in … the public to help fight fraud and abuse. New Yorkers can report allegations of fraud involving taxpayer money by …
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
… of 1.23 percent and below 2 percent for the second year in a row, means they must examine their budgets more closely … first applied to local governments and school districts in 2012, limits annual tax levy increases to the lesser of … be useful to local officials in the wake of the pandemic. List of allowable tax levy growth factors for all local …
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
… QSAC’s administrative office for all programs is located in Manhattan. QSAC was established in 1978 and is approved by SED to provide Preschool Special … years of age. Both the SC and SEIT programs are located in Douglaston, Queens. For the fiscal year ended June 30, …
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
… The State Education Department (SED) made progress in ensuring school districts across New York are protecting students from harassment and … according to a follow-up report released today by State Comptroller Thomas P. DiNapoli. “Bullying is a … The State Education Department SED made progress in ensuring …
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) … managed care premiums and, in return, MLTC plans pay for all MLTC covered services. The Medicaid program should … of Health DOH made improper feeforservice FFS payments for certain services covered by managed longterm care plans …
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
… for allegedly scamming the village out of $25,988 for health insurance benefits for her family, State Comptroller Thomas P. DiNapoli announced today. Page is … 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/2020/02/dinapoli-former-clerk-treasurer-village-speculator-charged-larcenyDiNapoli: NYC Projects $3 Billion Surplus for 2015, Balanced Budget Next Year
… is strong and shows no signs of slowing. Still, Mayor de Blasio and the city’s budget team deserve credit for …
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
… New York State Comptroller Thomas P. DiNapoli released a statement … a public health crisis to commit fraud is reprehensible,” State Comptroller DiNapoli said. “I thank United States … by filing a complaint online at investigations@osc.state.ny.us , or by mailing a complaint to: Office of the State …
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
… determine whether the costs reported by the Hebrew Academy for Special Children, Inc. (Hebrew Academy) on its … primarily on expenses claimed on Hebrew Academy’s CFR for the fiscal year ended June 30, 2017 and included certain expenses claimed on its CFRs for the two fiscal years ended June 30, 2016. About the …
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)
… nursing home care, dentistry, vision care, and durable medical equipment. The Department of Health (Department) … to provide information on any actions that are planned to address the unresolved issues discussed in the follow-up …
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)
… Objective To determine the extent of implementation of the nine recommendations included in our initial audit report, Administration of the Contract With the Postgraduate Center for Mental Health ( … To determine the extent of implementation of the nine recommendations …
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
… care providers’ Medicaid claims for therapy services and prescription drugs that are covered by Medicare. The audit … the period January 1, 2012 to December 31, 2016 for prescription drugs and January 1, 2012 to December 31, 2017 … occupational, and speech therapy services, as well as prescription drugs. When these services are rendered to …
https://www.osc.ny.gov/state-agencies/audits/2019/10/30/medicaid-program-overpayments-therapy-services-and-prescription-drugs-covered-medicareDiNapoli: State Pension Fund Investments Return 11.55% for State Fiscal Year 2023-24
… bonds and mortgages (22.26%), private equity (14.60%), real estate and real assets (12.77%) and credit, absolute return strategies …
https://www.osc.ny.gov/press/releases/2024/06/dinapoli-state-pension-fund-investments-return-1155-state-fiscal-year-2023-24DiNapoli: No Good Options for MTA to Manage Hole in Capital Funding
… $1.78 billion. Normal Replacement: Railcars and Buses, $2.75 billion. System Improvements: Accessibility and Signal … meet the loss of congestion pricing revenue, inclusive of $2 billion in federal matching funds for SAS Phase 2. The MTA must work with its federal partners to move …
https://www.osc.ny.gov/press/releases/2024/06/dinapoli-no-good-options-mta-manage-hole-capital-fundingDiNapoli: State is Slow in Disbursing Some Federal Relief Funds for Housing
… New York has been slow when it comes to using some federal … housing crisis, according to an audit released today by New York State Comptroller Thomas P. DiNapoli. The audit … to ensure the unprecedented federal relief funds help New Yorkers in need and are not lost because of unnecessary …
https://www.osc.ny.gov/press/releases/2022/09/dinapoli-state-slow-disbursing-some-federal-relief-funds-housingDiNapoli Announces Nominee for the Commission on Ethics and Lobbying in Government
… G. Groenwegen to the Commission on Ethics and Lobbying in Government. Groenwegen previously served as counsel to the … York meet those challenges and enhance the public’s faith in government.” Groenwegen has extensive experience in state government. Prior to joining the State Comptroller’s …
https://www.osc.ny.gov/press/releases/2022/07/dinapoli-announces-nominee-commission-ethics-and-lobbying-government