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Improper Medicaid Payments for Recipients in Hospice Care (Follow-Up)
… Objective To determine the extent of implementation of the 11 … because the Department of Health (Department) did not have a process to identify and track Medicaid recipients … Consequently, the eMedNY claims processing system did not have controls to prevent payments to non-hospice providers …
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/improper-medicaid-payments-recipients-hospice-care-followEmpire BlueCross – Controls Over Payments for Special Items (Follow-Up)
… (Report 2016-S-57 ). About the Program The New York State Health Insurance Program (NYSHIP) covers active and retired … and their dependents. The Empire Plan is the primary health benefits plan for NYSHIP. Empire BlueCross (Empire) administers the hospital portion of the Empire Plan. Empire processes claims …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/empire-bluecross-controls-over-payments-special-items-followDiNapoli: Bombay Clerk Sentenced for Pocketing Justice Court Fees
… Town Court to three years’ probation and ordered to pay full restitution after his February 1 guilty plea to …
https://www.osc.ny.gov/press/releases/2017/05/dinapoli-bombay-clerk-sentenced-pocketing-justice-court-feesDiNapoli Announces State Contract & Payment Actions for February 2015
… between Helen Hayes Hospital and Comprehensive Pharmacy Inc. for a pharmacy dispensing system. $1.5 million for 29 … Training Voucher Program to help youth aging out of foster care to transition to self-sufficiency. Department of … services. Department of Health $5 million to United Health Care of New York Inc. for the Child Health Plus insurance …
https://www.osc.ny.gov/press/releases/2015/03/dinapoli-announces-state-contract-payment-actions-february-2015Medicaid Program – Excessive Payments for Durable Medical Equipment Rentals
… (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs arrange for the provision of health care … repeated use and have been ordered by a practitioner in the treatment of a specific medical condition. Certain DME …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/medicaid-program-excessive-payments-durable-medical-equipment-rentalsEmployment Recovery Is Slow for New Yorkers with Disabilities
… The COVID-19 pandemic led to soaring unemployment rates for people with disabilities, and these rates have not … who do not have a disability in 2022, a disparity that is also greater than the 4.7 percentage point gap nationwide. … 6 According to the Executive, the Office of the CDO is also intended to make “specific, action-oriented” …
https://www.osc.ny.gov/reports/employment-recovery-slow-new-yorkers-disabilitiesSelected Aspects of Accommodations for Passengers With Disabilities (Follow-Up)
… Objective To determine the extent of implementation of the seven recommendations included in … Act of 1990 (Act or ADA) was signed into law to provide people with a disability the right to access and participate … of the Rehabilitation Act of 1973 prohibits discrimination on the basis of disability in federally assisted programs. …
https://www.osc.ny.gov/state-agencies/audits/2023/05/12/selected-aspects-accommodations-passengers-disabilities-followXI.11.H Early Pay Discounts for Procurement Contract Purchases – XI. Procurement and Contract Management
… when feasible. If early pay discount terms are included in a contract, the awarding agency should add the payment terms to the contract’s PO defaults in the Statewide Financial System (SFS). Please note: … Contractor offers an early payment discount, at any point in time, that is more advantageous to the State than the …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi11h-early-pay-discounts-procurement-contract-purchasesXII.10.A Lapsing and Year-End Procedures for Payment Processing – XII. Expenditures
… Payable Vouchers and Land Claims of this Chapter for more information regarding record retention and availability.) … published deadline. It is imperative that the voucher and supporting documentation contain all required information. If … correctly, or the Business Unit cannot provide the supporting documentation, the voucher may remain unpaid. …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii10a-lapsing-and-year-end-procedures-payment-processingDiNapoli Releases Fiscal Stress Scores for Villages and Cities
… announced that 10 villages and two cities were designated in fiscal stress under his Fiscal Stress Monitoring System . … local governments and designated one city and two villages in “moderate fiscal stress” and eight villages and one city … to fiscal stress.” While no municipalities were in the highest category of “significant fiscal stress,” 73 …
https://www.osc.ny.gov/press/releases/2022/04/dinapoli-releases-fiscal-stress-scores-villages-and-citiesDiNapoli: State Needs to Improve Services for Vulnerable Adults
… up took place and the problems were fixed and said it does not require providers submit documents to show …
https://www.osc.ny.gov/press/releases/2021/11/dinapoli-state-needs-improve-services-vulnerable-adultsDiNapoli: Woman Arrested for Stealing Deceased Sister's Pension Checks
… the checks using her sister’s state employee ID at a check cashing location. “Ms. Dixon attempted to scam the … pretending to be her deceased sister,” DiNapoli said. “My thanks to District Attorney Gonzalez for his continued … in the third and fourth degree. She was arraigned in Kings County court and released without bail on her own …
https://www.osc.ny.gov/press/releases/2021/11/dinapoli-woman-arrested-stealing-deceased-sisters-pension-checksDiNapoli: Former Town Supervisor Sentenced to Prison for Embezzlement
… Cortland County District Attorney Patrick Perfetti and the New York State Police today announced that former … June, Brown pleaded guilty to stealing $240,000 in public funds after his thefts were revealed through a joint … money, but today Dennis Brown learned the consequences of his crimes,” DiNapoli said. “It should be a warning for …
https://www.osc.ny.gov/press/releases/2021/09/dinapoli-former-town-supervisor-sentenced-prison-embezzlementDiNapoli: Saranac Town Clerk Arrested for Falsifying Town Records
… and encourages the public to help fight fraud and abuse. New Yorkers can report allegations of fraud involving …
https://www.osc.ny.gov/press/releases/2021/04/dinapoli-saranac-town-clerk-arrested-falsifying-town-recordsMedicaid Program – Improper Medicaid Payments for Misclassified Patient Discharges
… a patient was transferred to another facility may result in a lower payment than if a patient was simply discharged … status codes. Key Recommendations Review the $252,107 in overpayments and recover as appropriate. Review the … 2,017 high-risk claims totaling $28 million identified in this audit and recover overpayments as appropriate. Ensure …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/medicaid-program-improper-medicaid-payments-misclassified-patient-dischargesDiNapoli: Westchester Sisters Sentenced for Stealing Deceased Mother's Pension
… Attorney Miriam E. Rocah announced the sentencings of Annette Bigelow, 61, and Mary Nash, 59, who hid their … conditional discharge and ordered to pay full restitution of $22,000. “Annette Bigelow and Mary Nash hid their mother’s … York taxpayers, and we are glad to work with the Office of the State Comptroller to help ensure that public funds are …
https://www.osc.ny.gov/press/releases/2021/02/dinapoli-westchester-sisters-sentenced-stealing-deceased-mothers-pensionMembership Milestones for Police & Fire Retirement System (PFRS) Members
… If you are in the Police and Fire Retirement System (PFRS), no matter which retirement tier and … entitled to a monthly benefit that may start as early as age 55. With 10 or more years of service credit, you are: …
https://www.osc.ny.gov/retirement/members/membership-milestones-police-fire-retirement-system-pfrs-membersStatus of the Board-Approved Capital Plan for 2005-2011 (Follow-Up)
… Purpose To determine the extent of implementation of the five recommendations included in our initial report, Status of the Board-Approved Capital Plan for 2005-2011 (Report …
https://www.osc.ny.gov/state-agencies/audits/2013/06/27/status-board-approved-capital-plan-2005-2011-followTown of Somerset – Budgeting for Sales Tax (2016M-419)
… Purpose of Audit The purpose of our audit was to review the Town's allocation of sales tax … in Niagara County and has a population of approximately 2,600. The Town, which includes the Village of Barker within …
https://www.osc.ny.gov/local-government/audits/town/2017/11/22/town-somerset-budgeting-sales-tax-2016m-419Area #4 – Contracts and Service Level Agreements for IT Services – Information Technology Governance
… schools often rely on third parties to provide a variety of IT-related services. For your protection and to avoid … and the IT service provider that specifies the level of service to be provided by the vendor and clearly states … to data storage services. 11 Education Law Section 2-d(3)(c); 8 NYCRR 121.2(c), 121.3(c), 121.6(a) 12 …
https://www.osc.ny.gov/local-government/publications/it-governance/area-4-contracts-and-service-level-agreements-it-services