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Medicaid Program – Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care
… Medicaid made improper fee-for-service claim payments for pharmacy services covered by recipients’ managed care plans. … provided to their enrollees. Prior to October 2011, pharmacy benefits were reimbursed through the fee-for-service … care coverage. However, beginning October 1, 2011, most pharmacy benefits were covered by managed care plans, and …
https://www.osc.ny.gov/state-agencies/audits/2015/01/05/medicaid-program-improper-fee-service-payments-pharmacy-services-covered-managed-careDiNapoli: Preschool Special Education Provider Received Nearly $6 Million for Ineligible Expenses
… P. DiNapoli announced today. DiNapoli's audit of New York League for Early Learning Inc. (NYL) focused on $138 million …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-preschool-special-education-provider-received-nearly-6-million-ineligible-expensesDiNapoli: Village of Candor Mayor Arrested for Allegedly Stealing From the Village
… the money into his personal bank account or spent it. At the time the deposits were made, the mayor’s personal … in the Centralized Arraignment Part. His next appearance is scheduled for August 5. The charges filed in this case are merely accusations and the defendant is presumed innocent unless and until proven guilty in a …
https://www.osc.ny.gov/press/releases/2024/07/dinapoli-village-candor-mayor-arrested-allegedly-stealing-villageMedicaid Program – Improper Payments for Ancillary Services Provided During Hospital Inpatient Admissions
… Medicaid claims for ancillary services are processed by eMedNY, the Department's automated claims processing and … for the same service. Improper Medicaid claims detected by eMedNY are either denied or paid and reported to … service claims for recipients who were also covered by Medicare. Key Recommendations Recover the $1 million in …
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
… certain eligibility requirements get the Medicare benefits to which they are entitled, according to an audit released today by New York State Comptroller … if implemented, could save another $69 million from 2016 to 2018, which includes $17 million in savings for counties …
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
… Partners. "This new commitment to Primary Venture Partners for state-based investments will help grow the pension fund … Vnomics, a fleet management software company located near Rochester and FieldLens, a construction industry mobile … 80 percent of the cost of benefit payments has been funded by investment returns. The Fund’s fiscal year ends March 31, …
https://www.osc.ny.gov/press/releases/2015/03/state-pension-fund-adds-30-million-investments-new-york-companiesDiNapoli: Former Clerk Treasurer for the Village of Speculator Charged With Larceny
… York State Police and Hamilton County District Attorney Christopher C. Shambo for working with my office to hold her …
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
… small gaps in the following three years, according to a review of the city’s updated financial plan released … city’s budget team deserve credit for increasing reserves to hedge against any future economic setback.” Higher than … current year’s surplus. Tax collections are now expected to exceed the city’s original forecast by $2.4 billion to …
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
… this scammer accountable.” Press Release Chinese National Arrested For $20 Million Scheme To Fraudulently Obtain Loans …
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
… To determine whether the costs reported by the Hebrew Academy for Special Children, Inc. (Hebrew Academy) on its … directly related to the special education programs, and sufficiently documented pursuant to the State Education …
https://www.osc.ny.gov/state-agencies/audits/2020/02/04/hebrew-academy-special-children-inc-compliance-reimbursable-cost-manualDiNapoli: Lack of Oversight Hinders Home Meal Delivery Program for Vulnerable Seniors
… “There are nearly 2 million seniors in the city and many have trouble preparing their own meals. The city’s … Districts 1 through 6 in The Bronx, 50% rely on other languages. DFTA, however, did not take steps to make sure … that takes place and providers are not required to report how they use the contributions. As a result, there is a risk …
https://www.osc.ny.gov/press/releases/2022/01/dinapoli-lack-oversight-hinders-home-meal-delivery-program-vulnerable-seniorsImproper Fee-for-Service Payments for Services Covered by Managed Long-Term Care Plans (Follow-Up)
… Payments for Services Covered by Managed Long-Term Care Plans (Report 2018-S-65 ). About the Program The State’s Medicaid program offers managed long-term care (MLTC) coverage to people who are chronically ill or …
https://www.osc.ny.gov/state-agencies/audits/2021/08/31/improper-fee-service-payments-services-covered-managed-long-term-care-plans-followQuality Services for the Autism Community – Compliance With the Reimbursable Cost Manual
… is approved by SED to provide Preschool Special Education (SC) and Special Education Itinerant Teacher (SEIT) program … with autism between three and five years of age. Both the SC and SEIT programs are located in Douglaston, Queens. For … 2015, QSAC served 164 students, which consisted of 140 in SC and 32 in SEIT, with 8 children enrolled in both Programs. …
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
… make sure we are doing everything we can to stop it from happening,” DiNapoli said. “I commend the State Education … Department for acting on my audit and strengthening its efforts to enforce the Dignity for All Students Act.” An … annual school incident data available to the public on its website . DiNapoli previously recommended that SED take …
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
… public health insurance programs. Enrollment information is ultimately communicated to eMedNY, the Medicaid claims …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/medicaid-program-improper-fee-service-payments-services-covered-long-term-care-plansGlobal Investor Coalition Calls on Exxon to Prepare for a Lower Carbon Future
… in assets under management and more than $1 billion in Exxon shares. “The unprecedented Paris agreement to rein in global warming may significantly affect Exxon’s operations,” said DiNapoli, who is Trustee of the New … of their European peers have already done by stress testing their business strategies against low-carbon economic …
https://www.osc.ny.gov/press/releases/2016/01/global-investor-coalition-calls-exxon-prepare-lower-carbon-futureDiNapoli: State Education Employment Program For New Yorkers With Disabilities Falling Short
… said. “The State Education Department needs to do a better job with this important program for people with disabilities. … support for people living with disabilities.” The Adult Career and Continuing Education Services – Vocational … were getting the training, education, rehabilitation, and career development they needed. Moreover, the department …
https://www.osc.ny.gov/press/releases/2022/03/dinapoli-state-education-employment-program-new-yorkers-disabilities-falling-shortAdministration of the Contract With the Postgraduate Center for Mental Health (Follow-Up)
… Objective To determine the extent of implementation of the nine … to certain client apartments identified what appeared to be ongoing conditions that could negatively affect the health … deficiencies in efforts by OMH program staff to follow up on recommendations to PCMH resulting from field visits, and …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/administration-contract-postgraduate-center-mental-health-followDiNapoli: 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 … financial impact of the COVID-19 pandemic, combined with a levy growth rate of 1.23 percent and below 2 percent for … payments and public authority data. Visit the Reading Room for contract FOIL requests, bid protest decisions and …
https://www.osc.ny.gov/press/releases/2021/01/dinapoli-school-district-tax-levy-cap-below-2-percent-second-straight-yearMedicaid Program – Overpayments for Therapy Services and Prescription Drugs Covered by Medicare
… Objective To determine if the Department of Health overpaid health care providers’ Medicaid claims for therapy services and prescription drugs that are covered by Medicare. The audit …
https://www.osc.ny.gov/state-agencies/audits/2019/10/30/medicaid-program-overpayments-therapy-services-and-prescription-drugs-covered-medicare