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Medicaid Program – Medicaid Payments to Medicare Advantage Plan Providers
… Medicaid inappropriately paid for recipients’ Medicare Part C cost-sharing liabilities. The audit covered the period … “dual-eligibles.” In 1997, Congress established Medicare Part C, the Medicare managed care program also known as Medicare Advantage. Under Medicare Part C, private managed care companies administer Medicare …
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)
… the Unit violated Metro-North policy by not disclosing the referral of a relative who was hired in the Unit. Key Finding …
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
… Part C, private managed care companies administer Medicare benefits. These Medicare Advantage Plans typically have … Part C cost-sharing liabilities (deductibles, coinsurance, and copayments). In New York, Medicaid pays the entire Part C … C cost-sharing liabilities such that the total Medicare and Medicaid payment for a service did not exceed Medicaid's …
https://www.osc.ny.gov/state-agencies/audits/2014/05/09/medicaid-program-medicaid-payments-made-pursuant-medicare-part-cTown 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-177Town of Attica – Payments to Not-for-Profit Organizations (2021M-125)
… - pdf ] Audit Objective Determine whether payments Town of Attica (Town) officials made to not-for-profit … Determine whether payments Town of Attica Town officials made to notforprofit organizations …
https://www.osc.ny.gov/local-government/audits/town/2021/12/17/town-attica-payments-not-profit-organizations-2021m-125DiNapoli: Fast Food Companies Agree to Stronger Supplier Oversight
… State Comptroller Thomas P. DiNapoli today announced that Fortune 500 fast food companies Wendy’s and YUM! Brands, the … Fortune 500 fast food companies Wendys and YUM Brands the …
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
… The New York State Common Retirement Fund (Fund) has reached … an agreement with Ohio-based utility FirstEnergy Corp. to comprehensively disclose its political spending, New York State Comptroller Thomas P. DiNapoli, trustee of the Fund, announced today. In response to the agreement, the …
https://www.osc.ny.gov/press/releases/2021/02/dinapoli-firstenergy-corp-agrees-disclose-its-political-spendingDiNapoli: NYC Department of Education is Not Doing Enough to Prepare Students for Higher Education
… The NYC Department of Education (DOE) needs to step up its efforts to prepare … or trade school. The audit found a significant number of students did not graduate on time and were not prepared … intervention in city school districts where large numbers of students do not graduate high school.” DOE considers …
https://www.osc.ny.gov/press/releases/2022/10/dinapoli-nyc-department-education-not-doing-enough-prepare-students-higher-educationDiNapoli: Billing and Reimbursement Flaws Allowed $16.6 Million in Inappropriate Payments to Home Health Care Providers
… erroneously made $16.6 million in Medicaid payments to 95 home health providers over a 3 1/2-year period, largely … because the agency mistakenly paid for more days of care than what was provided, according to an audit released … today by New York State Comptroller Thomas P. DiNapoli. “Home health care providers fill a great need by allowing …
https://www.osc.ny.gov/press/releases/2016/12/dinapoli-billing-and-reimbursement-flaws-allowed-166-million-inappropriate-payments-home-health-careOpinion 91-44
… in the opinion. FIRE COMMISSIONERS -- Compensation (health insurance) FIRE DISTRICTS -- Appropriations and Expenditures (health insurance for fire commissioners) INSURANCE -- Health Insurance (authority to cover fire … commissioners of a fire district may be provided health insurance through the State health insurance plan at the …
https://www.osc.ny.gov/legal-opinions/opinion-91-44State Comptroller DiNapoli: Former Corrections Officer Used Fake Pay Stubs to Seek $237,000 Mortgage Loan
… to qualify for mortgage loans from KeyBank and Citizens Bank, according to an investigation by State Comptroller … to qualify for mortgage loans from KeyBank and Citizens Bank …
https://www.osc.ny.gov/press/releases/2018/07/state-comptroller-dinapoli-former-corrections-officer-used-fake-pay-stubs-seek-237000-mortgage-loanMedicaid Program – Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician
… managed care plans to Dr. Ahmad. We question whether pharmacy claims totaling approximately $15 million for …
https://www.osc.ny.gov/state-agencies/audits/2015/09/18/medicaid-program-questionable-payments-practitioner-services-and-pharmacy-claims-pertainingDiNapoli Announces $1.2 Billion in New Commitments to State Pension Fund's Emerging Manager Program
… an additional $500 million allocation to Artemis Real Estate Partners for real estate investments, an additional $300 million allocation to … commitment to Leading Edge Investment Advisors for a new small capitalization equity investment platform. The Fund is …
https://www.osc.ny.gov/press/releases/2015/02/dinapoli-announces-12-billion-new-commitments-state-pension-funds-emerging-manager-programDiNapoli: Former Treasurer Pleads Guilty to Felony in Theft of More Than $5,000 in Fire District Funds
… No. 2 pleaded guilty today to stealing more than $5,000 in public funds, after an audit and investigation by State … No 2 pleaded guilty today to stealing more than $5000 in public funds after an audit and investigation by State …
https://www.osc.ny.gov/press/releases/2015/05/dinapoli-former-treasurer-pleads-guilty-felony-theft-more-5000-fire-district-fundsXI.18.D Sales and Compensating Use Tax Documentation – XI. Procurement and Contract Management
… to collect state sales and compensating use tax, or that the contractor and, to the best of the contractor's … sales within New York State of tangible personal property or taxable services in excess of $300,000 during the … of perjury, and file with DTF Contractor Certification Form ST-220-TD . Agencies should direct state contractors to …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi18d-sales-and-compensating-use-tax-documentationDiNapoli, Stringer Lead Investors Calling on Olympic Sponsors to End Their Silence, Defend Russian LGBT Rights
… written to four major corporate sponsors of the upcoming Winter Olympic Games in Sochi, Russia that failed to respond … and human rights of all athletes and attendees of the Winter Games and visitors to the Games’ venues. Signatories … letters written to four corporate sponsors of the upcoming Winter Olympic Games in Sochi Russia that failed to respond …
https://www.osc.ny.gov/press/releases/2014/02/dinapoli-stringer-lead-investors-calling-olympic-sponsors-end-their-silence-defend-russian-lgbtDiNapoli: New York City Continues to Rebound and Regain Share of State Economic Activity
… Economic indicators show New York City’s economy is recovering from the depths of the … city to fuel economic growth for the city and the state. “New York City is a key driver of the state’s economic … indicators released today shows that in many areas New York City has returned to, and in some cases exceeded, …
https://www.osc.ny.gov/press/releases/2023/10/dinapoli-new-york-city-continues-rebound-and-regain-share-state-economic-activityDiNapoli: Lack of Oversight Delayed Access to Emergency Home Repairs for Elderly New Yorkers
… State Homes and Community Renewal’s (HCR) lax oversight of the Residential Emergency Services to Offer Home Repairs … the agency needs to do more to increase the participation of local providers who help distribute the money as roughly only half of New York’s counties received funding under the program. …
https://www.osc.ny.gov/press/releases/2021/07/dinapoli-lack-oversight-delayed-access-emergency-home-repairs-elderly-new-yorkersOpinion 90-42
… on the issues discussed in the opinion. CITIES -- Fees (filing of in rem tax foreclosure lists) FEES -- Exemption … PUBLIC HOUSING AUTHORITY -- Fees (exemption from filing and recording fees) REAL PROPERTY TAXES AND ASSESSMENTS -- Enforcement (fees for filing in rem lists) REAL PROPERTY TAX LAW, §1122; CPLR 8021; …
https://www.osc.ny.gov/legal-opinions/opinion-90-42Comptroller 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-money