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DiNapoli Seeks Stronger Federal Safety Measures for Oil Trains to Protect New Yorkers
… Thomas P. DiNapoli, in a letter released today, called on the U.S. Department of Transportation and the Federal Railroad Administration to strengthen safety … two major carriers of crude oil in New York state – CSX Corporation and Canadian Pacific Railway Limited – revealed …
https://www.osc.ny.gov/press/releases/2016/04/dinapoli-seeks-stronger-federal-safety-measures-oil-trains-protect-new-yorkersState Comptroller DiNapoli Releases Audits
… New York State Comptroller Thomas P. DiNapoli announced today the … Act, enacted in response to the coronavirus disease 2019 state of emergency, increased the federal medical assistance … contracts where the same contractor is party to a new contract (either alone or in a joint venture). Unsatisfactory …
https://www.osc.ny.gov/press/releases/2022/12/state-comptroller-dinapoli-releases-auditsMedicaid Program – Claims Processing Activity April 1, 2023 Through September 30, 2023
… Objective To determine whether the Department of Health’s eMedNY system … Medicaid requirements, and resulted in correct payments to providers. The audit covered the period from April 2023 …
https://www.osc.ny.gov/state-agencies/audits/2024/04/24/medicaid-program-claims-processing-activity-april-1-2023-through-september-30-2023Allocation, Billing, and Collection of Expenses of Administering the Motor Vehicle Financial Security Act and the Motor Vehicle Safety Responsibility Act
… Objective To determine if the Department of Motor Vehicles (Department) … the Program The Department administers the Acts pursuant to Articles VI and VII of the Vehicle and Traffic Law. These …
https://www.osc.ny.gov/state-agencies/audits/2019/12/13/allocation-billing-and-collection-expenses-administering-motor-vehicle-financial-securityMedicaid Program – Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare
… About the Program Hospice is a coordinated program of home and/or inpatient care that treats terminally ill … Hospice programs provide palliative care, including nursing, physician, and counseling services; home health … Care (MLTC) plans, which serve people who require nursing home or long-term home health care. When a Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2020/12/28/medicaid-program-improper-medicaid-payments-individuals-receiving-hospice-services-coveredDiNapoli: Former Non-Profit Executive Pleads Guilty to Falsifying Business Records
… organization’s payroll system to defraud the organization of over $5,500. Thurber altered the payroll system to … and carry out justice.” The State Comptroller’s Division of Investigations and Corning Police Department found that … was employed by FSS for more than 20 years, was terminated on December 27, 2018 once her actions were brought to light. …
https://www.osc.ny.gov/press/releases/2021/08/dinapoli-former-non-profit-executive-pleads-guilty-falsifying-business-recordsAllocation, Billing, and Collection of Expenses of Administering the Motor Vehicle Financial Security Act and the Motor Vehicle Safety Responsibility Act (Follow-Up)
… ensure that the operators of motor vehicles registered in New York possess adequate insurance coverage, or are … programs and assess these expenses on insurance carriers in proportion to their reported premiums. The objective of … the expenses of administering the Acts. We found that, in general, the Department was appropriately allocating, …
https://www.osc.ny.gov/state-agencies/audits/2021/05/27/allocation-billing-and-collection-expenses-administering-motor-vehicle-financial-securityLong Island Association for AIDS Care
… report 2012-0063 , entitled the Long Island Association for AIDS Care, Inc. (LIAAC). Based on information obtained … of the documents LIAAC submitted to support the reimbursement for employee health insurance (i.e., medical … our examination of medical and dental expenses claimed for reimbursement by LIAAC under their contracts with the …
https://www.osc.ny.gov/state-agencies/audits/2017/11/10/long-island-association-aids-careMedicaid Program - Medicaid Managed Care Organization Fraud and Abuse Detection
… premium payment for each enrollee. In 2014, New York State’s Medicaid claim costs totaled more than $51 billion, … managed care accounted for just 8 percent of New York State Medicaid expenditures. By 2013, managed care’s share of … by the end of 2016. Despite this operational shift, the State remains legally responsible for ensuring that MCOs …
https://www.osc.ny.gov/state-agencies/audits/2016/07/15/medicaid-program-medicaid-managed-care-organization-fraud-and-abuse-detectionMedicaid Program – Administrative Costs Used in Premium Rate Setting of Mainstream Managed Care Organizations
… 1, 2011 through October 31, 2016. Background The Medicaid program is a federal, state, and locally funded program that provides a wide range of medical services to … special health care needs. The New York State Medicaid program is administered by the Department. For the State …
https://www.osc.ny.gov/state-agencies/audits/2017/09/13/medicaid-program-administrative-costs-used-premium-rate-setting-mainstream-managed-careMedicaid Program – Medicaid Payments to Medicare Advantage Plan Providers
… through Medicare Advantage plans, which have networks of participating providers that they reimburse for services … plan contracts offered by Fidelis and WellCare and, based on judgmental sampling, determined certain providers reported … on 7,072 Medicaid claims resulting in overpayments of $770,935. We determined three of the providers were …
https://www.osc.ny.gov/state-agencies/audits/2018/09/10/medicaid-program-medicaid-payments-medicare-advantage-plan-providersNew York’s Economy and Finances in the COVID-19 Era (June 24, 2021)
… in March 2020, telehealth services utilized by the State’s Medicaid and CHP beneficiaries climbed sharply to 208,506 visits, as shown below. As the State entered a lockdown in April, telehealth use reached a … per 1,000 beneficiaries prior to March 2020. As the State began to ease restrictions, telehealth use declined …
https://www.osc.ny.gov/reports/new-yorks-economy-and-finances-covid-19-era-june-24-2021Crossroads Center for Children – Compliance With the Reimbursable Cost Manual
… determine whether the costs reported by Crossroads Center for Children, (Crossroads) on its Consolidated Fiscal Report … 30, 2014. Background Crossroads is an SED-approved, not-for-profit organization located in Schenectady, New York. … the ages of three and five years. Crossroads is reimbursed for preschool special education services through rates set by …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/crossroads-center-children-compliance-reimbursable-cost-manualImproper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up)
… Objective To assess the extent of implementation of the nine recommendations included in our initial audit … services and payments. We issued our initial audit report on December 28, 2020. The audit objective was to determine …
https://www.osc.ny.gov/state-agencies/audits/2023/02/13/improper-medicaid-payments-individuals-receiving-hospice-services-covered-medicare-followAstor Services for Children & Families – Compliance With the Reimbursable Cost Manual
… Background Astor, a not-for-profit organization located in Rhinebeck, New York, provides preschool special education … reported costs must comply with the guidelines specified in the RCM. For the fiscal year ended June 30, 2013, Astor reported a total of $6.4 million in reimbursable costs on its CFR, of which $3.3 million was …
https://www.osc.ny.gov/state-agencies/audits/2015/09/02/astor-services-children-families-compliance-reimbursable-cost-manualUnitedHealthcare – Reasonable and Customary Reimbursement Rates for Delayed Claims
… reimbursement rate schedules that did not correlate with the date of the service on the claims, and to calculate the … system uses only the two most recent R&C rate periods (i.e., reimbursement rates from the prior 12 months) to …
https://www.osc.ny.gov/state-agencies/audits/2019/12/12/unitedhealthcare-reasonable-and-customary-reimbursement-rates-delayed-claimsChildren’s Unit for Treatment and Evaluation – Compliance With the Reimbursable Cost Manual
… calculated, adequately documented, and allowable under the State Education Department’s (SED) guidelines, including the …
https://www.osc.ny.gov/state-agencies/audits/2019/07/15/childrens-unit-treatment-and-evaluation-compliance-reimbursable-cost-manualAssociation for the Advancement of the Blind and Retarded – Options for People Through Services Program
… (OPWDD) to the Association for the Advancement of Blind and Retarded (AABR) for the Options for People … an additional $65.8 million. Payments to AABR are based on rates set by OPWDD. Key Findings Based on a sample of paid claims, we concluded that payments by OPWDD to AABR …
https://www.osc.ny.gov/state-agencies/audits/2013/07/26/association-advancement-blind-and-retarded-options-people-through-services-programWest Seneca Fire District #2 – Purchasing and Capital Project Management (2018M-241)
… were accurately paid and purchased in accordance with the District’s procurement policy and statute. Determine whether … more than $17,000, including approximately $3,200 that District officials did not find prior to our audit. District officials did not competitively bid a public works …
https://www.osc.ny.gov/local-government/audits/fire-district/2019/08/30/west-seneca-fire-district-2-purchasing-and-capital-project-management-2018mTown of Essex – Internal Controls Over Selected Financial Operations (2015M-60)
… October 31, 2014. Background The Town of Essex is located in Essex County and has a population of approximately 670. … payroll and maintaining leave time accruals, resulting in incorrect payments, tax withholdings and deductions for … and procedures for water and sewer charges, resulting in weaknesses over billing, collecting and enforcing of water …
https://www.osc.ny.gov/local-government/audits/town/2015/08/07/town-essex-internal-controls-over-selected-financial-operations-2015m-60