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State Comptroller DiNapoli Releases Audits
… Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans (2021-S-37) For individuals enrolled in Medicaid managed care, the department pays for services through monthly … (2022-S-10) Arc Erie, a not-for-profit special education provider located in Williamsville, is authorized by the State …
https://www.osc.ny.gov/press/releases/2022/12/state-comptroller-dinapoli-releases-auditsDiNapoli Seeks Stronger Federal Safety Measures for Oil Trains to Protect New Yorkers
… railways and require oil transporters to carry sufficient insurance to cover cleanup costs and other liabilities … Fund, capped at $40 million, was created to protect public health and the environment by providing quick access to funds … laws to escape the costs. Insurance coverage is an accepted responsibility for people and businesses in America …
https://www.osc.ny.gov/press/releases/2016/04/dinapoli-seeks-stronger-federal-safety-measures-oil-trains-protect-new-yorkersLong Island Association for AIDS Care
… the reimbursement for employee health insurance (i.e., medical and dental expenses). As a result, we continued our examination of medical and dental expenses claimed for reimbursement by … LIAAC’s claims for payment totaling $120,293 for employee medical and dental expenses for the period February 2014 …
https://www.osc.ny.gov/state-agencies/audits/2017/11/10/long-island-association-aids-careMedicaid Program – Claims Processing Activity April 1, 2023 Through September 30, 2023
… their claims. During the 6-month period ending September 30, 2023, eMedNY processed over 420 million claims, resulting …
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
… determine if the Department of Motor Vehicles (Department) is appropriately allocating, billing, and collecting the … Prevention Course Program. Under the Acts, the Department is required to annually estimate the expenses of … expenses. Key Findings In general, the Department is appropriately allocating, billing, and collecting nearly …
https://www.osc.ny.gov/state-agencies/audits/2019/12/13/allocation-billing-and-collection-expenses-administering-motor-vehicle-financial-securityDiNapoli: Former Non-Profit Executive Pleads Guilty to Falsifying Business Records
… her health insurance premiums, giving herself $5,518.77 in benefits that she was not entitled to. "Today, Jennifer … Corning Police Department for their ongoing partnership in ensuring we uncover corruption and carry out justice.” The … light. She pleaded guilty to falsifying business records in the first degree and was ordered to pay restitution in the …
https://www.osc.ny.gov/press/releases/2021/08/dinapoli-former-non-profit-executive-pleads-guilty-falsifying-business-recordsImproper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up)
… services; home health aides; physical and occupational therapy; medical appliances and supplies; and drugs. When …
https://www.osc.ny.gov/state-agencies/audits/2023/02/13/improper-medicaid-payments-individuals-receiving-hospice-services-covered-medicare-followAllocation, Billing, and Collection of Expenses of Administering the Motor Vehicle Financial Security Act and the Motor Vehicle Safety Responsibility Act (Follow-Up)
… “Acts”) pursuant to Articles VI and VII of the Vehicle and Traffic Law. These Acts help ensure that the operators of … or whose property they might damage as a result of an accident. Department activities relating to the Acts fall … the accuracy of its allocation and billing practices by analyzing reported premium data and taking follow-up …
https://www.osc.ny.gov/state-agencies/audits/2021/05/27/allocation-billing-and-collection-expenses-administering-motor-vehicle-financial-securityCrossroads Center for Children – Compliance With the Reimbursable Cost Manual
… for Children, (Crossroads) on its Consolidated Fiscal Report (CFR) were properly calculated, adequately documented, … Center for Children Crossroads on its Consolidated Fiscal Report CFR were properly calculated adequa …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/crossroads-center-children-compliance-reimbursable-cost-manualMedicaid Program - Medicaid Managed Care Organization Fraud and Abuse Detection
… Purpose To determine if United HealthCare and Amerigroup made payments to ineligible health care providers and whether these managed … To determine if United HealthCare and Amerigroup made payments to ineligible health care providers and whether these managed …
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
… Purpose To determine whether mainstream managed care organizations … (MCOs) are submitting accurate administrative costs to the Department of Health (Department) and whether the … To determine whether mainstream managed care organizations are submitting accurate administrative costs to the Department of Health and whether …
https://www.osc.ny.gov/state-agencies/audits/2017/09/13/medicaid-program-administrative-costs-used-premium-rate-setting-mainstream-managed-careAstor Services for Children & Families – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Astor Services for Children & Families (Astor) on its Consolidated Fiscal Report (CFR) were properly … To determine whether the costs reported by Astor Services for Children Families Astor on its Consolidated Fiscal Report …
https://www.osc.ny.gov/state-agencies/audits/2015/09/02/astor-services-children-families-compliance-reimbursable-cost-manualChildren’s Unit for Treatment and Evaluation – Compliance With the Reimbursable Cost Manual
… the costs reported by Children’s Unit for Treatment and Evaluation (CUTE) on its Consolidated Fiscal Reports … (CFR) were properly calculated, adequately documented, and allowable under the State Education Department’s (SED) … on CUTE’s CFR for the fiscal year ended June 30, 2016 and certain costs reported on its CFRs for the two fiscal …
https://www.osc.ny.gov/state-agencies/audits/2019/07/15/childrens-unit-treatment-and-evaluation-compliance-reimbursable-cost-manualUnitedHealthcare – Reasonable and Customary Reimbursement Rates for Delayed Claims
… (Civil Service), provides health insurance coverage to over 1.2 million active and retired State, local government … reimbursement for certain out-of-network claims is 80 percent of the R&C rate for the service. R&C rates are … January 1, 2017 through December 31, 2018, United paid over $416 million for 255,807 out-of-network claims based on …
https://www.osc.ny.gov/state-agencies/audits/2019/12/12/unitedhealthcare-reasonable-and-customary-reimbursement-rates-delayed-claimsAssociation for the Advancement of the Blind and Retarded – Options for People Through Services Program
… whether payments made by the Office for People With Developmental Disabilities (OPWDD) to the Association for the … Related Audit/Report of Interest Office for People With Developmental Disabilities: Administration of Contingency … payments made by the New York State Office For People With Developmental Disabilities OPWDD to the Association for the …
https://www.osc.ny.gov/state-agencies/audits/2013/07/26/association-advancement-blind-and-retarded-options-people-through-services-programState Comptroller DiNapoli Releases Audits
… – Oversight of the Residential Emergency Services to Offer Home Repairs to the Elderly (RESTORE) Program (Follow-Up) (2022-F-18) From 2017 …
https://www.osc.ny.gov/press/releases/2023/02/state-comptroller-dinapoli-releases-auditsRetiree Annual Statement
… pension payments for the last calendar year, including the total amount you received and a breakdown of credits, … you call or write NYSLRS. Benefit Amount Base Benefit Your total pension benefit amount before credits, deductions and … contact your former employer. Other Deductions The total amount for dues or fees (for example, union dues or …
https://www.osc.ny.gov/retirement/retirees/retiree-annual-statementCenter for Disability Services – Compliance With the Reimbursable Cost Manual
… (SED) guidelines, including the Reimbursable Cost Manual (Manual). Our audit covered the calendar year ended December … for reimbursement, reported costs must comply with Manual requirements. For the calendar year ended December 31, …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/center-disability-services-compliance-reimbursable-cost-manualCantalician Center for Learning – Compliance With the Reimbursable Cost Manual
… education programs that it operated: Preschool Special Class – over 2.5 hours per day and Preschool Integrated Special Class – over 2.5 hours per day (collectively referred to as …
https://www.osc.ny.gov/state-agencies/audits/2023/01/26/cantalician-center-learning-compliance-reimbursable-cost-manualAudit of the Tuition Reimbursement Account for the Three Fiscal Years Ended March 31, 2013
… of the Financial Statements of the Tuition Reimbursement Account for the three fiscal years ended March 31, 2013. … Reimbursement Fund, now titled the Tuition Reimbursement Account Special Revenue Fund (TRA), to protect the financial … created the Proprietary Schools Vocational Supervision Account (Supervision Account) to support Bureau of …
https://www.osc.ny.gov/state-agencies/audits/2014/07/24/audit-tuition-reimbursement-account-three-fiscal-years-ended-march-31-2013