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Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 3, 4, 5 and 6 Members – Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 3, 4, 5 and 6 Members

Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 1 and 2 Members – Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 1 and 2 Members

Medicaid Program – Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance

… Purpose To determine whether the Department of Health (Department) … coverage. The audit covered the period January 1, 2012 to September 1, 2017. Background The Medicaid program is a …

UnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59 (Follow-Up)

… Purpose To determine the implementation status of the three … Program (NYSHIP) provides health insurance coverage to active and retired State, participating local government, … given 30 days after the issuance of the follow-up report to provide information on any actions that are …

Medicaid Program – Medicaid Payments for Pharmacy Claims: Joia Pharmacy and a Related Prescriber

… well as the rules and policies set forth by the Department of Health (Department) and the State Education Department. … 2008 through December 31, 2012. Note : During the course of the audit, the audit fieldwork was temporarily suspended … with a review by other external oversight authorities of some of the matters addressed in this report. Subsequent …

Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)

… determined that Davis Ethical likely fabricated nearly all of the improper claims. Davis Ethical processed many of … work with the Nassau County District Attorney and the New York State Department of Financial Services. On December …

Medicaid Program – Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care

… manner, in some cases taking more than six months to enter new enrollee eligibility data. Key Recommendations Review the …

DiNapoli Statement on Greenville Arrest for Alleged Theft of Taxpayer Funded Resources

… released the following statement regarding the arrest of Terry Williams for alleged theft of fuel from the Town of Greenville Highway Department. The theft was discovered …

DiNapoli Announces Interim CIO for the New York State Common Retirement Fund

… New York State Comptroller Thomas P. DiNapoli today announced … week of July 30 after six years of service. "My thanks go to Vicki Fuller, during whose tenure the Fund has reached a record annual value and provided annualized investment …

Special Plan for Suffolk County Park Police Officers (Sections 89-r and 603(n))

… (Return to Top) (Return to Top) (Return to Top) (Return to Top) VO1855 (Rev. 6/12) © 2012, New York State and Local …

Medicaid Program – Reducing Medicaid Costs for Recipients With End Stage Renal Disease

… diagnosed with ESRD. In particular, the Department does not identify Medicaid recipients with ESRD, notify ESRD … them enrolled, the Medicaid program could have saved as much as $146 million over the six-year audit period. For … Medicaid recipients with ESRD and helped guide them on how to apply for and enroll in Medicare. In response to our …

Oversight of Hotels and Motels Used for Homeless and Mixed-Use Temporary Residency

… Department of Health (DOH) are adequately ensuring that hotels and motels used for homeless and mixed-use temporary … report, of the more than 86,000 homeless people in New York State, almost 13,000 (15 percent) are located in areas outside of New York City (NYC). Counties throughout the State utilize hotels …

Lifeline Center for Child Development, Inc. – Compliance With the Reimbursable Cost Manual

… Purpose To determine whether the costs reported by Lifeline Center … (CFRs) were reasonable, necessary, directly related to the special education program, and sufficiently documented …

Brookville Center for Children’s Services, Inc. – Compliance With the Reimbursable Cost Manual

… the provisions of the Manual. To Brookville: Ensure that all costs reported on future CFRs fully comply with the … Compliance With the Reimbursable Cost Manual ( 2015-S-19 ) New York League for Early Learning, Inc.: Compliance With the …

DiNapoli: Contractor Sentenced in Federal Court for Defrauding State of Over $360,000

… A former state contractor who pleaded guilty to federal fraud charges earlier this year, as a result of a … the Southern District Preet Bharara, was sentenced today to a year and one day in prison and ordered to pay a total of $721,112 in restitution and criminal …

Special 25-Year Plan for Institutional Safety Officers (Sections 89-t and 604(q))

… (Return to Top) (Return to Top) (Return to Top) VO1873 (Rev. 7/11) © 2011, New York State and Local Retirement System  (Return to Top) … Information for members about special 25 year …

United HealthCare – Overpayments for Services Provided by Eastern Orange Ambulatory Surgery Center

… the $1,480 due from the member. Eastern Orange wrote off all charges in excess of United’s payment from the member’s …

Medicaid Program – Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits

… whether the Department of Health paid pharmacy providers for controlled substances in compliance with the New York State Controlled Substances … or fax, due to the inherent risk of drugs ordered in this manner being diverted for inappropriate or …

United HealthCare – Overpayments for Services Provided by Orthopedic Associates of Long Island

… United allowed $8,665 as the reasonable and customary rate for the service. As a result, United paid $6,932 on the …

DiNapoli Proposal Would Provide More Accountability for Personal Income Tax Check-Off Funds

… require the entities administering tax check off funds to improve efforts to spend dedicated contributions within … state officials. “New Yorkers have contributed more than $50 million for worthy causes through check-offs on their … sitting unused in the tax check-off funds reviewed is made up of contributions from taxpayers, transfers from the …