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United HealthCare – Overpayments for Services Provided by Eastern Orange Ambulatory Surgery Center
… whether Eastern Orange Ambulatory Surgery Center, LLC waived Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments made by United HealthCare resulting from this practice. The audit covered … State Department of Civil Service contracts with United HealthCare (United) to process and pay medical claims from …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-eastern-orange-ambulatory-surgery-centerMedicaid 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 … risk of drugs ordered in this manner being diverted for inappropriate or unauthorized use. The supply limits that … Medicaid program paid pharmacy providers through the fee-for-service method and the managed care method. Under …
https://www.osc.ny.gov/state-agencies/audits/2015/02/06/medicaid-program-improper-payments-controlled-substances-exceed-allowed-dispensing-limitsUnited HealthCare – Overpayments for Services Provided by Orthopedic Associates of Long Island
… and if so, to quantify the overpayments made by United HealthCare resulting from this practice. The audit covered … providers. In accordance with the Empire Plan’s requirements, when United processes a non-participating provider’s claims, it is with the understanding that Empire Plan …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-orthopedic-associates-long-islandDiNapoli Proposal Would Provide More Accountability for Personal Income Tax Check-Off Funds
… “New Yorkers have contributed more than $50 million for worthy causes through check-offs on their personal income … report found that over the previous five years, receipts for the funds reached $12 million, while expenditures were … 90 percent of this was in health-related dedicated funds – for research, detection and education for breast cancer and …
https://www.osc.ny.gov/press/releases/2015/04/dinapoli-proposal-would-provide-more-accountability-personal-income-tax-check-fundsDiNapoli Announces Nominee for the Commission on Ethics and Lobbying in Government
… State Comptroller Thomas P. DiNapoli today announced his nomination of Nancy G. Groenwegen to the Commission on Ethics and Lobbying in Government. Groenwegen previously … in government.” Groenwegen has extensive experience in state government. Prior to joining the State Comptroller’s …
https://www.osc.ny.gov/press/releases/2022/07/dinapoli-announces-nominee-commission-ethics-and-lobbying-governmentDiNapoli: Former Village of Sherman Treasurer Arrested for Alleged Theft of $20,000
… residents from 2012 to 2016 for village sewer, water and taxes, according to an investigation by State Comptroller Thomas P. DiNapoli, the Chautauqua County … little money. Every dollar stolen is a dollar not spent on the community. No one should use their public office for …
https://www.osc.ny.gov/press/releases/2022/08/dinapoli-former-village-sherman-treasurer-arrested-alleged-theft-20000DiNapoli: Orange County Resident Arrested for Stealing Her Late Mother’s Pension Benefits
… Thomas P. DiNapoli, Orange County District Attorney David M. Hoovler, and the New York State Police today … protecting public funds,” Orange County District Attorney David Hoovler said. Betty James died on April 11, 2017, but …
https://www.osc.ny.gov/press/releases/2021/06/dinapoli-orange-county-resident-arrested-stealing-her-late-mothers-pension-benefitsImproper Fee-for-Service Payments for Services Covered by Managed Long-Term Care Plans (Follow-Up)
… Objective To determine the extent of implementation of the three recommendations included in … for each member enrolled. Some services are excluded (i.e., carved out) from benefit packages and may be paid …
https://www.osc.ny.gov/state-agencies/audits/2021/08/31/improper-fee-service-payments-services-covered-managed-long-term-care-plans-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 … a levy growth rate of 1.23 percent and below 2 percent for the second year in a row, means they must examine their … The 1.23 percent cap affects the tax cap calculations for 676 school districts and 10 cities with fiscal years …
https://www.osc.ny.gov/press/releases/2021/01/dinapoli-school-district-tax-levy-cap-below-2-percent-second-straight-yearAdministration of the Contract With the Postgraduate Center for Mental Health (Follow-Up)
… of the Contract With the Postgraduate Center for Mental Health ( 2015-S-88 ). About the Program Our … Supportive Housing Contract with the Postgraduate Center for Mental Health (PCMH). The audit found sampled clients … negatively affect the health and/or safety of clients. For example, three apartments had significantly damaged …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/administration-contract-postgraduate-center-mental-health-followDiNapoli: Former Clerk Treasurer for the Village of Speculator Charged With Larceny
… Town Court on April 28, 2020. New Yorkers can report allegations of fraud involving taxpayer money by calling the …
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
… New York City is projecting a surplus of $3 billion for … a balanced budget for FY 2016 with relatively small gaps in the following three years, according to a review of the … market. Since the end of 2009, the city has added 503,000 jobs, and employment now totals a record 4.2 million. The …
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
… New York State Comptroller Thomas P. DiNapoli released a … for the government to obtain life-saving medical equipment in order to line his own pocket. Using a public health crisis …
https://www.osc.ny.gov/press/releases/2020/05/state-comptroller-dinapoli-statement-arrest-muge-ma-covid-related-scamQuality Services for the Autism Community – Compliance With the Reimbursable Cost Manual
… included expenses claimed on QSAC’s CFR for the fiscal year ended June 30, 2015. About the Program QSAC is a New York City- and Long Island-based non-profit organization … QSAC’s administrative office for all programs is located in Manhattan. QSAC was established in 1978 and is approved by …
https://www.osc.ny.gov/state-agencies/audits/2019/12/31/quality-services-autism-community-compliance-reimbursable-cost-manualHebrew Academy for Special Children, Inc. – Compliance With the Reimbursable Cost Manual
… determine whether the costs reported by the Hebrew Academy for Special Children, Inc. (Hebrew Academy) on its … primarily on expenses claimed on Hebrew Academy’s CFR for the fiscal year ended June 30, 2017 and included certain expenses claimed on its CFRs for the two fiscal years ended June 30, 2016. About the …
https://www.osc.ny.gov/state-agencies/audits/2020/02/04/hebrew-academy-special-children-inc-compliance-reimbursable-cost-manualMedicaid Program – Improper Fee-for-Service Payments for Services Covered by Long-Term Care Plans
… the Department of Health (Department) made improper fee-for-service (FFS) payments for certain services covered by managed long-term care (MLTC) … managed care premiums and, in return, MLTC plans pay for all MLTC covered services. The Medicaid program should …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/medicaid-program-improper-fee-service-payments-services-covered-long-term-care-plansDiNapoli: Village of Candor Mayor Arrested for Allegedly Stealing From the Village
… Martin and the New York State Police for their partnership in ensuring justice will be served.” New York State Police … who prey on the unsuspecting public for their own gain.” In March 2023, the Village of Candor hired an outside … revealed that Mayor Halstead allegedly withdrew $23,519 in cash between February 2017 and May 2023 and either …
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
… of Health's eMedNY system processes Medicaid claims for ancillary services in accordance with Medicaid … categories: diagnostic, therapeutic, and custodial. For example, laboratory, physical therapy, and home health … care are typical ancillary services. Medicaid claims for ancillary services are processed by eMedNY, the …
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
… from 2016 to 2018, which includes $17 million in savings for counties and New York City. "New Yorkers dealing with … expenses and may provide them with more options for care." DiNapoli said. "The state has an obligation not … health care needs. The program is administered by DOH. For the fiscal year ended March 31, 2016, New York's Medicaid …
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
… $30 million to Primary Venture Partners to invest in state-based companies, New York State Comptroller Thomas … investments in companies located in New York state. This is the state pension fund’s third commitment to Primary … million in returns from 71 exited companies, I am proud of how well the In-State Program is performing. As trustee of …
https://www.osc.ny.gov/press/releases/2015/03/state-pension-fund-adds-30-million-investments-new-york-companies