Search
DiNapoli: Managed Care Companies Wasting Millions in State Medicaid Dollars
… a monthly premium payment for each enrollee. In 2014, New York state’s Medicaid claim costs totaled more than $51 … full-time equivalent SIU staff, respectively, dedicated to New York’s Medicaid program. In New Jersey, MCOs are required to maintain a minimum …
https://www.osc.ny.gov/press/releases/2016/07/dinapoli-managed-care-companies-wasting-millions-state-medicaid-dollarsOversight of Hazardous Materials and Waste
… SUNY’s System Administration established the Environmental Health & Safety Office (EHSO). The EHSO serves as a technical … for environmental management and occupational safety and health. Hazardous materials are defined and regulated in the … Protection Agency (EPA), the U.S. Occupational Safety and Health Administration, and the U.S. Department of …
https://www.osc.ny.gov/state-agencies/audits/2018/12/03/oversight-hazardous-materials-and-wasteDiNapoli: State Needs to Improve Monitoring of Mental Health Facilities
… abuse and neglect, according to an audit released today by State Comptroller Thomas P. DiNapoli. “Vulnerable patients … persons may not be receiving all pertinent information on incidents affecting the well-being of their family … Senate that would allow OSC access to these records. Find out how your government money is spent at Open Book New York …
https://www.osc.ny.gov/press/releases/2019/07/dinapoli-state-needs-improve-monitoring-mental-health-facilitiesDiNapoli: Audit Questions Payments Made to Supportive Housing Provider
… Comptroller Thomas P. DiNapoli has identified $32,271 in unallowable expenses and $489,616 in questionable costs … that were paid by the state Office of Mental Health (OMH) to an Altamont, N.Y. company that serves as a supportive … previous audits of the supportive housing program, visit: …
https://www.osc.ny.gov/press/releases/2017/05/dinapoli-audit-questions-payments-made-supportive-housing-providerDiNapoli Op-Ed in Newsday Urges Washington to Help Governments Hurt by COVID-19
… New York and other hard hit areas need money to balance their books and that cash needs to come from Washington. As … to shrinking sales and income tax collections, and leave many unable to pay their mortgages and property taxes. New … governments can slide into fiscal black hole Find out how your government money is spent at Open Book New York . …
https://www.osc.ny.gov/press/releases/2020/04/dinapoli-op-ed-newsday-urges-washington-help-governments-hurt-covid-19Medicaid Program – Provider Compliance With the Electronic Visit Verification Program
… verification (EVV) program for all Medicaid personal care (PC) services in January 2021 and home health care (HHC) … EVV program, DOH selected the “Choice Model,” which allows PC and HHC providers to select and fund their own EVV system … In addition, New York State Social Services Law required PC and HHC providers with Medicaid reimbursements that …
https://www.osc.ny.gov/state-agencies/audits/2024/11/13/medicaid-program-provider-compliance-electronic-visit-verification-programMedicaid Program – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… Davis Ethical is an independently owned pharmacy located in Rockville Centre, New York. For the period from January 1, … the New York State Department of Financial Services (DFS). In December 2011, Davis Ethical was sold. We limited our audit to claim payments made to Davis Ethical during the time it was …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/medicaid-program-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyAssertive Community Treatment Program (Follow-Up)
… Community Treatment Program (2014-S-25). Background The New York State Office of Mental Health (OMH) promotes the mental … for nearly 5,500 recipients. Based on their respective areas of expertise, ACT provider team members collaborate to …
https://www.osc.ny.gov/state-agencies/audits/2017/01/11/assertive-community-treatment-program-followImproper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up)
… services and payments. We issued our initial audit report on December 28, 2020. The audit objective was to determine … whether Medicaid made improper payments to providers on behalf of dual-eligible individuals receiving hospice care … the issuance of this follow-up to provide information on any actions that are planned to address the unresolved …
https://www.osc.ny.gov/state-agencies/audits/2023/02/13/improper-medicaid-payments-individuals-receiving-hospice-services-covered-medicare-followExcessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans (Follow-Up)
… of implementation of the four recommendations included in our initial audit report, Excessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans … Medicaid program. Many Medicaid recipients are enrolled in Medicare and are referred to as “dual-eligibles.” …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/excessive-premium-payments-dual-eligible-recipients-enrolled-mainstream-managed-care-andImproper Medicaid Payments for Claims Not in Compliance With Ordering, Prescribing, Referring, and Attending Requirements (Follow-Up)
… of implementation of the 12 recommendations included in our initial audit report, Improper Medicaid Payments for Claims Not in Compliance With Ordering, Prescribing, Referring, and … services must be appropriately screened and enrolled in Medicaid. Through these processes, the Department gains a …
https://www.osc.ny.gov/state-agencies/audits/2023/09/13/improper-medicaid-payments-claims-not-compliance-ordering-prescribing-referring-andState Comptroller DiNapoli Releases Audits
… facility or office for accurate reporting. Department of Health - Medicaid Program: Claims Processing Activity … crimes that violated laws or regulations governing certain health care programs. By the end of the audit fieldwork, the … the providers from the Medicaid program. Department of Health - Medicaid Program: Improper Managed Care Payments for …
https://www.osc.ny.gov/press/releases/2022/09/state-comptroller-dinapoli-releases-auditsWest Corners Fire Company – Accounting for Cash Receipts and Disbursements (2014M-215)
… approximately $20,000 in revenues from foreign fire insurance, fundraising activities and donations, and also …
https://www.osc.ny.gov/local-government/audits/fire-company-or-department/2014/12/05/west-corners-fire-company-accounting-cash-receipts-andState Police Bulletin No. SP-99
… routine for Deduction Code 302 , PBA Disability Insurance, will be changed from a flat biweekly amount to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-police/sp-99-modification-deduction-code-302-pba-disability-insuranceWest Islip Union Free School District – Financial Management (2022M-40)
… Use overfunded reserves to benefit District residents as required. District officials generally agreed with our …
https://www.osc.ny.gov/local-government/audits/school-district/2022/07/08/west-islip-union-free-school-district-financial-management-2022m-40Town of Potter – Town Clerk (2020M-113)
… Clerk did not deposit intact (in the same amount and form as received) or record, report and remit all collections …
https://www.osc.ny.gov/local-government/audits/town/2021/04/30/town-potter-town-clerk-2020m-113Incarcerated and Death Matches
… in medical and other service charges the New York State Insurance Fund (NYSIF) made on behalf of nearly 215,000 … in medical and other service charges the New York State Insurance Fund NYSIF made on beh …
https://www.osc.ny.gov/state-agencies/audits/2017/08/09/incarcerated-and-death-matchesEast Meadow Union Free School District – Financial Condition (2015M-332)
… workers’ compensation reserve fund and the unemployment insurance reserve fund are overfunded. Key Recommendations …
https://www.osc.ny.gov/local-government/audits/school-district/2016/02/26/east-meadow-union-free-school-district-financial-condition-2015m-332Yonkers City School District – Fixed Assets (2015M-229)
… was to review controls over the District’s fixed assets for the period July 1, 2013 through April 14, 2015. … The Yonkers City School District is the school district for the City of Yonkers. The District operates 39 schools … purposes have tags affixed to them, locate the missing inventory items identified in this report, maintain …
https://www.osc.ny.gov/local-government/audits/school-district/2015/12/11/yonkers-city-school-district-fixed-assets-2015m-229Orchard Park Central School District – School Bus Procurement and Reserves (2013M-368)
… funds. Balances in two of the reserves (the unemployment insurance and tax reduction reserves), totaling $2.2 million, …
https://www.osc.ny.gov/local-government/audits/school-district/2014/03/28/orchard-park-central-school-district-school-bus-procurement-and-reserves