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United HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, United HealthCare - Payments for … many of the improper claims well outside of normal business hours and often lacked records verifying that … Davis Ethical Pharmacy, pleaded guilty to Grand Larceny in the Second Degree in Nassau County District Court. William …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyDiNapoli: NYC Projects Budget Surplus For 2017, But Faces Risks With Federal Budget Cuts
… New York City projects a surplus of $3.7 billion in fiscal year (FY) 2017, but faces the risk … FY 2018, balancing that year's budget. The city's latest financial plan shows that FY 2018 budget is balanced, but the … the impact with its own funds rather than allowing vital services to be cut. These estimates exclude most federal …
https://www.osc.ny.gov/press/releases/2017/05/dinapoli-nyc-projects-budget-surplus-2017-faces-risks-federal-budget-cutsDiNapoli: MTA Needs to Refocus Attention on Overdue Upgrades and Preparations for Extreme Weather
… climate change poses to transit, and its most recent 20-year needs assessment shows many capital needs are overdue … transit system.” To prepare for the release of its five-year capital programs, the MTA creates a 20-year capital … 2015-2019 capital program — to replace those over 40 years old and prone to break downs — but the new cars are not …
https://www.osc.ny.gov/press/releases/2021/12/dinapoli-mta-needs-refocus-attention-overdue-upgrades-and-preparations-extreme-weatherDiNapoli Report Analyzes Regional Trends in Education for School Districts Outside New York City
… by New York State Comptroller Thomas P. DiNapoli shows the challenges faced by the state’s school districts are as … a complex set of state rules and local needs to determine how to best educate our children and pay for it,” DiNapoli … identifies the regional changes and trends that could impact district budgets now and in the future. It is a useful …
https://www.osc.ny.gov/press/releases/2020/03/dinapoli-report-analyzes-regional-trends-education-school-districts-outside-new-york-cityDiNapoli: Lack of Oversight Delayed Access to Emergency Home Repairs for Elderly New Yorkers
… program contributed to delays in urgent home repairs for seniors. The audit found the agency needs to do more to … program. “The RESTORE program has been a vital resource for seniors across our state whose homes may be at risk if … receiving no service through the program. LPAs (not-for-profit organizations and municipalities) apply to the …
https://www.osc.ny.gov/press/releases/2021/07/dinapoli-lack-oversight-delayed-access-emergency-home-repairs-elderly-new-yorkersMitchell Lama Applicants Charged $200 for Virtually No Chance of Apartment in Their Lifetime
… Despite waiting lists for Mitchell Lama apartments being very long and turnover … we’ve found. Collecting fees with virtually no chance for an apartment gives applicants false hope and compromises … York Hill on the Upper East Side. They held six lotteries for applicants to get on waiting lists for apartments in …
https://www.osc.ny.gov/press/releases/2019/12/mitchell-lama-applicants-charged-200-virtually-no-chance-apartment-their-lifetimeDiNapoli Op-Ed in Democrat & Chronicle Calls for Swift Action to Address Growing Food Insecurity
… Suffolk there were 11,053 new beneficiaries; Erie 5,445; Westchester 4,092; and Rockland 3,000. New York’s SNAP …
https://www.osc.ny.gov/press/releases/2020/07/dinapoli-op-ed-democrat-chronicle-calls-swift-action-address-growing-food-insecurityHarrisville Central School District – Transportation State Aid and Debt for Bus Purchases (2020M-48)
… ] Audit Objective Determine whether the District applied for all transportation State aid for new bus acquisitions. Determine whether the Board and District officials properly issued and accounted for debt issued for new bus acquisitions. Key Findings The …
https://www.osc.ny.gov/local-government/audits/school-district/2020/07/02/harrisville-central-school-district-transportation-state-aid-and-debt-busDiNapoli: Some Bright Spots for NYC Finances in FY21, but Long-Term Challenges Looming
… City is projecting a $3.4 billion surplus for city fiscal year (FY) 2021 because of better-than-projected revenues from … and anticipates $421 million from overestimating its prior year’s expenses. These budget actions are partially offset by … reserves to attain balance in FY 2022. The three-year city funds revenue shortfall for FY 2022 to FY 2024 is …
https://www.osc.ny.gov/press/releases/2021/02/dinapoli-some-bright-spots-nyc-finances-fy21-long-term-challenges-loomingMedicaid Program – Overpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns
… services using the fee-for-service and managed care payment methods. Under fee-for-service, Medicaid pays providers (such as hospitals) directly for … Medicaid-eligible services. Under managed care, Medicaid pays managed care organizations (MCOs) a fixed monthly …
https://www.osc.ny.gov/state-agencies/audits/2014/10/02/medicaid-program-overpayments-managed-care-organizations-and-hospitals-low-birth-weightMedicaid Program – Excessive Medicaid Payments to Federally Qualified Health Centers for Group Therapy Services
… Purpose To determine if Medicaid reimbursement rates for group therapy services provided by Federally Qualified … rates. With approval from the federal Centers for Medicare and Medicaid Services, the Department amended … FQHCs billed incorrect reimbursement rates on their claims for group therapy services. The FQHCs billed an approximate …
https://www.osc.ny.gov/state-agencies/audits/2014/11/18/medicaid-program-excessive-medicaid-payments-federally-qualified-health-centers-groupStatewide Compliance With Administrative Requirements for Retail Liquor License Approvals, Renewals, and Enforcement Actions
… the manufacture and distribution of alcoholic beverages for the purpose of fostering and promoting temperance in their consumption and respect for and obedience to law. The ABC Law gives the Authority the power to issue licenses and permits for the manufacture, wholesale distribution, and retail sale …
https://www.osc.ny.gov/state-agencies/audits/2017/06/21/statewide-compliance-administrative-requirements-retail-liquor-license-approvals-renewalsMedicaid Program – Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician
… the patient’s progress and response to treatment; notation of all medications prescribed, including dosage and regimen; and a description of any diagnostic tests and the results of such tests. In addition, the patient record should include …
https://www.osc.ny.gov/state-agencies/audits/2015/09/18/medicaid-program-questionable-payments-practitioner-services-and-pharmacy-claims-pertainingDiNapoli: New York City's Government Workforce Expected to Increase for First Time Since Pandemic
… was in effect from October 2023 through February 2024 as part of the city’s Program to Eliminate the Gap, but staffing …
https://www.osc.ny.gov/press/releases/2024/05/dinapoli-new-york-citys-government-workforce-expected-increase-first-time-pandemicDiNapoli: Former Erie County Deputy Clerk Arrested for Stealing More Than $200,000 From County
… of former Deputy Erie County Clerk Alexander McDougall for allegedly stealing over $200,000 in county funds. … County Sheriff John Garcia, he is being held accountable for his crimes.” District Attorney Flynn said: “This … Comptroller’s Office and Erie County Sheriff’s Office for their work in this ongoing investigation. While …
https://www.osc.ny.gov/press/releases/2024/03/dinapoli-former-erie-county-deputy-clerk-arrested-stealing-more-200000-countyDiNapoli: Town of Alexander Clerk Arrested for Allegedly Stealing Nearly $3,000 of Taxpayer Funds
… of Shannon Tiede, the clerk of the Town of Alexander, for allegedly stealing nearly $3,000 from the town and … “I thank District Attorney Finnell and the State Police for their ongoing partnership in combatting public … Mui, the State Comptroller and the New York State Police for their hard work on this investigation.” New York State …
https://www.osc.ny.gov/press/releases/2024/07/dinapoli-town-alexander-clerk-arrested-allegedly-stealing-nearly-3000-taxpayer-fundsXI.4.B Standard Contract Language for Grant Contracts: Fixed Term, Multiyear Contracts and Simplified Renewals – XI. Procurement and Contract Management
… this information may vary depending upon the program. For example: If the contractor’s program is fully operational and …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi4b-standard-contract-language-grant-contracts-fixed-term-multiyear-contracts-and-simplifiedRFP#24-07 – Professional Auditing Services for New York State’s Annual Financial Statements and eMedNY
… 18, 2024) Note: the solicitation has been posted in Adobe Acrobat PDF format and may be opened with the free … Acrobat reader, available through this link: https://get.adobe.com/reader/ … Through this Request for Proposals RFP …
https://www.osc.ny.gov/procurement/rfp24-07The North Country Is Among the Top Regions in the State for Agricultural Sales
… there are ongoing threats to this industry as outlined in a new report released today by New York State Comptroller Thomas P. DiNapoli. “New … $1.2 billion in agricultural sales in 2022. This includes being the state’s leading producer of poultry and eggs in …
https://www.osc.ny.gov/press/releases/2024/11/dinapoli-agriculture-report-reveals-economic-growth-and-challenges-facing-new-york-farms-north-countryDiNapoli Report Looks at New York's Social Insurance Programs for Unemployed and Injured Workers
… financial support during difficult times in the lives of hundreds of thousands New York workers and their families … P. DiNapoli that reviews the benefit amounts, limits, and wage replacement rate of these programs and how they compare … only Texas, New Jersey and Connecticut providing higher rates. However, New York’s $1,171 maximum benefit is lower …
https://www.osc.ny.gov/press/releases/2024/11/dinapoli-report-looks-new-yorks-social-insurance-programs-unemployed-and-injured-workers