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Medicaid Program – Improper Payments for Recipients No Longer Enrolled in Managed Long Term Care Partial Capitation Plans
… during the disenrollment period (i.e., the Plan did not pay for medical services for the recipient during the … disenrolled and the Plans were not “at risk” (did not pay for medical services) during the disenrollment periods. …
https://www.osc.ny.gov/state-agencies/audits/2016/03/30/medicaid-program-improper-payments-recipients-no-longer-enrolled-managed-long-term-careIdentifying, Reporting, and Providing Services for Youth at Risk of Sexual Human Trafficking in New York City
… Objective To determine if the New York City Administration for Children’s Services and the New … they could become victims of sexual exploitation. Reliable data on the commercial sexual exploitation of children does …
https://www.osc.ny.gov/state-agencies/audits/2022/06/06/identifying-reporting-and-providing-services-youth-risk-sexual-human-trafficking-new-yorkDiNapoli Op-Ed in the NY Daily News Cautions NYC Leaders to Prepare for Challenging Fiscal Times Ahead
… The New York Daily News published an op-ed from New York State … Comptroller Thomas P. DiNapoli today warning New York City’s leaders to safeguard the city’s finances against the … nearly $4 billion in reserves to maintain budget balance at the beginning of Fiscal Year 2021. The city even …
https://www.osc.ny.gov/press/releases/2021/09/dinapoli-op-ed-ny-daily-news-cautions-nyc-leaders-prepare-challenging-fiscal-times-aheadInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… Objective To determine the extent of implementation of the five recommendations made in our initial audit report, … was eliminated effective January 1, 2015 and the majority of FHP enrollees transitioned to the Medicaid program. …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andDiNapoli: Former Treasurer of Frewsburg Central School District Pleads Guilty to Stealing Nearly $7,000 in School Funds
… Treasurer of the Frewsburg Central School District, for stealing nearly $7,000 in funds raised by students to support … betrayed the students she was obligated to serve by stealing money that they raised themselves to help pay for … Treasurer of the Frewsburg Central School District for stealing nearly $7000 in funds raised by students to support …
https://www.osc.ny.gov/press/releases/2022/01/dinapoli-former-treasurer-frewsburg-central-school-district-pleads-guilty-stealing-nearly-7000-schoolDiNapoli: 33.55 Percent Annual Investment Return for New York State Pension Fund Is Largest in Its History
… and real assets (8.24 percent) and credit, absolute return strategies and opportunistic alternatives (5.23 percent). The …
https://www.osc.ny.gov/press/releases/2021/05/dinapoli-33-point-55-percent-annual-investment-return-new-york-state-pension-fund-largest-its-historyMedicaid Program – Improper Medicaid Payments for Claims Not in Compliance With Ordering, Prescribing, Referring, and Attending Requirements
To determine whether the Department of Health paid for claims in violation of federal and State regulations that require an appropriate National Provider Identifier for ordering prescribing referring and attending OPRA health care providers
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/medicaid-program-improper-medicaid-payments-claims-not-compliance-ordering-prescribingMedicaid Program – Ambulatory Patient Groups Payments for Duplicate Claims and Services in Excess of Medicaid Service Limits
… of Health (Department) adopted the APG methodology in an effort to pay providers more accurately for their … condition and complexity of service. The Department phased in the APG methodology beginning with hospital outpatient … to two times per year, yet we found Medicaid reimbursed a clinic for 41 dental exams (totaling $2,771) for one …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-ambulatory-patient-groups-payments-duplicate-claims-and-services-excessDiNapoli: Queens Woman Charged With Stealing Nearly $85,000 in NYS Pension Payments Meant for Her Deceased Father
… A 37-year-old Queens woman was arrested today for allegedly stealing nearly $85,000 in New York state pension payments meant for her deceased father, State Comptroller Thomas P. DiNapoli … her father and tried to cheat the New York State and Local Retirement System for her own gain,” DiNapoli said. “Thanks …
https://www.osc.ny.gov/press/releases/2024/05/dinapoli-queens-woman-charged-stealing-nearly-85000-nys-pension-payments-meant-her-deceased-fatherComptroller DiNapoli & A.G. Schneiderman Announce Sentencing of Defendants in Elaborate Multi-Million Dollar Bid-Rigging Case Involving Public Contracts
… in advance of the release of the Request For Proposal (“RFP”) for the project and Lynch admitted to using that … an unfair and unlawful advantage in responding to the RFP. Rivera, Lynch and Wiesner also admitted to working together to draft Navitech’s response to the RFP and to assembling the team of subcontractors that would …
https://www.osc.ny.gov/press/releases/2016/05/comptroller-dinapoli-ag-schneiderman-announce-sentencing-defendants-elaborate-multi-million-dollarDiNapoli: Queens Woman Pleads Guilty to Stealing $85,000 in NYS Pension Payments Meant for Her Deceased Father
… she has been held accountable.” “The New York State and Local Retirement System is structured to benefit those who … “I hope this resolution deters anyone who might think of gaming the system. I’d like to thank ADA Bill Andrews for … a signatory or account holder, received $67,423 through an online payment platform from the account. Additionally, …
https://www.osc.ny.gov/press/releases/2024/06/dinapoli-queens-woman-pleads-guilty-stealing-85000-nys-pension-payments-meant-her-deceased-fatherExcessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans (Follow-Up)
… Medicaid program. Many Medicaid recipients are enrolled in Medicare and are referred to as “dual-eligibles.” … rates for Medicaid recipients in MMC or HARP who enroll in Medicare and do not need long-term services and support. However, recipients in MMC or HARP who enroll in Medicare but are not eligible for IB-Dual should be …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/excessive-premium-payments-dual-eligible-recipients-enrolled-mainstream-managed-care-andDiNapoli: New York City Man Charged with Stealing Over $50,000 in Pension Benefits Meant for Deceased Sister-in-Law
… in pension benefits meant for his deceased sister-in-law, New York State Comptroller Thomas P. DiNapoli announced. “Randy Ray allegedly took advantage of his sister-in-law's death to fund his lifestyle,” DiNapoli said. “I will …
https://www.osc.ny.gov/press/releases/2024/09/dinapoli-new-york-city-man-charged-stealing-over-50000-pension-benefits-meant-deceased-sister-lawDiNapoli: Syracuse Man Pleads Guilty to Stealing Nearly $22,000 in Pension Checks Sent to His Deceased Mother
… system will be rooted out,” DiNapoli said. “My thanks to DA Fitzpatrick and Superintendent James for their partnership …
https://www.osc.ny.gov/press/releases/2025/05/dinapoli-syracuse-man-pleads-guilty-stealing-nearly-22000-pension-checks-sent-his-deceased-motherDiNapoli: Florida Man Pleads Guilty to Stealing Nearly $80,000 in Pension Payments Meant for His Deceased Father
… payments monthly via direct deposit into his checking account. He died on Nov. 9, 2019 and all pension payments … card to steal $79,0845.59 in benefits deposited into the account from 2019 to 2022. Gaines Jr. was not an account holder on his father’s checking account and did not …
https://www.osc.ny.gov/press/releases/2025/05/dinapoli-florida-man-pleads-guilty-stealing-nearly-80000-pension-payments-meant-his-deceased-fatherDiNapoli: Syracuse Man Arrested for Allegedly Stealing Over $21,000 in Pension Checks Meant for His Deceased Mother
… the New York State Police announced. Michael Glinski, 45, is charged with grand larceny. “Mr. Glinski allegedly tried … Court on a charge of grand larceny in the third degree. He is due back in court on Jan. 23rd. The charges filed in this … and the New York State Police announced Michael Glinski 45 is charged with grand larceny …
https://www.osc.ny.gov/press/releases/2025/01/dinapoli-syracuse-man-arrested-allegedly-stealing-over-21000-pension-checks-meant-his-deceased-motherOpinion 91-10
… the provisions of article 13 of the Town Law do not apply to the board of commissioners of a park district …
https://www.osc.ny.gov/legal-opinions/opinion-91-10Vendor File Advisory No. 11
… important that agencies select the correct vendor Location for each transaction in SFS. This will ensure the State does … should not assume the default is the correct Location for each individual transaction. Instead, agencies must review and select the appropriate Location for each transaction, based on the vendor’s preference. If …
https://www.osc.ny.gov/state-agencies/advisories/vendor-file-advisory/11-vendor-locationContract Advisory No. 26
… Subject : Statement on Sexual Harassment Prevention in Bids Guidance : Statement on Sexual Harassment Prevention in Bids: Every bid made to the State or any public department …
https://www.osc.ny.gov/state-agencies/advisories/contract-advisory/26-statement-sexual-harassment-prevention-bidsDiNapoli: Farms Generated $5.7 Billion for New York Economy
… New York state farms generated $5.7 billion in revenue in … Thomas P. DiNapoli. “Agriculture is an essential part of New York’s economy,” DiNapoli said. “Farms generate billions …
https://www.osc.ny.gov/press/releases/2019/08/dinapoli-farms-generated-57-billion-new-york-economy