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Medicaid Program – Managed Care Payments for Services Not Coordinated Through Recipient Restriction Program Providers
To determine whether the Department of Health DOH provided adequate oversight to ensure managed care recipients in the Recipient Restriction Program received services from the appropriate providers
https://www.osc.ny.gov/state-agencies/audits/2024/11/26/medicaid-program-managed-care-payments-services-not-coordinated-through-recipientHebrew Institute for the Deaf and Exceptional Children – Compliance With the Reimbursable Cost Manual
… June 30, 2014. Background Hebrew Institute is a Brooklyn, New York, not-for-profit organization approved by SED to provide … 171 students. The New York City Department of Education (DoE) refers students to Hebrew Institute based on clinical …
https://www.osc.ny.gov/state-agencies/audits/2016/11/22/hebrew-institute-deaf-and-exceptional-children-compliance-reimbursable-cost-manualMedicaid Program – Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician
… Purpose To determine if Dr. Riaz Ahmad complied with Medicaid policies and whether Dr. Ahmad’s medical records support the services he billed … January 1, 2007 through December 31, 2011. Background Dr. Riaz Ahmad is a physician located in New York City who … To determine if Dr Riaz Ahmad complied with Medicaid policies and whether Dr …
https://www.osc.ny.gov/state-agencies/audits/2015/09/18/medicaid-program-questionable-payments-practitioner-services-and-pharmacy-claims-pertainingMedicaid Program – Excessive Medicaid Payments to Federally Qualified Health Centers for Group Therapy Services
… health centers and public housing centers that provide primary and preventive care to underserved populations. There … therapy session for eight recipients. The provider did not bill the appropriate FQHC payment rate of $35.16 for group … Clarify to the FQHCs that were overpaid how to properly bill Medicaid for group therapy services. Ensure all FQHCs …
https://www.osc.ny.gov/state-agencies/audits/2014/11/18/medicaid-program-excessive-medicaid-payments-federally-qualified-health-centers-groupMedicaid Program – Overpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns
… Recover the remaining overpayments, totaling about $5.9 million, as identified by the audit. Review the $949,681 …
https://www.osc.ny.gov/state-agencies/audits/2014/10/02/medicaid-program-overpayments-managed-care-organizations-and-hospitals-low-birth-weightUnited HealthCare – Overpayments for Services Provided by Hudson Valley Bone and Joint Surgeons, LLP
… Purpose To determine whether Hudson Valley Bone and Joint Surgeons, LLP waived Empire Plan … claim. Our audit focused on claims submitted to United by Hudson Valley Bone and Joint Surgeons, LLP (Hudson Valley), a non-participating provider that has two … To determine whether Hudson Valley Bone and Joint Surgeons LLP waived Empire Plan …
https://www.osc.ny.gov/state-agencies/audits/2016/09/08/united-healthcare-overpayments-services-provided-hudson-valley-bone-and-joint-surgeons-llpUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… of the three recommendations included in our initial audit report, United HealthCare - Payments for Fraudulent and Improper Claims Submitted by Davis Ethical … of implementation of 3 recommendations included in our initial audit report United HealthCare Payments for …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyStatewide Compliance With Administrative Requirements for Retail Liquor License Approvals, Renewals, and Enforcement Actions
… Purpose To determine whether the New York State Liquor Authority (Authority) appropriately approved new and renewed licenses in accordance with the State’s Alcoholic Beverage Control Law … Determine whether the New York State Liquor Authority appropriately approved new …
https://www.osc.ny.gov/state-agencies/audits/2017/06/21/statewide-compliance-administrative-requirements-retail-liquor-license-approvals-renewalsImproper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers (Follow-Up)
… implementation of the six recommendations included in our initial audit report, Improper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client … implementation of the six recommendations included in our initial audit report Improper Medicaid Payments Involving …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/improper-medicaid-payments-involving-fee-service-claims-recipients-multiple-clientUnitedHealthcare Insurance Company of New York: Improper Payments for Acupuncture and Acupuncture-Related Services (Follow-Up)
… Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance coverage to over …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/unitedhealthcare-insurance-company-new-york-improper-payments-acupuncture-and-acupunctureHarrisville Central School District – Transportation State Aid and Debt for Bus Purchases (2020M-48)
… whether the District applied for all transportation State aid for new bus acquisitions. Determine whether the Board and … The District did not apply for all transportation State aid (State aid) for seven new bus acquisitions resulting in a potential … whether the District applied for all transportation State aid for new bus acquisitions and whether the Board and …
https://www.osc.ny.gov/local-government/audits/school-district/2020/07/02/harrisville-central-school-district-transportation-state-aid-and-debt-busDiNapoli Announces $2B Strategic Partnership With Goldman Sachs Asset Management For Global Equity Investments
… Fund (CRF or the Fund) has created a $2 billion strategic partnership with Goldman Sachs Asset Management (GSAM) to … having strong potential to enhance the Fund’s return. The partnership is the first of its kind for the Fund. “This innovative partnership gives the New York State Common Retirement Fund …
https://www.osc.ny.gov/press/releases/2014/09/dinapoli-announces-2b-strategic-partnership-goldman-sachs-asset-management-global-equity-investmentsState Falls Short in Verifying if Companies Qualify for Tax Breaks Under Excelsior Program
… that pledge to expand in New York state, could not verify that many of the companies participating in the … ESD did not provide auditors with documentation to verify that the 25 companies met all of the eligibility … being officially admitted into the program and could not verify the companies met the agreed-upon job growth and …
https://www.osc.ny.gov/press/releases/2016/07/state-falls-short-verifying-if-companies-qualify-tax-breaks-under-excelsior-programDiNapoli: MTA Needs to Refocus Attention on Overdue Upgrades and Preparations for Extreme Weather
… among its top priorities because climate change threatens all aspects of our regional transit system.” To prepare for … only 41% of what it assessed was needed through 2024. All projected work needed through 2024 on Metro-North’s … as it should. Improved reporting will help riders, and all stakeholders in the transit system, better understand how …
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
A new report by New York State Comptroller Thomas P DiNapoli shows the challenges faced by the states school districts
https://www.osc.ny.gov/press/releases/2020/03/dinapoli-report-analyzes-regional-trends-education-school-districts-outside-new-york-cityDiNapoli Op-Ed in Democrat & Chronicle Calls for Swift Action to Address Growing Food Insecurity
The COVID19 pandemic has halted vast areas of economic activity led to skyrocketing unemployment and pushed families to new levels of economic vulnerability
https://www.osc.ny.gov/press/releases/2020/07/dinapoli-op-ed-democrat-chronicle-calls-swift-action-address-growing-food-insecurityDiNapoli: Some Bright Spots for NYC Finances in FY21, but Long-Term Challenges Looming
… New York City is projecting a $3.4 billion surplus for city fiscal year (FY) 2021 because of better-than-projected revenues from income and corporate taxes, debt service savings from … unemployment rate of 6.3 percent. At the same time, demand for social safety net services has shot up, with significant …
https://www.osc.ny.gov/press/releases/2021/02/dinapoli-some-bright-spots-nyc-finances-fy21-long-term-challenges-loomingDiNapoli: Lack of Oversight Delayed Access to Emergency Home Repairs for Elderly New Yorkers
… oversight of the Residential Emergency Services to Offer Home Repairs to the Elderly (RESTORE) program contributed to delays in urgent home repairs for seniors. The audit found the agency needs to … oversight of the Residential Emergency Services to Offer Home Repairs to the Elderly RESTORE program contributed to …
https://www.osc.ny.gov/press/releases/2021/07/dinapoli-lack-oversight-delayed-access-emergency-home-repairs-elderly-new-yorkersDiNapoli: School District and Big City Tax Levy Cap at 2% for Second Straight Year
… Property tax levy growth for school districts and the state’s biggest cities will be capped at 2%, the same as last year, according to data released today by State Comptroller Thomas P. DiNapoli. The tax cap, which first applied to local governments and … Property tax levy growth for school districts and the states biggest cities will be capped at 2 the same as …
https://www.osc.ny.gov/press/releases/2023/01/dinapoli-school-district-and-big-city-tax-levy-cap-2-percent-second-straight-yearDiNapoli: Many NYC Senior Citizens Remaining Too Long on DFTA Wait Lists for Services
… Too many seniors are waiting months on the New York City Department for the Aging’s (DFTA) client wait lists to get critical … meals, housekeeping and personal care services because the agency is not doing enough to monitor the service providers … Too many seniors are waiting months on the New York City Department …
https://www.osc.ny.gov/press/releases/2023/07/dinapoli-many-nyc-senior-citizens-remaining-too-long-dfta-wait-lists-services