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Benefits Advisement Services for Individuals With Disabilities Seeking Employment
… Mental Health (OMH) has effectively addressed the findings and recommendation related to benefits advisement in the New … was about 33 percent compared to about 75 percent for people without disabilities. Further, ACS data shows that … may not be receiving notifications on important benefits for which they may be eligible, as notifications are …
https://www.osc.ny.gov/state-agencies/audits/2021/07/20/benefits-advisement-services-individuals-disabilities-seeking-employmentDiNapoli: Westchester Sisters Sentenced for Stealing Deceased Mother's Pension
… and Mary Nash hid their mother’s death and tried to cheat the state retirement system,” DiNapoli said. “Now they …
https://www.osc.ny.gov/press/releases/2021/02/dinapoli-westchester-sisters-sentenced-stealing-deceased-mothers-pensionRegulation for Scheduling, Adjourning and Conduct of Administrative Hearings
… of the hearing officer. (Return to Top) §317.9 Discovery of medical records (a) Upon the request of the …
https://www.osc.ny.gov/retirement/members/regulation-for-hearingsUnitedHealthcare – Reasonable and Customary Reimbursement Rates for Delayed Claims
… rate schedules that did not correlate with the date of the service on the claims, and to calculate the … Insurance Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance … United to administer the medical/surgical benefits portion of the Empire Plan. United contracts with in-network …
https://www.osc.ny.gov/state-agencies/audits/2019/12/12/unitedhealthcare-reasonable-and-customary-reimbursement-rates-delayed-claimsMaximizing Drug Rebates for Health and Recovery Plans (Follow-Up)
… in our initial audit report, Maximizing Drug Rebates for Health and Recovery Plans (Report 2017-S-61 ). About the Program … appropriate steps to collect all available drug rebates for HARPs. The audit covered the period October 1, 2015 …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/maximizing-drug-rebates-health-and-recovery-plans-followDiNapoli: Saranac Town Clerk Arrested for Falsifying Town Records
… Thomas P. DiNapoli and Clinton County District Attorney Andrew J. Wylie announced the arrest of Mary L. Bell, Clerk … and encourages the public to help fight fraud and abuse. New Yorkers can report allegations of fraud involving …
https://www.osc.ny.gov/press/releases/2021/04/dinapoli-saranac-town-clerk-arrested-falsifying-town-recordsMedicaid Program – Improper Medicaid Payments for Misclassified Patient Discharges
… to reimburse hospitals for inpatient medical care. When a hospital bills Medicaid for an inpatient stay, the hospital reports certain information on its claims, such as … information is used to calculate the payment made to the hospital. Hospitals must also use certain patient status …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/medicaid-program-improper-medicaid-payments-misclassified-patient-dischargesDiNapoli: State Needs to Improve Services for Vulnerable Adults
… providers responsible for protecting vulnerable adults to ensure they are handling cases properly, putting at-risk … number of open referrals being assessed. 10 didn’t list how many referrals were withdrawn at intake. 6 didn’t include … of referrals that were ongoing cases. 3 didn’t include how many referrals were closed at intake. 1 didn’t state how …
https://www.osc.ny.gov/press/releases/2021/11/dinapoli-state-needs-improve-services-vulnerable-adultsDiNapoli: Woman Arrested for Stealing Deceased Sister's Pension Checks
… Dixon, 52, of the Bronx, is charged with illegally cashing 20 checks in Brooklyn for nearly $8,000 issued by the New … degree; identity theft in the first and second degree; 20 counts of criminal possession of a forged instrument in … third and fourth degree. She was arraigned in Kings County court and released without bail on her own recognizance. …
https://www.osc.ny.gov/press/releases/2021/11/dinapoli-woman-arrested-stealing-deceased-sisters-pension-checksDiNapoli: Former School District Treasurer Sentenced for Stealing Funds
… shopping,” DiNapoli said. “She was wrong and now she must face the consequences of her actions. My thanks to Acting … State Police and was prosecuted by the U.S. Attorney's Office for the Northern District. Since taking office in 2007, DiNapoli has committed to fighting public …
https://www.osc.ny.gov/press/releases/2021/05/dinapoli-former-school-district-treasurer-sentenced-stealing-fundsEmpire BlueCross – Controls Over Payments for Special Items (Follow-Up)
… in our initial audit report, Controls Over Payments for Special Items (Report 2016-S-57 ). About the Program The … and retired State, participating local government and school district employees, and their dependents. The Empire Plan is …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/empire-bluecross-controls-over-payments-special-items-followDiNapoli: Former Town Supervisor Sentenced to Prison for Embezzlement
… Pharsalia Town Supervisor Dennis Brown was sentenced to serve one to three years in a state prison. In June, Brown pleaded guilty to stealing $240,000 in public funds after his thefts were …
https://www.osc.ny.gov/press/releases/2021/09/dinapoli-former-town-supervisor-sentenced-prison-embezzlementIII.9 Provisions for 15 Day Prompt Payment Interest Eligibility – III. Statewide Financial System (SFS)
… which must be complied with to entitle the invoice to 15 day prompt payment interest: Prior to submittal of the … process. Agencies should refer small businesses to the 15-Day Prompt Payments for Small Businesses section of the … including enrolling in electronic payment. New York State reserves the right to question the certification …
https://www.osc.ny.gov/state-agencies/gfo/chapter-iii/iii9-provisions-15-day-prompt-payment-interest-eligibilityImproper Medicaid Payments for Recipients in Hospice Care (Follow-Up)
… provides care to terminally ill individuals, with a focus on easing symptoms rather than treating the disease. … because the Department of Health (Department) did not have a process to identify and track Medicaid recipients … Consequently, the eMedNY claims processing system did not have controls to prevent payments to non-hospice providers …
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/improper-medicaid-payments-recipients-hospice-care-followDiNapoli: Bombay Clerk Sentenced for Pocketing Justice Court Fees
… Court while the other court clerk – his mother – was on sick leave, according to State Comptroller Thomas P. … spending, public authority financial data and information on 1300,000 state contracts, visit Open Book New York . The … Justice Court while the other court clerk his mother was on sick leave according to State Comptroller Thomas P DiNapoli …
https://www.osc.ny.gov/press/releases/2017/05/dinapoli-bombay-clerk-sentenced-pocketing-justice-court-feesXI.10 Third Party Contracting - Contracting "for" the State – XI. Procurement and Contract Management
… (such as true subcontracts) under arrangements that do not create an agent-like relationship are not contracts … Contractor where the State Contractor agrees to procure, on an as-needed basis, various types of administrative … are responsible for ensuring that third party contractors have valid NYS Vendor IDs. If a NYS Vendor ID does not exist …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi10-third-party-contracting-contracting-stateDiNapoli Releases New Tool for Monitoring NYC 311 Complaints
Nonemergency 311 calls have increased dramatically in New York City since the COVID19 pandemic
https://www.osc.ny.gov/press/releases/2025/05/dinapoli-releases-new-tool-monitoring-nyc-311-complaintsNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up) (2022-F-30)
To assess the extent of implementation of the three recommendations included in our initial audit report, Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Report 2020-S-34).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22f30.pdfNew York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members (2020-S-17)
To determine whether CVS Health paid pharmacy claims for Empire Plan members who were not eligible.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20s17.pdfEmpire BlueCross BlueShield Selected Payments for Special Items for the Period July 1, 2011 Through December 31, 2011 (2012-S-3)
To determine whether Empire BlueCross BlueShield (Empire) paid claims for special items according to the provisions of the agreements between Empire and its mem
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2012-12s3.pdf