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Medicaid Program – Overpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns
… Purpose To determine if Medicaid overpaid managed care organizations and hospitals for low birth weight newborn claims. The audit covered the … for newborn services using the fee-for-service and managed care payment methods. Under fee-for-service, Medicaid pays …
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
… To determine if Medicaid reimbursement rates for group therapy services provided by Federally Qualified Health … Qualified Health Centers (FQHCs) to provide group therapy services, including group therapy provided by clinical social workers, to Medicaid … To determine if Medicaid reimbursement rates for group therapy services provided by Federally Qualified Health …
https://www.osc.ny.gov/state-agencies/audits/2014/11/18/medicaid-program-excessive-medicaid-payments-federally-qualified-health-centers-groupUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… Ethical Pharmacy, pleaded guilty to Grand Larceny in the Second Degree in Nassau County District Court. William Davis was …
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
… licenses in accordance with the State’s Alcoholic Beverage Control Law (ABC Law) and the related administrative and … under New York State Law in 1934 to regulate and control the manufacture and distribution of alcoholic … State Liquor Authority - Division of Alcoholic Beverage Control: Oversight of Wholesalers’ Compliance With the …
https://www.osc.ny.gov/state-agencies/audits/2017/06/21/statewide-compliance-administrative-requirements-retail-liquor-license-approvals-renewalsHebrew Institute for the Deaf and Exceptional Children – Compliance With the Reimbursable Cost Manual
… on clinical evaluations, and pays for their services using rates established by SED. The rates are based on the financial information that Hebrew … all Manual requirements. Other Related Audits/Reports of Interest Milestone School for Child Development: Compliance …
https://www.osc.ny.gov/state-agencies/audits/2016/11/22/hebrew-institute-deaf-and-exceptional-children-compliance-reimbursable-cost-manualUnited 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 members’ out-of-pocket costs, and if so, to quantify the overpayments made by United HealthCare resulting from … To determine whether Hudson Valley Bone and Joint Surgeons LLP waived Empire Plan members outofpocket …
https://www.osc.ny.gov/state-agencies/audits/2016/09/08/united-healthcare-overpayments-services-provided-hudson-valley-bone-and-joint-surgeons-llpDiNapoli: Audit Shows Former Highway Superintendent Took Taxpayers for a Ride in Town of Erin
… nearly $70,000, according to an audit detailing the fraud released today by New York State Comptroller Thomas P. … for partnering with us to help weed out corruption and fraud in local governments across the state.” Auditors and … 10 reciprocating saw blades. DiNapoli’s audit revealed the fraud went undetected because the town board did not …
https://www.osc.ny.gov/press/releases/2014/08/dinapoli-audit-shows-former-highway-superintendent-took-taxpayers-ride-town-erinDiNapoli Announces $2B Strategic Partnership With Goldman Sachs Asset Management For Global Equity Investments
… with Goldman Sachs Asset Management (GSAM) to invest in a diverse group of global equity strategies viewed as … initially focus on dynamic manager selection opportunities in global equities to enhance returns in the Fund’s equity portfolio. GSAM will also provide …
https://www.osc.ny.gov/press/releases/2014/09/dinapoli-announces-2b-strategic-partnership-goldman-sachs-asset-management-global-equity-investmentsDiNapoli: 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 … DiNapoli’s office calculated the inflation factor at 8% for those with a June 30, 2024 fiscal year end. “School and … 2% allowable levy growth affects the tax cap calculations for 676 school districts and 10 cities with fiscal years …
https://www.osc.ny.gov/press/releases/2023/01/dinapoli-school-district-and-big-city-tax-levy-cap-2-percent-second-straight-yearMedicaid Program – Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician
… complied with Medicaid policies and whether Dr. Ahmad’s medical records support the services he billed and the … The records must include information such as the pertinent medical history for each visit; notes regarding the patient’s … authorities. Key Findings Frequently, Dr. Ahmad’s medical records did not meet the minimum standards to support …
https://www.osc.ny.gov/state-agencies/audits/2015/09/18/medicaid-program-questionable-payments-practitioner-services-and-pharmacy-claims-pertainingDiNapoli: 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 … in Washington, according to a report released today by State Comptroller Thomas P. DiNapoli. "The President's … office estimates that the federal share of Medicaid in New York City exceeds $18 billion. Any federal cuts to the …
https://www.osc.ny.gov/press/releases/2017/05/dinapoli-nyc-projects-budget-surplus-2017-faces-risks-federal-budget-cutsDiNapoli: Many NYC Senior Citizens Remaining Too Long on DFTA Wait Lists for Services
… P. DiNapoli. “There are nearly two million senior citizens in our city, many of whom are among our most vulnerable … to ensure seniors are getting the support they depend on in a timely manner.” DFTA contracts with service providers to … evaluate benefits, and enroll eligible clients in services. When services cannot be provided immediately, …
https://www.osc.ny.gov/press/releases/2023/07/dinapoli-many-nyc-senior-citizens-remaining-too-long-dfta-wait-lists-servicesUnitedHealthcare Insurance Company of New York: Improper Payments for Acupuncture and Acupuncture-Related Services (Follow-Up)
… included in our initial audit report, UnitedHealthcare Insurance Company of New York: Improper Payments for … 2020-S-7 ). About the Program The New York State Health Insurance Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance coverage to over 1.2 million active and retired …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/unitedhealthcare-insurance-company-new-york-improper-payments-acupuncture-and-acupunctureDiNapoli: Some Bright Spots for NYC Finances in FY21, but Long-Term Challenges Looming
… The city’s unemployment rate in December was 11.4 percent, down from a peak of 20.3 percent in June. However, the rate … source at 46 percent of city-funded revenue, adjusted down by $2.5 billion. They are not expected to return to … municipal unions, a budget risk. The city has also drawn down $1.15 billion in contingent reserves to attain balance …
https://www.osc.ny.gov/press/releases/2021/02/dinapoli-some-bright-spots-nyc-finances-fy21-long-term-challenges-loomingMitchell 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 very slow, some … six lotteries for applicants to get on waiting lists for apartments in 2013, 2016 and 2017, collecting over $200,000 … in fees from 1,002 applicants. They awarded just 23 apartments. Another 29 people on the waiting lists asked to …
https://www.osc.ny.gov/press/releases/2019/12/mitchell-lama-applicants-charged-200-virtually-no-chance-apartment-their-lifetimeDiNapoli Report Analyzes Regional Trends in Education for School Districts Outside New York City
… and taxpayers about local and statewide issues.” Revenue Picture In the 2017-18 school year, districts received $40.6 …
https://www.osc.ny.gov/press/releases/2020/03/dinapoli-report-analyzes-regional-trends-education-school-districts-outside-new-york-cityDiNapoli: MTA Needs to Refocus Attention on Overdue Upgrades and Preparations for Extreme Weather
… The MTA should publish a new assessment of its long-term capital needs that pays particular attention to the growing threat climate change poses to transit, and … The MTA should publish a new assessment of its longterm capital needs that pays particular attention …
https://www.osc.ny.gov/press/releases/2021/12/dinapoli-mta-needs-refocus-attention-overdue-upgrades-and-preparations-extreme-weatherDiNapoli: Lack of Oversight Delayed Access to Emergency Home Repairs for Elderly New Yorkers
… DiNapoli today released an audit that found New York State Homes and Community Renewal’s (HCR) lax oversight of the … been a vital resource for seniors across our state whose homes may be at risk if they can’t make urgent repairs,” DiNapoli said. “Homes and Community Renewal can, and must, do more to meet …
https://www.osc.ny.gov/press/releases/2021/07/dinapoli-lack-oversight-delayed-access-emergency-home-repairs-elderly-new-yorkersDiNapoli Op-Ed in Democrat & Chronicle Calls for Swift Action to Address Growing Food Insecurity
… The Rochester Democrat & Chronicle published an op-ed from New York State Comptroller Thomas P. DiNapoli … has surged. SNAP beneficiaries in New York rose by 121,000 from March to April. In Monroe County, recipients increased … time. Some have run out of supplies and have turned people away. The Food Bank for New York City reported nearly 40 …
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)
… Properly segregate and account for surplus bond proceeds to ensure they are used to retire District debt. District officials agreed with our …
https://www.osc.ny.gov/local-government/audits/school-district/2020/07/02/harrisville-central-school-district-transportation-state-aid-and-debt-bus