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Overpayments of Certain Medicare Crossover Claims (Follow-Up)
… also enrolled in Medicare, the federal health care program for people 65 years of age and older and people under 65 … “dual-eligibles.” Generally, Medicare is the primary payer for medical services provided to dual-eligibles. Medicaid then typically pays for any remaining balance not covered by Medicare, including …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/overpayments-certain-medicare-crossover-claims-followDiNapoli Faults Oversight at Public Service Commission of Orders and Agreements
… enough to make sure utilities are holding up their end of the deal. PSC lacked critical equipment to do its job and … Gas & Electric Co. (RG&E). The PSC, through the Department of Public Service (DPS), regulates 650 utilities responsible … rate cases, and other agreements. Often, approval of these applications is based on conditions, such as pledges …
https://www.osc.ny.gov/press/releases/2020/03/dinapoli-faults-oversight-public-service-commission-orders-and-agreementsMinority- and Women-Owned Business Enterprises (MWBEs)
… benefits: You’ll be placed on the certified MWBE directory where State agencies and vendors looking for subcontractors can reach out to you. You won’t be subject to the State’s … New York State offers many online resources to help you find the State bid opportunity that’s right for you and your …
https://www.osc.ny.gov/state-vendors/resources/minority-and-women-owned-business-enterprises-mwbesImproper Medicaid Payments to Eye Care Providers (Follow-Up)
… report identified vulnerabilities in the Department’s provider enrollment and revalidating processes that undermine … were able to obtain Medicaid eligibility under 34 provider identification numbers without disclosing all of … to provide information on any actions that are planned to address the unresolved issues discussed in this report. Other …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/improper-medicaid-payments-eye-care-providers-followIX.12.E Specific Programs Subject to CMIA – IX. Federal Grants
… of the CMIA regulations, using the most recently issued Single Audit data available. Since NYS has a total amount of Federal … . If state disbursements, as recorded in the annual Single Audit, for a given Assistance Listing Number (ALN) …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix12e-specific-programs-subject-cmiaHousing Preferences for Veterans (Follow-Up)
… (Report 2011-N-3 ). Background Our initial report, issued on June 6, 2012, found that, although the New York State Legislature had extended the right of preference for … with non-veterans even though veterans had been identified on their waiting lists. NYC HPD approved many of these …
https://www.osc.ny.gov/state-agencies/audits/2015/01/29/housing-preferences-veterans-followOpinion 99-5
… Brind, Counsel, State Education Department, in support of Senate Bill No. 1500; emphasis added). Thus, it appears that …
https://www.osc.ny.gov/legal-opinions/opinion-99-5Amended Complaint for Wynn Resorts Lawsuit
Amended complaint in legal action against Wynn Resorts Board of Directors.
https://www.osc.ny.gov/files/press/pdf/wynn-complaint-amended-180323.pdfPartial Lump Sum Payment – State Police Plan
… Eligible PFRS members can elect to receive a partial lump sum (PLS) payment at retirement. If you elect a PLS payment, your monthly benefit … Amounts The amount of the PLS payment available to you is a percentage of the actuarial value of your retirement …
https://www.osc.ny.gov/retirement/publications/1518/partial-lump-sum-paymentWestchester Attorney Pleads Guilty to Mail Fraud for Attempting to Embezzle From a Decedent's Estate for Which He Was Court-Appointed Administrator
… New York State Comptroller Thomas P. DiNapoli and U.S. Attorney … scheme was exposed and he is now a convicted felon," said State Comptroller Thomas P. DiNapoli. "I thank United States … A substantial part of the estate’s assets escheated to the State of New York as abandoned property between 2000 and …
https://www.osc.ny.gov/press/releases/2019/01/westchester-attorney-pleads-guilty-mail-fraud-attempting-embezzle-decedents-estate-which-he-was-courtXI.11.F Contract Monitoring – XI. Procurement and Contract Management
… ensure those funds are spent appropriately. Every agency should have a process to monitor and evaluate contractors’ … terms: variety, typically, usually, can, may, periodic, often, and good faith effort. To determine whether the agency … Where is the contractor to perform required activities? How will the contractor communicate to the agency that …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi11f-contract-monitoringDiNapoli: Contractor Sentenced in Federal Court for Defrauding State of Over $360,000
… to federal fraud charges earlier this year, as a result of a joint investigation by New York State Comptroller Thomas … to a year and one day in prison and ordered to pay a total of $721,112 in restitution and criminal forfeiture. “Joseph … for cancer and used the money to fund his lavish lifestyle of world traveling and gambling,” DiNapoli said. “This …
https://www.osc.ny.gov/press/releases/2014/09/dinapoli-contractor-sentenced-federal-court-defrauding-state-over-360000Medicaid Program – Opioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program
… Purpose To determine if the Department of Health has taken sufficient steps to safeguard Medicaid recipients who are receiving opioids while also in a … use disorder treatment information among different health care providers is expected to continue. Key Findings …
https://www.osc.ny.gov/state-agencies/audits/2018/11/20/medicaid-program-opioid-prescriptions-medicaid-recipients-opioid-treatment-programThe Increasing Threat of Identity Theft
… pain of the pandemic is a dramatic increase in identity theft during the past year. More than 67,000 complaints of identity theft were reported in New York State during 2020, … credit cards, bank accounts, business or personal loans, government benefits or other types of transactions, it …
https://www.osc.ny.gov/reports/increasing-threat-identity-theftDiNapoli: Medicaid Audits Find Nearly $800 Million in Savings and Revenue
… concurrent comprehensive TPHI from Jan. 1, 2012 through Sept. 1, 2017. In a follow-up review, auditors found DOH made … payments. For instance, for the one-year period ended Sept. 30, 2019, DOH paid another $199 million in Medicaid …
https://www.osc.ny.gov/press/releases/2020/01/dinapoli-medicaid-audits-find-nearly-800-million-savings-and-revenueMedicaid Program – Improper Payments to a Physical Therapist
… guidelines and whether Medicaid made improper payments. The audit covers the period April 1, 2010 through September 30, 2013. … “crossover” claims. In December 2009, the Department of Health (Department) implemented an automated crossover …
https://www.osc.ny.gov/state-agencies/audits/2014/12/15/medicaid-program-improper-payments-physical-therapistWorld Trade Center Presumption – State Police Plan
… efforts, and you were employed by a participating employer of NYSLRS or another New York public retirement system at that time, you should be aware of the benefits provided by the World Trade Center …
https://www.osc.ny.gov/retirement/publications/1518/world-trade-center-presumptionUniversity at Albany – Sabbatical and Other Paid Leave
… Purpose To determine whether the State University of New York (SUNY) at Albany (Albany) complied with policies for administering … pertinent labor agreements. Sabbatical leaves are granted to academic and administrative officers to promote … To determine whether the State University of New York SUNY at …
https://www.osc.ny.gov/state-agencies/audits/2013/07/30/university-albany-sabbatical-and-other-paid-leaveDiNapoli: Contractor Failed to Turn Over $1.5 Million in Prescription Drug Rebates to NYS
… to collect rebates from drug manufacturers on behalf of the New York State Health Insurance Plan (NYSHIP) failed to turn over nearly $1.5 million in rebates to the state over a four-year period, according to an audit … to collect rebates from drug manufacturers on behalf of the New York State Health Insurance Plan NYSHIP failed to …
https://www.osc.ny.gov/press/releases/2016/11/dinapoli-contractor-failed-turn-over-15-million-prescription-drug-rebates-nysOpinion 89-6
… This opinion represents the views of the Office of the State Comptroller at the time it was rendered. The opinion … subsequent court cases or statutory amendments that bear on the issues discussed in the opinion. FINES AND PENALTIES … of the Penal Law belongs to the locality and not the State. You ask whether a fine paid into the Supreme Court of …
https://www.osc.ny.gov/legal-opinions/opinion-89-6