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April 14, 2011


Comptroller DiNapoli Releases State Audits

New York State Comptroller Thomas P. DiNapoli announced today the following audits have been issued:

Department of Health, Medicaid Payments for Diabetic Testing Supplies (Follow-Up) (2010-F-42)
In audit report 2008-S-123, auditors compared reimbursement limits for diabetic testing supplies in New York’s Medicaid program to the limits in Medicare and ten other states’ Medicaid programs. They found that New York’s Medicaid program allowed reimbursements for far more items per month than all the other programs. Auditors recommended the Department of Health (DOH) consider lowering New York’s Medicaid limits as well as investigate certain instances where it appeared that reimbursements had been claimed for an excessive number of testing supplies. When auditors followed up they found DOH officials had made some progress, but improvements were still needed.

Department of Health, Inappropriate Payments for Vision Care Services Claimed by Dr. Horowitz (Follow-Up) (2010-F-47)
Kenneth Horowitz, OD, is an optometrist from Staten Island who received about $370,000 from Medicaid during the five-year period ended September 30, 2008. In audit report 2008-S-166, auditors determined that Dr. Horowitz routinely overbilled Medicaid when the patients were also eligible for Medicare, and routinely overbilled for the cost of his transportation to a nursing home where most of his patients lived. Auditors concluded that about $239,500 of the $370,000 in Medicaid payments (65 percent) received by Dr. Horowitz may have been inappropriate. Auditors recommended DOH investigate these payments and make all appropriate recoveries. When they followed up with DOH officials, auditors found they have made some progress but improvements are still needed.



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