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Improper Fee-for-Service Payments for Services Covered by Managed Care (Follow-Up)
… of implementation of the six recommendations included in our initial audit report, Improper Fee-for-Service … a monthly premium for each Medicaid recipient enrolled in managed care, and the managed care plans pay providers for … types of managed care. Most recipients are enrolled in mainstream managed care plans (Plans), which provide …
https://www.osc.ny.gov/state-agencies/audits/2021/02/11/improper-fee-service-payments-services-covered-managed-care-followOversight of Industrial Hemp (Follow-Up)
… of implementation of the three recommendations included in our initial audit report Oversight of Industrial Hemp … the Program Industrial hemp is an expanding commodity in the United States, as both the stalk and seed can be used … Agricultural Act of 2014 was signed into federal law and, in part, authorized institutions of higher education and …
https://www.osc.ny.gov/state-agencies/audits/2021/07/16/oversight-industrial-hemp-followResponsiveness to Noise Complaints Related to New York City Nightlife Establishments (Follow-Up)
… noise complaints related to nightlife establishments in New York City (NYC). The audit found that the NYPD’s and … strategies and tactics with each other were limited. In addition, the SLA did not access and analyze pertinent … complaints. Key Findings NYPD officials made some progress in addressing the problems we identified in the initial audit …
https://www.osc.ny.gov/state-agencies/audits/2020/02/04/responsiveness-noise-complaints-related-new-york-city-nightlife-establishments-followManagement of Invasive Species
… the harmful effects of invasive species populations in New York State. The audit covers the period April 1, 2017 … Program Many species of plants and animals currently found in New York State are not indigenous, but rather have been … integrity of the State’s natural communities and systems. In New York, invasive species management is a collaborative …
https://www.osc.ny.gov/state-agencies/audits/2020/07/23/management-invasive-speciesOversight of Managed Long-Term Care Member Eligibility (Follow-Up)
… of implementation of the four recommendations included in our initial audit report, Medicaid Program: Oversight of … Many of the State's Medicaid recipients are enrolled in managed long-term care (MLTC) plans, which provide … December 31, 2022, Medicaid paid MLTC plans $15.7 billion in premiums for 338,186 recipients enrolled in MLTC. The …
https://www.osc.ny.gov/state-agencies/audits/2024/03/13/oversight-managed-long-term-care-member-eligibility-followReporting of Community-Based Services Under the Transformation Reinvestment Plan (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Reporting of Community-Based … capacity at its inpatient facilities and provide services in lower-cost, more accessible community-based settings. To … OMH developed the Transformation Reinvestment Plan (Plan) in 2014. The Plan aims to rebalance the agency’s …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/reporting-community-based-services-under-transformation-reinvestment-plan-followPrivacy and Security of Student Data (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Privacy and Security of Student … complete, interconnected systems of educational services in the United States. SED administers school aid, regulates … Commissioner of Education (Part 121), which was adopted in January 2020. The objectives of our initial audit, issued …
https://www.osc.ny.gov/state-agencies/audits/2024/09/26/privacy-and-security-student-data-followNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Payments by UnitedHealthcare for … Civil Service and United have made significant progress in addressing the issues identified in the initial audit. United recovered about $500,000 of the …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesCompliance With Special Education Regulations for the Provision of Services (Follow-Up)
… of implementation of the five recommendations included in the initial audit report, Compliance With Special … of Services (Report 2018-N-5 ). About the Program In New York State, the Commissioner of Education … Program (IEP) development, and placement of students in special education. The New York City Department of …
https://www.osc.ny.gov/state-agencies/audits/2023/03/15/compliance-special-education-regulations-provision-services-followImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up)
… of implementation of the five recommendations included in our initial audit report, Improper Payments of Medicare Buy-In Premiums for Ineligible Recipients (Report 2020-S-35 ). … program. Many Medicaid recipients are also enrolled in Medicare. Under the Medicare buy-in program (Buy-in …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/improper-payments-medicare-buy-premiums-ineligible-recipients-followUse of Federal Funding for Election Technology and Security (Follow-Up)
… of implementation of the one recommendation included in our initial audit report, Use of Federal Funding for … responsible for administering and enforcing election laws in the State. To fulfill these responsibilities, the BOE … the U.S. Election Assistance Commission (EAC) to aid in the administration of federal elections. The EAC provides …
https://www.osc.ny.gov/state-agencies/audits/2023/06/22/use-federal-funding-election-technology-and-security-followCriminal History Background Checks of Unlicensed Health Care Employees (Follow-Up)
… of implementation of the one recommendation included in our initial audit report, Criminal History Background … history background checks when hiring unlicensed persons in direct care positions. The audit report concluded that the … made significant progress addressing the issues identified in our original audit. The Department has implemented the one …
https://www.osc.ny.gov/state-agencies/audits/2018/11/20/criminal-history-background-checks-unlicensed-health-care-employees-followRegistration and Enforcement of Automotive Service, Sales, and Salvage Facilities (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Registration and Enforcement of … businesses it regulates. Where facilities are found to be in violation of laws, rules, or regulations, the Department … be operating without a license. We also identified delays in the Department’s process for handling consumer complaints. …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/registration-and-enforcement-automotive-service-sales-and-salvage-facilities-followMedicaid Payments for Pharmacy Claims – Joia Pharmacy and a Related Prescriber (Follow-Up)
… extent of implementation of the four recommendations made in our initial audit report, Medicaid Payments for Pharmacy … 2013-S-4 ). Background Pharmacies that are enrolled in the Medicaid program dispense prescription drugs to … Medicaid made proper payments to Joia and the Doctor in compliance with applicable Medicaid laws and regulations, …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/medicaid-payments-pharmacy-claims-joia-pharmacy-and-related-prescriber-followCVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service
… rebate revenue related to Empire Plan drug utilization in accordance with its contract with the Department of Civil … prescription drug program costs about $2 billion annually. In accordance with the contract, CVS Health was required to … period, Civil Service received more than $600 million in commercial drug rebates. Key Findings We reviewed the …
https://www.osc.ny.gov/state-agencies/audits/2019/01/28/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-serviceFacilities Planning Bureau Project Review
… Planning Bureau (Bureau) completes its review of projects in a timely manner and, if not, what the impacts on school … State Uniform Fire Prevention and Building Code (Code) in relation to district construction projects. The Code … Educational Services (BOCES) (collectively referred to in this report as Districts). The Department enforces the …
https://www.osc.ny.gov/state-agencies/audits/2019/02/04/facilities-planning-bureau-project-reviewCVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service
… rebate revenue related to Empire Plan drug utilization in accordance with its contract with the Department of Civil … drug program costs more than $2 billion annually. In accordance with the contract, CVS Health was required to … period, Civil Service received more than $850 million in commercial drug rebates (rebates exclusive of Medicare …
https://www.osc.ny.gov/state-agencies/audits/2019/06/06/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-serviceState Agencies Bulletin No. 2094
… bulletin is to notify agency payroll offices of a change in Direct Deposit access and visibility that is necessary to … must be unreadable anywhere they are stored, except when in use to make the payments. Effective Dates Changes described in this bulletin are effective beginning January 20, 2023. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2094-payserv-direct-deposit-access-changes-national-automated-clearing-houseState Agencies Bulletin No. 2094.1
… bulletin is to notify agency payroll offices of a change in Direct Deposit access and visibility that is necessary to … must be unreadable anywhere they are stored, except when in use to make the payments. Effective Dates Changes described in this bulletin are effective beginning January 23, 2023. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/20941-payserv-direct-deposit-access-changes-national-automated-clearingEnvironment, Energy and Agriculture – 2023 Financial Condition Report
… Department of Environmental Conservation (DEC) In SFY 2022-23, DEC All Funds spending totaled $1.5 billion, … an increase of 70 FTEs above levels as of March 31 in the previous year and 16 FTE positions below levels from … 31, 2012. Environmental Protection Fund (EPF) Created in 1993, the EPF: Provides an ongoing source of primarily …
https://www.osc.ny.gov/reports/finance/2023-fcr/environment-energy-and-agriculture