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Appropriateness of Medicaid Eligibility Determined by the New York State of Health System (Follow-Up)
… Purpose To determine the implementation status of the 14 … which provides a wide range of health care services to individuals who are economically disadvantaged and/or have … Health (NYSOH) as a new online marketplace for individuals to obtain health insurance coverage, including Medicaid. …
https://www.osc.ny.gov/state-agencies/audits/2017/12/07/appropriateness-medicaid-eligibility-determined-new-york-state-health-system-followFacility Structure, Safety, and Health Code Waivers (Follow-Up)
… four recommendations included in our initial audit report, Facility Structure, Safety, and Health Code Waivers (Report … Department to grant waivers, temporary or permanent, to a facility to allow it to continue to operate while corrections … ascertain what waivers were in place at a given facility, nor could it identify the code violations that had …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/facility-structure-safety-and-health-code-waivers-followPreferred Source Contracting
… monitoring contracts fulfilled by not-for-profit providers in partnership with private entities to ensure contract … and whether facilitating entities are awarding contracts in a manner that best meets the purpose of the Preferred Source Program (Program) and is in the best interest of the State. This audit covered the …
https://www.osc.ny.gov/state-agencies/audits/2016/06/28/preferred-source-contractingSubway Service Diversions for Maintenance and Capital Projects (Follow-Up)
… in our initial audit report, Subway Service Diversions for Maintenance and Capital Projects ( 2010-S-34 ). … that while Transit has a number of policies and procedures for managing and controlling subway diversions, more needed … not planned using current ridership data, and the budget for diversion advertisements to communicate information about …
https://www.osc.ny.gov/state-agencies/audits/2015/09/16/subway-service-diversions-maintenance-and-capital-projects-followMainstream Managed Care Organizations – Administrative Costs Used in Premium Rate Setting (Follow-Up)
… Purpose To determine the extent of implementation of the seven recommendations made in our initial audit … Rate Setting ( 2014-S-55 ). Background The Department of Health (Department) is responsible for setting the monthly … To determine the extent of implementation of the seven recommendations made in our …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/mainstream-managed-care-organizations-administrative-costs-used-premium-rate-setting-followSubway Wait Assessment
… (Transit) provides passengers service on all of its lines that meets its minimum service frequency standards; … an average 5.5 million weekday passengers on its 23 subway lines (which includes three shuttle lines). From the original 28 stations built in Manhattan and …
https://www.osc.ny.gov/state-agencies/audits/2016/04/06/subway-wait-assessmentLehman College – Controls Over Bank Accounts
… whether the City University of New York’s (CUNY) Central Office (Central) and Lehman College (Lehman) officials … Determine whether the City University of New Yorks Central Office and Lehman College officials adequately assured that …
https://www.osc.ny.gov/state-agencies/audits/2016/04/21/lehman-college-controls-over-bank-accountsCollection and Use of Oil Spill Funds
… all fees due the New York Environmental Protection and Spill Compensation Fund (Oil Spill Fund or Fund) in compliance with applicable laws and if all expenditures from the Fund are reasonable, appropriate, and associated with spill remediation projects. The audit …
https://www.osc.ny.gov/state-agencies/audits/2015/08/13/collection-and-use-oil-spill-fundsTrain On-Time Performance
… lines and three shuttles. Sometimes, a subway train is canceled (i.e., does not depart from the terminal, … time), or is abandoned en route (i.e., skips any scheduled station stops or fails to operate on its scheduled route in … Transit’s Department of Subways (Subways) considers a train on time when it is not canceled or abandoned en route, …
https://www.osc.ny.gov/state-agencies/audits/2015/08/12/train-time-performanceUnited HealthCare Insurance Company of New York – Empire Plan Drug Rebates (Follow-Up)
… Drug Rebates (Report 2014-S-62). Background The New York State Health Insurance Program (NYSHIP) provides health … insurance coverage to about 1.2 million active and retired State, participating local government, and school district … and pass 100 percent of the value of the agreements on to the Department. United subcontracted key functions of …
https://www.osc.ny.gov/state-agencies/audits/2017/05/24/united-healthcare-insurance-company-new-york-empire-plan-drug-rebates-followRequest for Proposals Basics: The Road to Success
Presentation from 2014 Fall Conference
https://www.osc.ny.gov/files/state-agencies/resources/pdf/fall-conference-2014-procurement-presentation-1.pdfOversight of Sex Offenders Subject to Strict and Intensive Supervision and Treatment (Follow-Up)
… was adequately monitoring and enforcing SIST conditions for sex offenders placed in the community. We identified …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/oversight-sex-offenders-subject-strict-and-intensive-supervision-and-treatment-followPreferred Source Contracting (Follow-Up)
… Purpose To determine the extent of implementation of the five … State Finance Law (Law), grants “preferred source” status to Corcraft and not-for-profit organizations that serve and … disabled, and veterans. The intent of the Program is to advance social and economic opportunities for these …
https://www.osc.ny.gov/state-agencies/audits/2017/11/09/preferred-source-contracting-followSubway Wait Assessment (Follow-Up)
… Transit had not developed a full and comprehensive plan to deal with the long-term causes of service disruptions, …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/subway-wait-assessment-followCapital Program Revenue and Expenses
… Association, Inc. received the appropriate amount of Video Lottery Terminal (VLT) revenues for its capital program … Racing Association Inc received the appropriate amount of Video Lottery Terminal revenues for its capital program as …
https://www.osc.ny.gov/state-agencies/audits/2015/10/14/capital-program-revenue-and-expensesImproper Payments Related to the Medicare Buy-In Program (Follow-Up)
… Purpose To determine the extent of implementation of the five … made in our audit report, Improper Payments Related to the Medicare Buy-In Program ( 2010-S-76 ). Background The … To determine the extent of implementation of the five …
https://www.osc.ny.gov/state-agencies/audits/2014/11/18/improper-payments-related-medicare-buy-program-followTrain On-Time Performance (Follow-up)
… of implementation of the two recommendations included in our initial report, Train On-Time Performance ( 2014-S-56 … 74.0 percent and weekend OTP averaged 81.2 percent. In late March 2015, Subways OTP goal was lowered to 75.0 … Key Finding We found that Subways made limited progress in addressing the problems identified in our prior report. Of …
https://www.osc.ny.gov/state-agencies/audits/2017/09/27/train-time-performance-followOverpayments of Certain Medicare Crossover Claims (Follow-Up)
… are referred to as “dual-eligibles.” Generally, Medicare is the primary payer for medical services provided to …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/overpayments-certain-medicare-crossover-claims-followManagement of Energy Consumption (Follow-Up)
… recommendations made in our initial report, Management of Energy Consumption ( 2011-S-4 ). Background Our initial … determined OCFS officials were not effectively managing energy consumption and had not achieved the 35 percent energy reduction goals set forth in Executive Order 111. Key …
https://www.osc.ny.gov/state-agencies/audits/2015/01/06/management-energy-consumption-followMedicaid Program – Medicaid Drug Rebate Program Under Managed Care
… Purpose To determine whether the Department of Health (Department) has taken appropriate steps to … Medicaid prescription costs. Since January 1991, the State of New York has been able to recover a portion of Medicaid prescription drug costs by requesting rebates …
https://www.osc.ny.gov/state-agencies/audits/2015/02/18/medicaid-program-medicaid-drug-rebate-program-under-managed-care