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Medicaid Program – Managed Care Organizations: Payments to Ineligible Providers
… Purpose To determine whether the Department of Health (Department) … care organizations (MCOs) have adequate processes in place to prevent payments to ineligible providers, and whether … who have engaged in other unacceptable insurance practices face possible sanctions, such as exclusion or termination …
https://www.osc.ny.gov/state-agencies/audits/2018/02/26/medicaid-program-managed-care-organizations-payments-ineligible-providersSeized Assets Program (Follow-Up)
… The mission of the New York State Division of State Police (Division) is to serve, protect, and defend the people … Other Related Audit/Report of Interest Division of State Police: Seized Assets Program (2013-S-46) … To determine the …
https://www.osc.ny.gov/state-agencies/audits/2017/11/28/seized-assets-program-followForensic Audit of Select Payroll and Overtime Practices and Related Transactions (Follow-Up)
… included in our initial report, Forensic Audit of Select Payroll and Overtime Practices and Related Transactions … included in our intl report Forensic Audit of Select Payroll Overtime Practices Related Transaction …
https://www.osc.ny.gov/state-agencies/audits/2016/03/18/forensic-audit-select-payroll-and-overtime-practices-and-related-transactions-followBus Driver Licensing (Follow-Up)
… (2012-S-30). Background Our initial report, issued on June 13, 2013, determined that the majority of MTA bus … to drive buses transporting an estimated 8,400 passengers on a total of 38 days. In addition, the Safety and Training … issuance of the follow-up review to provide information on any actions that are planned to address the unresolved …
https://www.osc.ny.gov/state-agencies/audits/2016/01/21/bus-driver-licensing-followBenefit Eligibility Assessment Process (Follow-Up)
… 2014, determined whether the New York City Human Resources Administration’s (HRA) public assistance benefit eligibility … and Disability Assistance and NYC Human Resources Administration: Benefit Eligibility Assessment Process …
https://www.osc.ny.gov/state-agencies/audits/2016/06/16/benefit-eligibility-assessment-process-followAccess-A-Ride Accident Claims (Follow-Up)
… of implementation of the 11 recommendations included in our initial report, Access-A-Ride Accident Claims ( … initially increased, but decreased between 2010 and 2012. In regards to the actions the Paratransit Division and … we found that for the most part, AAR and the carriers were in compliance with federal motor carrier standards for such …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/access-ride-accident-claims-followUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… Purpose To determine the extent of implementation of the three … Plan (NYSHIP) made improper payments totaling $137,459 to Davis Ethical Pharmacy. Based on information obtained from … that patients actually picked-up the drugs billed to United HealthCare (United). Moreover, as a result of our …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacySuspicious and Fraudulent Medicaid Payments to Affiliated Brooklyn Dentists (Follow-Up)
… in Kings County Supreme Court and received a state prison term of one to three years. We recommended that the …
https://www.osc.ny.gov/state-agencies/audits/2015/12/30/suspicious-and-fraudulent-medicaid-payments-affiliated-brooklyn-dentists-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012 (Follow-Up)
… and retired State, participating local government and school district employees, and their dependents. The Empire Plan …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughAssessment of Costs to Administer the Workers’ Compensation Program for the Two Fiscal Years Ended March 31, 2013
… and nonoccupational disabilities and sickness. Coverage for these benefits, with limited exception, is to be provided by employers. The Board is also responsible for tracking its costs to administer the Workers’ … lacks a formal review process to ensure the procedures for preparing the assessment are properly executed and …
https://www.osc.ny.gov/state-agencies/audits/2015/04/15/assessment-costs-administer-workers-compensation-program-two-fiscal-years-ended-march-31Unified Court System Bulletin No. UCS-95
… System of the change in eligibility for payroll Deduction Code 300, MetLife Whole Life Insurance. Affected Employees … of the Unified Court System, OSC will modify Deduction Code 300 to allow members of Bargaining Unit SK to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-95-change-eligibility-metlife-whole-life-insurance-certainOutstanding Violations (Follow-Up)
… We concluded that these delays placed the public at risk. We further found that when inspections did take …
https://www.osc.ny.gov/state-agencies/audits/2014/10/15/outstanding-violations-followOpinion 98-5
… 402 NYS2d 677). Therefore, if the county's code of ethics does not address this type of situation, the county may wish … a coroner who is a funeral director to perform the burials does not give rise to an appearance of partiality. Compliance …
https://www.osc.ny.gov/legal-opinions/opinion-98-5Opinion 2001-2
… LAW §217(c): (1) A service award program sponsor may not require accumulation of more than fifty points as a … under a service award program for volunteer firefighters. You ask the following: 1) may a program sponsor require … to the service award point system. Even if it does, we do not believe the isolated word "minimum" is sufficient to …
https://www.osc.ny.gov/legal-opinions/opinion-2001-2Opinion 2001-4
… where possible, payment should be made pursuant to the payroll method to permit more efficient accounting for the …
https://www.osc.ny.gov/legal-opinions/opinion-2001-4Opinion 2000-7
… the commissioner recuses himself from discussions relative to the contract and abstains from voting on matters relating to the contract. You ask whether a member of a fire district … compensation from the corporation is not directly related to the contract. The fire district has solicited competition …
https://www.osc.ny.gov/legal-opinions/opinion-2000-7State Agency Small-Dollar Purchases (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial audit … transactions using paper-based voucher processes instead of the State procurement card, and to identify potential cost …
https://www.osc.ny.gov/state-agencies/audits/2013/11/21/state-agency-small-dollar-purchases-followProcurement and Contracting Practices (Follow-Up)
… (ITS), formerly known as the New York State Office for Technology, resulted in the best value for taxpayers, consistent with applicable legal, … own procurement policies. This did not result in the best value for the taxpayers, but instead led to a waste of …
https://www.osc.ny.gov/state-agencies/audits/2014/04/16/procurement-and-contracting-practices-followSafety of Infrastructure (Follow-Up)
… to make repairs, but in others had either opted to cordon off certain areas to prevent public access, or in the most … not implemented. Key Recommendation Officials are given 30 days after the issuance of the follow-up review to provide … are planned to address the unresolved issues discussed in this review. Other Related Audit/Report of Interest Office of …
https://www.osc.ny.gov/state-agencies/audits/2015/01/06/safety-infrastructure-followManagement of Energy Consumption (Follow-Up)
… 111 Purchase of Renewable Energy (2008-S-80) New York State Energy Research and Development Authority: Compliance …
https://www.osc.ny.gov/state-agencies/audits/2015/01/06/management-energy-consumption-follow