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Medicaid Program – Managed Care Organizations: Payments to Ineligible Providers
… The Department administers New York’s Medicaid program. For the State fiscal year ended March 31, 2017, New York’s … totaled over $58 billion, of which managed care accounted for about $34 billion. Under managed care, Medicaid pays MCOs a monthly premium for each enrolled Medicaid recipient, and the MCOs arrange …
https://www.osc.ny.gov/state-agencies/audits/2018/02/26/medicaid-program-managed-care-organizations-payments-ineligible-providersResponsiveness to Noise Complaints Related to New York City Nightlife Establishments
… whether the New York City Police Department (NYPD) and the New York State Liquor Authority (SLA) have … related to nightlife establishments in New York City (NYC). Our audit period was January 1, 2010 through March 31, … were called in to NYC’s 311 system. According to the World Health Organization Guidelines for Community Noise, the …
https://www.osc.ny.gov/state-agencies/audits/2017/06/09/responsiveness-noise-complaints-related-new-york-city-nightlife-establishmentsComptroller DiNapoli Releases Municipal Audits
… and check payments ($78,441) to questionable businesses in which there was no evidence that they provided any … maintain a Board member’s property with no lease agreement in place. The work performed raises potential issues under … and senior citizen exemptions, totaling $2.9 million, on properties with a total assessed value of $7.7 million and …
https://www.osc.ny.gov/press/releases/2019/03/comptroller-dinapoli-releases-municipal-auditsSelected Employee Travel Expenses
… provide documentation to support hours worked by one other employee. This employee routinely picked up rental cars late in the morning; … prior to pickup of the rental car. The employee received wages totaling $12,834 for 378 hours of work that we could …
https://www.osc.ny.gov/state-agencies/audits/2014/06/04/selected-employee-travel-expensesDiNapoli: Audit Shows Mixed Results on School Districts' Compliance With Physical Education Rules
… all state-mandated physical education (PE) requirements for students. Of the 10 school districts examined, nine did … of PE to students in grades K-4, and seven did not do so for grade 5. Auditors did find that all 10 districts met the requirements for students in grades 9-12, nine districts met grade 6 …
https://www.osc.ny.gov/press/releases/2018/09/dinapoli-audit-shows-mixed-results-school-districts-compliance-physical-education-rulesIX.12.K Functional Clearance Patterns – IX. Federal Grants
… To calculate CMIA interest liabilities, it is necessary for OSC to develop functional clearance patterns. This is … to calculate dollar-weighted clearance patterns for all payments made from federal funds. Guide to Financial …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix12k-functional-clearance-patternsCalculating the Maximum Amount Eligible for Amortization or the Graded Payment – Contribution Stabilization Program
… employer’s invoiced contribution (not including payments for deficiency, previous amortizations, incentive costs or … rate Divides the normal contribution by the billable salary. Determines the employer’s graded rate Multiplies the … graded contribution Multiplies the employer’s billable salary by the employer’s graded rate. Determines the maximum …
https://www.osc.ny.gov/retirement/employers/csp/calculating-maximum-amount-eligible-amortization-or-graded-paymentForms
… withdrawn service credit. (RS2416, Rev. 6/15) Change in Payroll Deductions for Service Credit Purchase To change the … To certify a member’s previous employment. Note: Overtime pay in excess of an annual cap is not included in the …
https://www.osc.ny.gov/retirement/formsState Audit Finds Rochester Transportation Authority Incorrectly Administered Compensation Program
… Authority (RGRTA) collected 57 percent of the authority’s salary bonuses over a three-year period because the authority … Authority collected 57 percent of the authoritys salary bonuses over a threeyear period because the authority …
https://www.osc.ny.gov/press/releases/2015/02/state-audit-finds-rochester-transportation-authority-incorrectly-administered-compensation-programReimbursement of Homeless Shelter Providers – Westhab Inc.’s Coachman Family Center
… of Housing and Urban Development’s point-in-time count for New York State, there were 92,091 homeless individuals in … ), the Office’s annual reimbursements to Local Districts for homeless housing total in the billions of dollars, … Local Districts submitted $1.6 billion in gross claims for calendar year (CY) 2017, $2 billion for CY 2018, $1.9 …
https://www.osc.ny.gov/state-agencies/audits/2022/03/01/reimbursement-homeless-shelter-providers-westhab-incs-coachman-family-centerContract Participation of Minority- and Women-Owned Business Enterprises
… Authority established annual participation goals for minority- and women-owned business enterprises; met these … and public authorities must establish annual goals for such participation, make a “good faith” effort to achieve … to DED total contract expenditures of $1.1 billion for State fiscal year 2011-12, $1.2 billion for fiscal year …
https://www.osc.ny.gov/state-agencies/audits/2015/09/10/contract-participation-minority-and-women-owned-business-enterprisesVendRep System Guide for Vendors
… application for the creation, completion, certification, and review of electronic versions of Vendor Responsibility … As a vendor you can: Electronically complete, certify and submit your questionnaire Notify State contracting entities and users within your organization that a questionnaire has …
https://www.osc.ny.gov/state-agencies/contracts/vendrep-system-guide-vendorsLimestone Volunteer Firemen, Inc. – Controls Over Financial Activities (2014M-219)
… Limestone Volunteer Firemen, Inc. fire company is located in the Town of Carrollton within the Carrollton Joint Fire District, in Cattaraugus County. The Company, which is governed by a … and receipt functions, and we found approximately $38,000 in unsupported disbursements that may not have been for …
https://www.osc.ny.gov/local-government/audits/fire-district/2014/11/21/limestone-volunteer-firemen-inc-controls-over-financial-activities-2014mComptroller DiNapoli Releases Municipal Audits
… that disbursements were properly supported and approved for District purposes. The Assistant Treasurer admitted to … resulted in an increase in the combined fund balance for the general, water and sewer funds from $2.4 million in … systems. Auditors reviewed the web browsing history for 10 computers used by 10 employees and found significant …
https://www.osc.ny.gov/press/releases/2019/08/comptroller-dinapoli-releases-municipal-auditsTown of Queensbury - Information Technology (2018M-224)
… officials have not: Implemented comprehensive procedures for managing, limiting, securing and monitoring user access. …
https://www.osc.ny.gov/local-government/audits/town/2019/03/22/town-queensbury-information-technology-2018m-224Improper Medicaid Managed Care Payments for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies on Behalf of Recipients in Nursing Homes (Follow-Up)
… Objective To assess the extent of implementation of the four recommendations included in our … are not to be made for DMEPOS when the cost of these items is included in the rate. Moreover, it is the dispensing provider’s responsibility to verify with …
https://www.osc.ny.gov/state-agencies/audits/2023/06/21/improper-medicaid-managed-care-payments-durable-medical-equipment-prosthetics-orthotics-andAlbany Water Board – Software Management (2020M-159)
… stores. Maintain application and software inventories for all mobile devices. Key Recommendations Ensure that only …
https://www.osc.ny.gov/local-government/audits/city/2021/03/26/albany-water-board-software-management-2020m-159Yaphank Fire District – Claims Processing (2013M-51)
… of our audit was to examine the claims auditing process for the period January 1, 2012, to December 31, 2012. … general fund expenditures were $1,477,872 and $1,593,997 for the years ended December 31, 2011 and December 31, 2012, … meetings, the Board simply receives a warrant of claims for approval. The Board passed a resolution which allows the …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/05/31/yaphank-fire-district-claims-processing-2013m-51Broome County – Information Technology (2013M-351)
… computerized data and assets were properly safeguarded for the period of January 1, 2012 through August 20, 2013. … County Legislature. The County’s budgeted expenditures for 2013 totaled $247.7 million for the general fund. Key Findings The County has a policy …
https://www.osc.ny.gov/local-government/audits/county/2014/05/09/broome-county-information-technology-2013m-351Medicaid Program – Reducing Medicaid Costs for Recipients With End Stage Renal Disease
… diagnosed with end stage renal disease who were eligible for, but not enrolled in, Medicare. The audit covered the … requires dialysis or a kidney transplant to stay alive. For the six-year period ended December 31, 2015, Medicaid … determination. Recover Medicaid claims paid for any retroactive Medicare enrollments of ESRD recipients. Other …
https://www.osc.ny.gov/state-agencies/audits/2017/03/01/medicaid-program-reducing-medicaid-costs-recipients-end-stage-renal-disease