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Medicaid Program – Improper Managed Care Payments for Recipients With Duplicate Client Identification Numbers
… Program The Department of Health (Department) administers New York’s Medicaid program. Many of the State’s Medicaid recipients …
https://www.osc.ny.gov/state-agencies/audits/2019/07/29/medicaid-program-improper-managed-care-payments-recipients-duplicate-client-identificationMedicaid Overpayments for Inpatient Care Involving Mechanical Ventilation Services
… to hospitals for mechanical ventilation services reported on APR-DRG (All Patient Refined Diagnosis Related Groups) … hours or more of mechanical ventilation services. Key Finding We identified $975,795 in overpayments on 32 … more of mechanical ventilation services was not possible. Key Recommendations Review the overpayments we identified and …
https://www.osc.ny.gov/state-agencies/audits/2019/05/16/medicaid-overpayments-inpatient-care-involving-mechanical-ventilation-servicesAuditory Oral Learning Center – Compliance With the Reimbursable Cost Manual
… costs reported by the Auditory Oral Learning Center (AOLC) on its Consolidated Fiscal Report (CFR) were reasonable, … established through CFR-reported financial information. Key Findings For the fiscal year ended June 30, 2014, we … not supported by appropriate substantiating documentation. Key Recommendations To SED : Review the recommended …
https://www.osc.ny.gov/state-agencies/audits/2019/12/31/auditory-oral-learning-center-compliance-reimbursable-cost-manualState Agencies Bulletin No. 258
… explanations of the various fields are attached for agency reference. Agency Actions We are requesting that agency … Form Attachment A - Garnishment Spec Data 1 Attachment B - Garnishment Spec Data 2 Attachment C - Garnishment Spec …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/258-agency-view-access-paysr-garnishment-panelsHagedorn Little Village School – Compliance With the Reimbursable Cost Manual
… costs reported by Hagedorn Little Village School (HLVS) on its Consolidated Fiscal Report (CFR) were properly … preschool special education programs it operated. Key Finding For the fiscal year ended June 30, 2015, the … with SED’s prescribed requirements for reimbursement. Key Recommendations To SED: Review the disallowances …
https://www.osc.ny.gov/state-agencies/audits/2017/07/18/hagedorn-little-village-school-compliance-reimbursable-cost-manualACDS, Inc. – Compliance With the Reimbursable Cost Manual
… determine whether the costs reported by ACDS, Inc. (ACDS) on its Consolidated Fiscal Report (CFR) were properly … preschool special education programs it operated. Key Finding For the fiscal year ended June 30, 2014, the … with SED’s prescribed requirements for reimbursement. Key Recommendations To SED: Review the disallowances …
https://www.osc.ny.gov/state-agencies/audits/2017/04/12/acds-inc-compliance-reimbursable-cost-manualCenter for Disability Services – Compliance With the Reimbursable Cost Manual
… Reimbursable Cost Manual (Manual). Our audit covered the calendar year ended December 31, 2013. Background CFDS is an … costs must comply with Manual requirements. For the calendar year ended December 31, 2013, CFDS reported about …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/center-disability-services-compliance-reimbursable-cost-manualHear 2 Learn PLLC – Compliance With the Reimbursable Cost Manual
… the costs reported by Hear 2 Learn PLLC (Hear 2 Learn) on its Consolidated Fiscal Report (CFR) were properly … on its CFR, of which $340,876 was for its SEIT program. Key Findings For the fiscal year ended June 30, 2013, Hear 2 … reported on the CFR, or not properly documented. Key Recommendations To SED: Review the disallowances …
https://www.osc.ny.gov/state-agencies/audits/2015/07/22/hear-2-learn-pllc-compliance-reimbursable-cost-manualAstor Services for Children & Families – Compliance With the Reimbursable Cost Manual
… reported by Astor Services for Children & Families (Astor) on its Consolidated Fiscal Report (CFR) were properly … Preschool Integrated Special Class (Programs) we audited. Key Findings We identified $39,050 in costs charged to the … not have the required certifications for their job titles. Key Recommendations To SED: Review the disallowances …
https://www.osc.ny.gov/state-agencies/audits/2015/09/02/astor-services-children-families-compliance-reimbursable-cost-manualMetro Therapy, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported on the Consolidated Fiscal Reports (CFRs) of Metro Therapy, … about $7.1 million in reimbursable costs on its CFRs. Key Findings We identified $833,949 in non-reimbursable … in unrelated or undocumented non-personal service costs. Key Recommendations To SED: Review the recommended …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/metro-therapy-inc-compliance-reimbursable-cost-manualPrograms for Little Learners – Compliance With the Reimbursable Cost Manual
… the costs reported by Programs For Little Learners (PFLL) on its Consolidated Fiscal Reports (CFRs) were properly … special education program (Program) that it operated. Key Findings For the three fiscal years ended June 30, 2015, … expenses related to the purchase of water for staff. Key Recommendations To SED: Review the disallowances …
https://www.osc.ny.gov/state-agencies/audits/2018/09/24/programs-little-learners-compliance-reimbursable-cost-manualNorth Country Kids, Inc. – Compliance With the Reimbursable Cost Manual
… for-profit special education provider located in Clinton County, New York. North County provides preschool … ended June 30, 2014, North Country reported $2.6 million in reimbursable costs on its CFRs for the rate-based … the two years ended June 30, 2014, we identified $79,084 in ineligible costs that North Country reported on its CFRs …
https://www.osc.ny.gov/state-agencies/audits/2017/04/12/north-country-kids-inc-compliance-reimbursable-cost-manualMedicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
… those claims were limited, and many payments, potentially tens of millions of dollars, were never recouped. Neither the …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/medicaid-program-recovering-managed-care-overpayments-pharmacy-services-behalf-recipientsSteuben County – County Bridge Maintenance (S9-13-1)
… and repairs by bridge, unless the bridge is being completely replaced or rehabilitated. While the County does … bridges in recent years, primarily by replacing and completely renovating six bridges each year. Key …
https://www.osc.ny.gov/local-government/audits/county/2013/07/19/steuben-county-county-bridge-maintenance-s9-13-1Opinion 89-4
… banks are unwilling or unable to purchase the notes at a rate of interest equal to or less than that at which the …
https://www.osc.ny.gov/legal-opinions/opinion-89-4Compliance With Navigation Law
… State waters in accordance with New York State Navigation Law (Navigation Law). The audit covered the period from January 1, 2017 … motorized water recreation. The New York State Navigation Law outlines rules for boating and watercraft recreation, …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/compliance-navigation-lawClinical Associates of the Finger Lakes – Compliance With the Reimbursable Cost Manual
… the ages of three and five years. CAFL is reimbursed for preschool special education services through rates set by … that CAFL reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with the guidelines specified in the RCM. For the fiscal year ended June 30, 2012, CAFL reported $1.2 …
https://www.osc.ny.gov/state-agencies/audits/2015/07/22/clinical-associates-finger-lakes-compliance-reimbursable-cost-manualAspire of Western New York – Compliance With the Reimbursable Cost Manual
… determine whether the costs reported by Aspire of Western New York (Aspire) on its Consolidated Fiscal Report (CFR) were … calculated, adequately documented and allowable under the State Education Department’s (SED’s) guidelines, including …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/aspire-western-new-york-compliance-reimbursable-cost-manualThe Alcott School – Compliance With the Reimbursable Cost Manual
… not-for-profit special education provider located in Westchester County, New York. Alcott provides preschool … ended June 30, 2014, Alcott reported about $4.3 million in reimbursable costs on its CFR for four rate-based … For the year ended June 30, 2014, we identified $55,969 in ineligible costs that Alcott reported on its CFR for the …
https://www.osc.ny.gov/state-agencies/audits/2016/07/25/alcott-school-compliance-reimbursable-cost-manualUnnecessary and Potentially Illegal Consultant Contract With Former New York State Council on the Arts Executive Director
… with former New York State Council on the Arts Executive Director Heather Hitchens for necessity, propriety and … appointment took effect August 1, 2007 at an annual salary capped by law at $109,800. In the same month Ms. …
https://www.osc.ny.gov/state-agencies/audits/2013/09/26/unnecessary-and-potentially-illegal-consultant-contract-former-new-york-state-council-arts