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Pandemic Planning and Care for Vulnerable Populations (Follow-Up)
… 2021-S-9 ). About the Program The Office for People with Developmental Disabilities (OPWDD) is responsible for coordinating services for individuals with intellectual and developmental disabilities (IDD). People with IDD face significant health issues making them more …
https://www.osc.ny.gov/state-agencies/audits/2025/06/18/pandemic-planning-and-care-vulnerable-populations-followExcessive Payments for Durable Medical Equipment Rentals (Follow-Up)
… equipment that are available to recipients on a monthly rental basis. Under both FFS and managed care there are typically limits (or caps) on the number of monthly rental payments—many items have 10-month caps. In accordance with Medicaid regulations, when the monthly rental payment limit is reached but the item is still needed, …
https://www.osc.ny.gov/state-agencies/audits/2024/12/04/excessive-payments-durable-medical-equipment-rentals-followXIII.9 Allowed Values for Processing Payments in SFS – XIII. Employee Expense Reimbursement
This section provides the allowed values to be used when processing employee expense reimbursements
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiii/xiii9-allowed-values-processing-payments-sfsRestrictions on Consecutive Hours of Work for Nurses
… Purpose To determine if the Department of Labor is adequately enforcing the Restrictions on Consecutive Hours of Work for Nurses Law. The audit covers the period January 1, 2015 … To determine if the Department of Labor is adequately enforcing the Restrictions on …
https://www.osc.ny.gov/state-agencies/audits/2018/04/23/restrictions-consecutive-hours-work-nursesSelected Aspects of the Pay for Success Program
… and control groups. We audited selected aspects of Phase 1 of the program for the period October 1, 2013 through … of certain thresholds as specified in the contract. In Phase 1 of the Program, 2,357 individuals were randomly … we found that they did not have a material effect on the results and should not impact measurement of achievement …
https://www.osc.ny.gov/state-agencies/audits/2017/03/21/selected-aspects-pay-success-programImplementation of the Dignity for All Students Act
… the State Education Department (Department) has taken to ensure that: school district policies and practices comply … incidents of discrimination and harassment, as required, to the Department. We also evaluated whether the Department issued timely DASA guidance to school districts that adequately addresses transgender and …
https://www.osc.ny.gov/state-agencies/audits/2017/10/13/implementation-dignity-all-students-actMedicaid Overpayments for Certain Medicare Part C Claims (Follow-Up)
… for Certain Medicare Part C Claims (Report 2013-S-35). Background Medicaid provides health care services to … Overpayments for Certain Medicare Part C Claims ( 2013-S-35 ) …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/medicaid-overpayments-certain-medicare-part-c-claims-followMedicaid Overpayments for Non-Emergency Out-of-State Inpatient Services (Follow-Up)
… of implementation of the four recommendations included in our initial audit report, Medicaid Overpayments for Non-Emergency Out-of-State Inpatient Services (Report … payment. Auditors further identified $10.8 million in claim payments for which the Department had not granted …
https://www.osc.ny.gov/state-agencies/audits/2013/03/11/medicaid-overpayments-non-emergency-out-state-inpatient-services-followMedicaid Overpayments for Out-of-State Ambulatory Surgery Services (Follow-Up)
… Purpose To determine the extent of implementation of the two … providers for ambulatory surgery services provided to New York State Medicaid recipients. For the period from … million in actual and potential Medicaid overpayments to out-of-state providers for such ambulatory surgery …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-overpayments-out-state-ambulatory-surgery-services-followReview of Real Property Holdings for Disposal (Follow-Up)
… made in our initial report, Review of Real Property Holdings for Disposal ( 2010-S-48 ). Background Our initial … (Department) was not reviewing its real property holdings to identify properties for sale or disposal. We … made in our initial report Review of Real Property Holdings for Disposal 2010S48 …
https://www.osc.ny.gov/state-agencies/audits/2015/04/07/review-real-property-holdings-disposal-followOverpayments of Claims for Selected Professional Services (Follow-Up)
… in our initial audit report, Overpayments of Claims for Selected Professional Services (Report 2010-S-73). … examined whether inappropriate Medicaid payments were made for selected providers who also received payments from Medicare. For the two year audit period ended December 31, 2011, we …
https://www.osc.ny.gov/state-agencies/audits/2013/09/23/overpayments-claims-selected-professional-services-followSelected Aspects of Accommodations for Passengers With Disabilities
… identify key stations in its Port Authority Trans-Hudson (PATH) system and make those stations accessible and usable by … and Rehabilitation Act of 1973 that we reviewed within the PATH system and at the three bus terminals, we identified … conditions identified are the following: Four of the 13 PATH stations were not accessible to persons in wheelchairs. …
https://www.osc.ny.gov/state-agencies/audits/2021/07/29/selected-aspects-accommodations-passengers-disabilitiesMedicaid Overpayments for Medicare Advantage Plan Services (Follow-Up)
… audit report, Medicaid Overpayments for Medicare Advantage Plan Services (Report 2017-S-46 ). About the Program The … a health care service is covered by a Medicaid recipient’s Plan, Medicaid is generally the secondary payer and … providers for financial balances not covered by the Plan (typically deductibles and coinsurance). Our initial …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-advantage-plan-services-followMedicaid Program – Improper Medicaid Payments for Terminated Drugs
… State’s Medicaid program is administered by the Department of Health (Department) and is overseen at the federal level by the Centers for Medicare & Medicaid Services (CMS). The Medicaid program covers medically necessary … ensure terminated drugs will not be dispensed or paid for, CMS requires state Medicaid programs to reject these claims …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-improper-medicaid-payments-terminated-drugsMedicaid Program – Improper Payments for Brand Name Drugs
… the period from July 2016 through January 2022. About the Program The Department of Health (Department) administers New York’s Medicaid program. The Medicaid program covers medically necessary prescription and …
https://www.osc.ny.gov/state-agencies/audits/2022/12/13/medicaid-program-improper-payments-brand-name-drugsImproper Medicaid Payments for Misclassified Patient Discharges (Follow-Up)
… Objective To assess the extent of implementation of the four recommendations included in our initial audit … To assess the extent of implementation of the four recommendations included in our initial audit …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/improper-medicaid-payments-misclassified-patient-discharges-followOffice for People With Developmental Disabilities Fuel Card
… on a regular basis. At the time of a fuel purchase, drivers are required to (i) enter their PIN at the fuel pump, … employee PINs are kept confidential. Train employees and supervisors on proper use and accounting for WEX cards. … employees complete logs accurately and timely. Ensure supervisors review, approve, and monitor logs and WEX card …
https://www.osc.ny.gov/state-agencies/audits/2019/04/10/office-people-developmental-disabilities-fuel-cardMedicaid Program – Improper Medicaid Payments for Childhood Vaccines
… no cost to physicians and public health clinics enrolled in the VFC Program. Because the federal government purchases … fee for administering the vaccines. For children enrolled in Medicaid, the Medicaid program pays the vaccine … fee. Key Findings Auditors identified $32.7 million in improper Medicaid payments for costs related to …
https://www.osc.ny.gov/state-agencies/audits/2018/12/06/medicaid-program-improper-medicaid-payments-childhood-vaccinesImplementation of the Dignity for All Students Act
… of Education (DOE) is ensuring that Dignity for All Students Act (DASA) incidents are reported properly and … goal of providing public elementary and secondary school students in New York State with a safe and supportive … involving all parties within a school community (i.e., students, staff, parents). The school principal or designee …
https://www.osc.ny.gov/state-agencies/audits/2019/03/13/implementation-dignity-all-students-actCost-Saving Ideas: Monitoring Health Insurance Premiums for Retirees
… the retirees may be: allowed a continuation of coverage for surviving spouses or certain other eligible persons for a period of time after the eligible retiree dies. … 1 Containing health insurance costs should be a priority for local governments and school districts. One way to reduce …
https://www.osc.ny.gov/local-government/publications/cost-saving-ideas-monitoring-health-insurance-premiums-retirees