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Medicaid Program – Medicaid Drug Rebate Program Under Managed Care
… Purpose To determine whether the Department of Health (Department) has taken appropriate steps to maximize … care. Other Related Audit/Report of Interest Department of Health: Rebates and Discounts on Physician-Administered Drugs … To determine whether the Department of Health has taken appropriate steps to maximize rebate …
https://www.osc.ny.gov/state-agencies/audits/2015/02/18/medicaid-program-medicaid-drug-rebate-program-under-managed-careMonitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Follow-Up)
… initial audit report, Monitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Report 2010-S-21). Background … which was issued on December 9, 2010, examined whether nursing home claims submitted to Medicaid for hospital bed … reserve days were appropriate, and if not, to what extent nursing home claims exceeded the bed reserve day limits. …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/monitoring-medicaid-payments-nursing-home-bed-reserve-days-followOversight of Homeless Shelters
… oversees homeless shelters to ensure they are operating in compliance with applicable laws, rules, and regulations. … to county Departments of Social Services (Local Districts) in the operation of these programs. Through its Bureau of … and ensuring they meet certain standards, as established in New York Codes, Rules and Regulations. In contrast, the …
https://www.osc.ny.gov/state-agencies/audits/2016/02/12/oversight-homeless-sheltersSelected Operating and Administrative Practices of the Bureau of Narcotic Enforcement (Follow-Up)
… prescription information within 24 hours of substance delivery. Key Findings Throughout our examination, Department …
https://www.osc.ny.gov/state-agencies/audits/2015/09/23/selected-operating-and-administrative-practices-bureau-narcotic-enforcement-followImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… initial audit report, Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Report … Program - Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (2014-S-5) … our initial audit report Improper FeeforService Payments for Pharmacy Services …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followControls Over Cash Advance Accounts (Follow-Up)
… accounts and whether the money is properly accounted for and used for appropriate business expenses. We concluded that these …
https://www.osc.ny.gov/state-agencies/audits/2016/06/03/controls-over-cash-advance-accounts-followForensic Audit of Payments to On-Board Service Managers (Follow-Up)
… included in our initial audit report, Forensic Audit of Payments to on-Board Service Managers (2011-S-35). Background … included in our intl audit report Forensic Audit of Payments to onBoard Service Managers …
https://www.osc.ny.gov/state-agencies/audits/2016/01/21/forensic-audit-payments-board-service-managers-followInspecting Highway Bridges and Repairing Defects (Follow-Up)
… of the four recommendations included in our initial report, Inspecting Highway Bridges and Repairing Defects ( … of the 4 recommendations included in our initial report Inspecting Highway Bridges and Repairing Defects …
https://www.osc.ny.gov/state-agencies/audits/2016/06/30/inspecting-highway-bridges-and-repairing-defects-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… Program: Empire BlueCross BlueShield Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Report … The Empire Plan (Plan) is the primary health benefits plan for NYSHIP. The New York State Department of Civil Service …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… made in our initial audit report, United HealthCare Insurance Company of New York: Empire Plan Drug Rebate … made in our intl audit report United HealthCare Insurance Company of New York Empire …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followPayments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (2012-S-11). Background Our initial … 2011, Medicaid made improper payments totaling $94,460 to Davis Ethical Pharmacy. Based on information obtained from … indicated on the claims), auditors determined that Davis Ethical likely fabricated nearly all of the improper …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacy-followEffectiveness of the Information Technology Transformation
… the resulting Office of Information Technology Services (ITS) clusters operate efficiently and whether the … Background The Office of Information Technology Services (ITS) was established in November 2012 as part of a New York … merge State agencies’ operations and streamline services. ITS was created pursuant to a recommendation of the …
https://www.osc.ny.gov/state-agencies/audits/2016/08/24/effectiveness-information-technology-transformationUse of State Appropriations
… Purpose To determine whether the New York Wine and Grape Foundation (Foundation) has spent State … located in Canandaigua, which supports New York State’s wine and grape industry through research, promotion, and … by a Board of Directors, most of whom are involved in the wine and grape industry, and has six employees. The …
https://www.osc.ny.gov/state-agencies/audits/2016/06/16/use-state-appropriationsContracts for Personal and Miscellaneous Services (Follow-Up)
… included in our initial audit report, Contracts for Personal and Miscellaneous Services ( 2008-S-158 ). … required to maintain documentation supporting the basis for this determination, and we found such documentation was … requesting the services determine whether: it was feasible for another constituent agency to perform some or all of the …
https://www.osc.ny.gov/state-agencies/audits/2015/01/06/contracts-personal-and-miscellaneous-services-followHousing Preferences for Veterans (Follow-Up)
… included in our initial audit report, Housing Preferences for Veterans (Report 2011-N-3 ). Background Our initial … State Legislature had extended the right of preference for housing to many more veterans, few actually benefited due … included in our initial audit report Housing Preferences for Veterans Report 2011N3 …
https://www.osc.ny.gov/state-agencies/audits/2015/01/29/housing-preferences-veterans-followRainbow Rhymes Learning Center (Follow-Up)
… Department: Rainbow Rhymes Learning Center (Report 2009-S-84). Background Our initial audit report, which was issued on August 6, 2010, examined whether selected State Education Department … Department: Rainbow Rhymes Learning Center Report (2009-S-84) …
https://www.osc.ny.gov/state-agencies/audits/2013/06/27/rainbow-rhymes-learning-center-followAccuracy of Reported Discharge Data (Follow-Up)
… whether the New York City Department of Education (DoE) was accurately reporting the number of students … the New York State Education Department. We found that DoE classified some students as discharged without sufficient … a discharge classification. Specifically, when we examined DoE’s discharge classifications for its 2004-08 general …
https://www.osc.ny.gov/state-agencies/audits/2014/09/09/accuracy-reported-discharge-data-followTravel Plaza Revenues and Capital Improvements (Follow-Up)
… State Thruway Authority (NYSTA) adequately ensured that fuel and food concessionaires at Thruway travel plazas are … We found that the NYSTA's efforts were adequate to ensure fuel and food concessionaires pay full rent on time and make … of Interest New York State Thruway Authority: Gas Prices at Thruway Travel Plazas (2008-S-159) New York State …
https://www.osc.ny.gov/state-agencies/audits/2014/08/14/travel-plaza-revenues-and-capital-improvements-followInspecting Highway Bridges and Repairing Defects (Follow-Up)
… Highway Bridges and Repairing Defects (Report 2012-S-33). Background In our initial audit report, which was issued …
https://www.osc.ny.gov/state-agencies/audits/2014/06/25/inspecting-highway-bridges-and-repairing-defects-followContracts for Personal and Miscellaneous Services (Follow-Up)
… report, issued on July 19, 2011, determined that the Port Authority of New York and New Jersey (Port Authority) generally did not have …
https://www.osc.ny.gov/state-agencies/audits/2014/01/07/contracts-personal-and-miscellaneous-services-follow