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Medicaid Program – Maximizing Drug Rebates for Health and Recovery Plans
… Purpose To determine whether the Department of Health took appropriate steps to collect all available … drug manufacturers. On a quarterly basis, the Department of Health (Department) submits rebate invoices to the … drug rebates to cover medications dispensed to enrollees of Medicaid managed care organizations (MCOs). As a result of …
https://www.osc.ny.gov/state-agencies/audits/2018/06/22/medicaid-program-maximizing-drug-rebates-health-and-recovery-plansImproper Payments to a Physical Therapist (Follow-Up)
… Purpose To determine the extent of implementation of the two … included in our initial audit report, Improper Payments to a Physical Therapist ( Report 2013-S-15 ). Background The … To determine the extent of implementation of the two recommendations …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/improper-payments-physical-therapist-followSelected Employee Travel Expenses
… we audited travel expenses for the highest-cost travelers in the State. These travelers incurred over $100,000 in travel expenses during our three-year audit period and/or … characteristics. We examined a total of $1.7 million in travel expenses for 10 University at Albany employees. Of …
https://www.osc.ny.gov/state-agencies/audits/2014/05/07/selected-employee-travel-expensesAudit of the Tuition Assistance Program at Stony Brook University
… Purpose To determine whether Stony Brook University complied with the Education Law and the Commissioner of Education’s Rules … $6,200. TAP is an entitlement program designed to provide funds for paying tuition costs to eligible … To determine whether Stony Brook University complied with the …
https://www.osc.ny.gov/state-agencies/audits/2014/12/26/audit-tuition-assistance-program-stony-brook-universitySelected Procurement and Contracting Practices
… administrative office (System Administration) located in Albany. SUNY’s non-personal services expenditures are more … is responsible for establishing policies that are in compliance with applicable State procurement laws, rules, … The Education Law grants SUNY increased flexibility in obtaining goods and services, both through less stringent …
https://www.osc.ny.gov/state-agencies/audits/2015/07/06/selected-procurement-and-contracting-practicesSky Light Center Inc. – Supported Housing Program
… provided the required services under its Supported Housing Pr …
https://www.osc.ny.gov/state-agencies/audits/2014/05/05/sky-light-center-inc-supported-housing-programOverpayments of Claims for Selected Professional Services (Follow-Up)
… Purpose To determine the extent of implementation of the four recommendations included in our initial audit … the new automated crossover system in December 2009 to reduce Medicaid overpayments, it was flawed. As a result, … To determine the extent of implementation of the four …
https://www.osc.ny.gov/state-agencies/audits/2013/09/23/overpayments-claims-selected-professional-services-followWage Theft Investigations
… Purpose To determine whether the Department of Labor (Department) is efficiently utilizing its resources to undertake and … To determine whether the Department of Labor Department is efficiently utilizing …
https://www.osc.ny.gov/state-agencies/audits/2014/06/06/wage-theft-investigationsMedicaid Program – Payments for Death-Related One-Day Inpatient Admissions
… Purpose To determine whether the Department of Health (Department) appropriately and … 2012. Background Effective December 1, 2009, responding to statutory changes enacted by the Legislature, the … To determine whether the Department of Health Department appropriately and …
https://www.osc.ny.gov/state-agencies/audits/2013/08/15/medicaid-program-payments-death-related-one-day-inpatient-admissionsService Diversions for Maintenance and Capital Projects
… Purpose To determine whether the MTA Long Island Rail Road (LIRR) (1) effectively managed … agency of the Metropolitan Transportation Authority (MTA), and provides commuter rail service between New York … To determine whether the MTA Long Island Rail Road LIRR 1 effectively managed service …
https://www.osc.ny.gov/state-agencies/audits/2014/03/18/service-diversions-maintenance-and-capital-projectsAccountability and Surplussing of Vehicles (Follow-Up)
… Disabilities Services Offices (DDSOs) – Metro NY (the Bronx and Manhattan), Brooklyn, Bernard M. Fineson (Queens), and Staten Island – are responsible for overseeing 118 State-run …
https://www.osc.ny.gov/state-agencies/audits/2021/05/27/accountability-and-surplussing-vehicles-followInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… Objective To determine the extent of implementation of the five recommendations made in our initial audit report, … care program for individuals whose income was too high to qualify for Medicaid. This program was eliminated … To determine the extent of implementation of the five …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andEmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits
… payment of services by the primary and secondary payers. In circumstances when both spouses/domestic partners receive … Emblem both the primary and secondary payer. For instance, in the case of a married couple where both individuals … as both the primary and secondary payer for each spouse, in many instances, this may allow for no cost for the member. …
https://www.osc.ny.gov/state-agencies/audits/2024/01/08/emblemhealth-plan-inc-overpayments-services-requiring-coordination-benefitsNew York State Health Insurance Program – Payments by Beacon Health Options for Mental Health and Substance Abuse Services for Ineligible Members (Follow-Up)
… Civil Service (Civil Service), provides health insurance coverage to over 1.2 million active and retired State, local … claims for Empire Plan members who were not eligible for coverage. The audit covered the period January 2015 through …
https://www.osc.ny.gov/state-agencies/audits/2024/01/03/new-york-state-health-insurance-program-payments-beacon-health-options-mental-health-andAccess Controls Over Selected Critical Systems
… Objective To determine whether access controls over selected Office of … Children and Family Services (OCFS) systems are sufficient to prevent unauthorized or inappropriate access to those … To determine whether access controls over selected Office of …
https://www.osc.ny.gov/state-agencies/audits/2019/03/21/access-controls-over-selected-critical-systemsCollection of Fines Related to Tenant Complaints
… development of affordable lowand moderate-income housing in the State. Within DHCR, the Office of Rent Administration … related to nearly 1 million regulated apartments in the State. Between January 1, 2016 and September 30, 2018, … an Administrative Law Judge. If owners are found to be in violation, they could face fines of at least $1,000 for …
https://www.osc.ny.gov/state-agencies/audits/2019/12/11/collection-fines-related-tenant-complaintsCity of Olean – Budget Review (B18-1-1)
… review was to determine whether the significant revenue and expenditure projections in the City’s proposed budget for the 2018-19 fiscal year are reasonable, and whether the City took appropriate action on our … the accumulated deficit in the City’s general, water and sewer funds as of May 31, 2007. Local Finance Law …
https://www.osc.ny.gov/local-government/audits/city/2018/03/19/city-olean-budget-review-b18-1-1City of Newburgh – Budget Review (B21-6-13)
… [ read complete report - pdf ] Purpose of Budget Review The purpose of our budget review was to determine whether the significant … 2022 proposed budget were reasonable. Background The City of Newburgh, located in Orange County, is authorized by … The purpose of our budget review was to determine whether the significant …
https://www.osc.ny.gov/local-government/audits/city/2021/11/10/city-newburgh-budget-review-b21-6-13Medicaid Program – Oversight of Clinical Trials
… Objective To determine whether the Department of Health (DOH) has provided adequate oversight to ensure payments for services provided to Medicaid members enrolled in clinical trials were appropriate. The audit covered the … To determine whether the Department of Health has provided …
https://www.osc.ny.gov/state-agencies/audits/2026/06/04/medicaid-program-oversight-clinical-trialsCVS Caremark – Accuracy of Empire Plan Commercial Rebate Revenue Remitted to the Department of Civil Service
… Objective To determine if CVS Caremark appropriately invoiced drug … manufacturers and remitted corresponding rebate revenue to the Department of Civil Service for prescription drugs … To determine if CVS Caremark appropriately invoiced drug … manufacturers and remitted corresponding rebate revenue to the Department of Civil Service for prescription drugs …
https://www.osc.ny.gov/state-agencies/audits/2025/03/18/cvs-caremark-accuracy-empire-plan-commercial-rebate-revenue-remitted-department-civil