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Advanced Therapeutic Concepts, Inc. – Compliance With the Reimbursable Cost Manual
… education services to children with disabilities who are between three and five years of age. ATC operates in New … for its services using rates established by SED. The rates are based on the financial information that ATC reports to … Health. Payments for services under these three programs are based on fixed fees, as opposed to reported costs on the …
https://www.osc.ny.gov/state-agencies/audits/2017/11/28/advanced-therapeutic-concepts-inc-compliance-reimbursable-cost-manualOversight of Resident Care-Related Medical Equipment in Nursing Homes
… of Health's monitoring and inspection of nursing homes is sufficient to determine if nursing homes perform comprehensive inspections, testing, and … The Department of Health (Department) oversees nursing homes in New York State through its Division of Nursing Homes …
https://www.osc.ny.gov/state-agencies/audits/2018/09/19/oversight-resident-care-related-medical-equipment-nursing-homesBirch Family Services, Inc. – Compliance With the Reimbursable Cost Manual
To determine whether the costs reported by Birch Family Services Inc on its Consolidated Fiscal Reports were reasonable necessary directly related to
https://www.osc.ny.gov/state-agencies/audits/2017/12/20/birch-family-services-inc-compliance-reimbursable-cost-manualKennedy Child Study Center – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Kennedy Child Study Center (Kennedy) on its Consolidated Fiscal Reports (CFRs) were … (RCM). The audit focused primarily on expenses claimed on Kennedy’s CFR for the fiscal year ended June 30, 2014, and … To determine whether the costs reported by Kennedy Child Study Center on its Consolidated Fiscal Reports …
https://www.osc.ny.gov/state-agencies/audits/2017/12/29/kennedy-child-study-center-compliance-reimbursable-cost-manualOversight of Undistributed Child Support Funds
… to the Office of the State Comptroller’s Office of Unclaimed Funds (OUF), which will then expand outreach …
https://www.osc.ny.gov/state-agencies/audits/2018/02/09/oversight-undistributed-child-support-fundsEmpire BlueCross BlueShield Selected Payments for Special Items for the Period January 1, 2011 Through March 31, 2011
… BlueShield's (Empire) payments for certain special items were reasonable in relation to the hospitals' actual … may be entitled to additional payments for special items that are not covered by the standard fee schedules. … agreements with member hospitals limit charges for special items, while agreements with other hospitals do not have such …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2011-throughOverpayments of Certain Medicare Crossover Claims
… Purpose To determine if Medicaid overpaid Medicare crossover claims for physician and other outpatient services and to identify the claims processing control weaknesses that … To determine if Medicaid overpaid Medicare crossover claims …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/overpayments-certain-medicare-crossover-claimsMedicaid Program - Medicaid Managed Care Organization Fraud and Abuse Detection
To determine if United HealthCare and Amerigroup made payments to ineligible health care providers and whether these managed care organizations established and
https://www.osc.ny.gov/state-agencies/audits/2016/07/15/medicaid-program-medicaid-managed-care-organization-fraud-and-abuse-detectionSelected Aspects of Inactive Hazardous Waste Site Remediation Cost Recovery
… to fully and accurately accumulate State costs related to site investigation and remediation, bill for and collect … responsible for the Inactive Hazardous Waste Disposal Site Program (Program), also known as the State Superfund … of possible responsible parties, and remediation of the site. Responsible parties are legally responsible for site …
https://www.osc.ny.gov/state-agencies/audits/2015/01/22/selected-aspects-inactive-hazardous-waste-site-remediation-cost-recoveryOversight of Homeless Shelters
… they are operating in compliance with applicable laws, rules, and regulations. Our audit scope covers the period … meet certain standards, as established in New York Codes, Rules and Regulations. In contrast, the Office has delegated …
https://www.osc.ny.gov/state-agencies/audits/2016/02/12/oversight-homeless-sheltersPublic Housing Modernization Program – Administration of Selected Projects Outside of New York City
… in a quality manner before approving the final payment on its various funding contracts. Key Findings We identified … authorities award consultant and construction contracts on a timely basis, once funding contracts are executed. …
https://www.osc.ny.gov/state-agencies/audits/2016/05/12/public-housing-modernization-program-administration-selected-projects-outside-new-york-cityProgram Oversight and Monitoring of the Maximus Contract for the New York State of Health (Insurance Marketplace) Customer Service Center
… Purpose To determine whether the Department of Health (Department) is providing sufficient oversight to … a state-based Marketplace, known as the New York State of Health, to help New Yorkers shop for and enroll in health insurance coverage. Since 2010, the Department has had …
https://www.osc.ny.gov/state-agencies/audits/2016/06/16/program-oversight-and-monitoring-maximus-contract-new-york-state-health-insuranceOversight of the Early Intervention Program’s State Fiscal Agent
… of State Fiscal Agent contracts to ensure contractor compliance with contract deliverables, including timely … of State Fiscal Agent contracts to ensure contractor compliance with contract deliver …
https://www.osc.ny.gov/state-agencies/audits/2016/03/24/oversight-early-intervention-programs-state-fiscal-agentSecurity and Effectiveness of Division of Criminal Justice Services’ Core Systems
… To determine whether the Division of Criminal Justice Services’ (Division) selected core systems are secure, operating effectively, and available to continue processing in the event of a … The New York State Office of Information Technology Services (ITS) was established in November 2012 as part of a …
https://www.osc.ny.gov/state-agencies/audits/2015/02/24/security-and-effectiveness-division-criminal-justice-services-core-systemsAnnual Assessment of Market Orders for 2012, 2013, and 2014
… to support expenses, such as vehicle cost allocations, contractor bidding, and sole source justification …
https://www.osc.ny.gov/state-agencies/audits/2015/05/07/annual-assessment-market-orders-2012-2013-and-20142013 Year End Report
… requests (payments) to claimants and medical providers from the Workers’ Compensation Board’s (Board) sole custody … Fund for Reopened Cases. The Board processes all payments from the Uninsured Employers Fund and the Special Fund for Disability Benefits. Payments from the Second Injury Fund are processed by the Special …
https://www.osc.ny.gov/state-agencies/audits/2014/05/13/2013-year-end-reportWage Theft Investigations
… had been open more than one year since the initial claim was received. The Division's Workforce Protection … Department of Labor: Assessment and Collection of Selected Fees and Penalties (2010-S-70) …
https://www.osc.ny.gov/state-agencies/audits/2014/06/06/wage-theft-investigationsRailroad Bridge Inspection Program
… (Department) properly oversees railroads operating in the State to ensure they meet the bridge inspection requirements. … responsibility for almost 3,000 railroad bridges in the State. Key Findings The Department does not sufficiently … properly oversees railroads operating in the State to ensure they meet the bridge inspection requirements …
https://www.osc.ny.gov/state-agencies/audits/2013/12/09/railroad-bridge-inspection-programSamaritan Village, Inc. – Chemical Dependency Services Program
… are being provided. Background OASAS administers programs for the prevention and treatment of alcohol and substance … conduct a Chemical Dependency Services Program (Program) for adults. Samaritan Village has service facilities located … to the contract, OASAS reimburses Samaritan Village for the net costs it incurs to provide the contracted …
https://www.osc.ny.gov/state-agencies/audits/2014/02/28/samaritan-village-inc-chemical-dependency-services-programSelected Aspects of the Motor Carrier Safety Assistance Program
… Roadside inspections of commercial vehicles are a primary part of the Department's activities. The inspections … reviews or formal Notices of Violation, which may result in additional penalties. Key Findings The Department … repaired, or when submitted, if they are on time. As a result, 39 percent of the certifications for out-of-service …
https://www.osc.ny.gov/state-agencies/audits/2014/01/22/selected-aspects-motor-carrier-safety-assistance-program