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New York State Health Insurance Program – Payments by Beacon Health Options for Mental Health and Substance Abuse Services for Ineligible Members (Follow-Up)
… NYBEAS and Carelon’s system to help ensure claims are paid only for eligible members. Civil Service continues to provide …
https://www.osc.ny.gov/state-agencies/audits/2024/01/03/new-york-state-health-insurance-program-payments-beacon-health-options-mental-health-andCity of Newburgh – Budget Review (B21-6-13)
… review was to determine whether the significant revenue and expenditure projections in the City’s 2022 proposed … must be submitted to the State Comptroller for examination and recommendations. Key Findings The City’s proposed budget … parking violation fines, sanitation user fees, sewer usage and sale of metered water. Based on projections, the health …
https://www.osc.ny.gov/local-government/audits/city/2021/11/10/city-newburgh-budget-review-b21-6-13Medicaid Program – Payments for Death-Related One-Day Inpatient Admissions
… for Medicaid services when patient deaths occur within one day of admission. The audit covers the period December 1, … used to compensate hospitals for inpatient medical care. The new methodology, based on All Patient Refined … certain claims when patient deaths occur within the first day of admission. For instance, Medicaid paid $153,329 on a …
https://www.osc.ny.gov/state-agencies/audits/2013/08/15/medicaid-program-payments-death-related-one-day-inpatient-admissionsAccountability and Surplussing of Vehicles (Follow-Up)
… extent of implementation of the recommendations included in our initial audit report, Accountability and Surplussing … Key Finding OPWDD officials have made some progress in correcting the problems we identified in the initial report. However, improvements are still …
https://www.osc.ny.gov/state-agencies/audits/2021/05/27/accountability-and-surplussing-vehicles-followCollection of Fines Related to Tenant Complaints
… in outstanding fines. Harassment fines were imposed in only 12 out of the 684 harassment cases (2 percent) filed …
https://www.osc.ny.gov/state-agencies/audits/2019/12/11/collection-fines-related-tenant-complaintsInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
To determine the extent of implementation of the five recommendations made in our initial audit report Inappropriate Premium Payments for Recipients No Longer
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andAdministration of Contract C007373 With the Institute for Community Living
… Purpose To determine whether the Office of Mental Health (OMH) is effectively administering its contract with the Institute for Community Living (ICL) by ensuring … To determine whether the Office of Mental Health OMH is effectively administering its contract with the Institute …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/administration-contract-c007373-institute-community-livingManagement of Capital Projects
… whether the Metropolitan Transportation Authority’s (MTA) Long Island Rail Road (LIRR) has a formal capital project … transportation infrastructure, helping to develop the Long Island communities it serves and facilitating economic … branches, stretching from Montauk – on the eastern tip of Long Island – to Penn Station in the heart of Manhattan. …
https://www.osc.ny.gov/state-agencies/audits/2020/12/14/management-capital-projectsReducing Medicaid Costs for Recipients With End Stage Renal Disease (Follow-Up)
… made in our initial audit report, Reducing Medicaid Costs for Recipients With End Stage Renal Disease (Report 2015-S-14 … with end stage renal disease (ESRD) who were eligible for, but not enrolled in Medicare. Medicaid recipients with ESRD may be eligible for Medicare coverage if they meet certain conditions. When …
https://www.osc.ny.gov/state-agencies/audits/2018/09/05/reducing-medicaid-costs-recipients-end-stage-renal-disease-followImproper Episodic Payments to Home Health Providers (Follow-Up)
… State's Medicaid program provides a wide range of health care services to individuals who are economically … to Medicaid recipients in the home. EPS is based on 60-day episodes of care. CHHAs can be paid for a full episode … were transferred into Managed Long Term Care during a 60-day episode of care. The CHHAs should not have received full …
https://www.osc.ny.gov/state-agencies/audits/2018/05/04/improper-episodic-payments-home-health-providers-followMedicaid Program – Overpayments of Hospitals' Claims for Lengthy Acute Care Admissions
… (with 248 days at the ALC rate), Medicaid would have paid only $67,748. Thus, Medicaid overpaid the hospital $62,684 …
https://www.osc.ny.gov/state-agencies/audits/2013/07/25/medicaid-program-overpayments-hospitals-claims-lengthy-acute-care-admissionsOptimizing Medicaid Drug Rebates (Follow-Up)
… 7, 2016. The audit objective was to determine whether the Department was maximizing revenues from drug rebates. The … the Department had overlooked multiple sources of drug rebate revenue. As a result, the Department did not collect … audit period. We determined that some of the Department’s rebate policies undermined its ability to collect all drug …
https://www.osc.ny.gov/state-agencies/audits/2017/12/20/optimizing-medicaid-drug-rebates-followOversight of Persons Convicted of Driving While Intoxicated
… Key Findings Of the 2,166 IIDs ordered by courts, only 111 IIDs (5 percent) were actually installed, and the …
https://www.osc.ny.gov/state-agencies/audits/2015/10/07/oversight-persons-convicted-driving-while-intoxicatedPSCH, Inc.
… that PSCH claimed on the Consolidated Fiscal Report (CFR) for the period July 1, 2012 through June 30, 2013. Background … its expenditures up to the amount of the contract. For the year ended June 30, 2013, PSCH reported approximately $9.7 in … is maintained. Review all expenses claimed over the life of the contract to determine if they are allowed by …
https://www.osc.ny.gov/state-agencies/audits/2015/05/19/psch-incPipeline Safety Oversight
… Program, Inspection Activity, Inspector Qualification, Leak Management, Enforcement, and Incident Investigation. Key …
https://www.osc.ny.gov/state-agencies/audits/2016/03/08/pipeline-safety-oversightCriminal History Background Checks of Unlicensed Health Care Employees
… safeguard patients through requests for required criminal history background checks when hiring unlicensed … March 3, 2017. Background The Department, through its Criminal History Record Check (CHRC) Legal Unit, is responsible for conducting …
https://www.osc.ny.gov/state-agencies/audits/2017/06/08/criminal-history-background-checks-unlicensed-health-care-employeesImproper Supplemental Maternity Capitation Payments to Managed Care Organizations (Follow-Up)
… Objective To determine the extent of implementation of the six recommendations included in our initial audit report, Improper Supplemental Maternity Capitation Payments to Managed Care Organizations (Report 2020-S-57 ). About the … To determine the extent of implementation of the six …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/improper-supplemental-maternity-capitation-payments-managed-care-organizations-followManagement of Invasive Species (Follow-Up)
… invasive species (TIS). AIS are commonly spread via fishing and boating activities. The Department is authorized …
https://www.osc.ny.gov/state-agencies/audits/2021/11/19/management-invasive-species-followControls Over and Revenues From .nyc Generic Top-Level Domains
… (DoITT) has collected all the revenues due from the .nyc generic top-level domain program, and whether the … a franchise agreement with a vendor to apply for the “.nyc” generic TLD (gTLD) and to operate, manage, maintain, and market the .nyc gTLD program. New York City’s contract with the vendor …
https://www.osc.ny.gov/state-agencies/audits/2021/10/25/controls-over-and-revenues-nyc-generic-top-level-domainsOpioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program (Follow-Up)
… and also found that care coordination occurred for only 59 of the 1,065 prescriptions (6 percent). We …
https://www.osc.ny.gov/state-agencies/audits/2020/05/07/opioid-prescriptions-medicaid-recipients-opioid-treatment-program-follow