Search
Oversight of Resident Care-Related Medical Equipment in Nursing Homes
… Human Services, Centers for Medicare & Medicaid Services (CMS), in monitoring quality of care in nursing homes. The … written records of generator maintenance and testing. CMS’s Basic Health Facility Surveyor Training and State … Central New York, Western (with offices in Buffalo and Rochester), and the Metropolitan Area Regional Office (MARO) …
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
… costs for the SED preschool cost-based programs (full-day and half-day Special Classes and a Special Class in an Integrated … SED school-age special education program; Headstart, Day Care, and Universal Pre-Kindergarten (UPK) programs; a …
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 … (CFRs) were reasonable, necessary, directly related to the special education program, and sufficiently documented … To determine whether the costs reported by Kennedy Child …
https://www.osc.ny.gov/state-agencies/audits/2017/12/29/kennedy-child-study-center-compliance-reimbursable-cost-manualOversight of Undistributed Child Support Funds
… Purpose To determine if the Office of Temporary and Disability … guidance are sufficient for local social service districts to effectively reduce undistributed child support balances … To determine if the Office of Temporary and Disability …
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
… which includes coverage for inpatient and outpatient hospital services. Empire processes Plan claims for hospital services in accordance with agreements they negotiate with member hospitals. Payments for hospital services are generally based on standard fee …
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
… services rendered. On December 3, 2009, the Department of Health (Department) implemented the Medicare/ Medicaid … the Medicaid claims processing system (eMedNY) for payment of deductibles and coinsurance. Prior to the automated … owed; this often led to incorrect Medicaid payments of Medicare deductibles and coinsurance. Key Findings …
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
… Purpose To determine if United HealthCare and Amerigroup made payments to ineligible … audit, there were 53 MCOs that offered 81 different plans; United HealthCare (UHC) and Amerigroup were among the largest … To determine if United HealthCare and Amerigroup made payments to ineligible …
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 … 2011 through October 17, 2014. Background The Department is responsible for the Inactive Hazardous Waste Disposal Site … Superfund Program, in New York. The purpose of the Program is to identify, investigate, and remediate sites containing …
https://www.osc.ny.gov/state-agencies/audits/2015/01/22/selected-aspects-inactive-hazardous-waste-site-remediation-cost-recoveryOversight of Homeless Shelters
… – estimated at more than 80,000 and comprised of families, couples, and single adults – while guiding them to …
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
… Purpose To assess the effectiveness of the Division of Housing and Community Renewal’s administration of Public Housing Modernization Program (Program) funds awarded to selected public housing authorities located outside of New York City. Our … To assess the effectiveness of the Division of Housing and Community Renewals administration of Public …
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
… 2015, there were 169,615 unpaid claims totaling $10.9 million that were submitted from July 1, 2013 through June …
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
… of key Division systems. Also, ITS does not have an active regional backup site, and Division systems are at risk for total data loss in the event of a regional disaster. ITS does not have an established …
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
… the Department, the Market Order Administration unit is responsible for administration of all farm product market … specific market order detailed in Department regulations is established to assist the industry in achieving a variety … Order Program, particularly its Apple Market Order, which is administered pursuant to a contract with the New York …
https://www.osc.ny.gov/state-agencies/audits/2015/05/07/annual-assessment-market-orders-2012-2013-and-20142013 Year End Report
… they are subject to various edit and validation checks, approved by the Board for payment, and submitted to our … incorrect payments totaling over $1.6 million that were approved by the Board and submitted to our Office for final … schedules, (iii) contained computation errors, (iv) were previously approved and paid, and/or (v) contained …
https://www.osc.ny.gov/state-agencies/audits/2014/05/13/2013-year-end-reportWage Theft Investigations
… Purpose To determine whether the Department of Labor (Department) is efficiently utilizing its resources to undertake and complete wage theft investigations timely … To determine whether the Department of Labor Department is …
https://www.osc.ny.gov/state-agencies/audits/2014/06/06/wage-theft-investigationsRailroad Bridge Inspection Program
… railroads operating in the State to ensure they meet the bridge inspection requirements. This audit covers the period … 1, 2010 through June 30, 2013. Background The Railroad Bridge Inspection Program (Program) provides oversight of the … to ensure public safety and decrease the risk of railroad bridge failures. Department regulations require railroad …
https://www.osc.ny.gov/state-agencies/audits/2013/12/09/railroad-bridge-inspection-programSamaritan Village, Inc. – Chemical Dependency Services Program
… prevention and treatment of alcohol and substance abuse. On October 1, 2009, OASAS entered into a five-year $73.3 …
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
… to more stringent Department enforcement, including on-site compliance reviews or formal Notices of Violation, … have been repaired, or when submitted, if they are on time. As a result, 39 percent of the certifications for …
https://www.osc.ny.gov/state-agencies/audits/2014/01/22/selected-aspects-motor-carrier-safety-assistance-programFiscal Oversight and Monitoring of AIDS Institute Service Provider Contracts
… 700 State and federal contracts annually and processes voucher payments to those contractors. The Institute has … of costs or other supporting documentation to accompany voucher submissions. As such, the Institute has insufficient … importantly, its practice of reviewing only one monthly voucher claim for every two-year period provided very limited …
https://www.osc.ny.gov/state-agencies/audits/2017/05/22/fiscal-oversight-and-monitoring-aids-institute-service-provider-contracts