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New York State Health Insurance Program – Payments by Empire BlueCross for Hospital Services for Ineligible Members
… To determine whether Empire BlueCross paid hospital claims for members who were not eligible. The audit covered the … records; however, Civil Service is ultimately responsible for ensuring these groups fulfill their duties. Civil Service … and Accounting System (NYBEAS) as the system of record for member enrollment and eligibility information, and …
https://www.osc.ny.gov/state-agencies/audits/2020/08/18/new-york-state-health-insurance-program-payments-empire-bluecross-hospital-servicesPurchasing Practices at the Linden Plaza Mitchell-Lama Housing Development (Follow-Up)
… initial audit report Purchasing Practices at the Linden Plaza Mitchell-Lama Housing Development (Report 2017-N-5 ). … report, issued September 6, 2018, examined whether Linden Plaza was procuring goods, supplies, and services at … with approximately 47,000 total units (apartments). Linden Plaza, a Mitchell-Lama rental development in Brooklyn, is …
https://www.osc.ny.gov/state-agencies/audits/2020/06/23/purchasing-practices-linden-plaza-mitchell-lama-housing-development-followUnited HealthCare – Overpayments for Services Provided by Orthopedic Associates of Long Island
… accepted $6,932 as the full payment, United should have only paid $5,546 on the claim. This resulted in an …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-orthopedic-associates-long-islandAll-Agency Contract Evaluation System
… determine whether Metropolitan Transportation Authority (MTA) Capital Construction is monitoring and evaluating its … satisfactory. In addition, we sought to determine whether MTA officials are reviewing and using the ACE ratings prior … guidance for rating common situations for ACE components. Update the Procedures to implement a clear process on how to …
https://www.osc.ny.gov/state-agencies/audits/2021/03/04/all-agency-contract-evaluation-systemOversight of Nurse Hiring and Retention
… care services to more than 1 million New Yorkers annually. For the fiscal year ended June 30, 2017, Health and Hospitals … nursing staff and manages agreements with staffing agencies on behalf of Health and Hospitals. These staffing … check requirements for nurses are met prior to their hiring. Ensure facilities maintain complete, readily …
https://www.osc.ny.gov/state-agencies/audits/2018/07/16/oversight-nurse-hiring-and-retentionCapital Planning and Maintenance
… Purpose To determine whether the Ogdensburg Bridge and Port Authority effectively plans and prioritizes … 2012 through December 23, 2015. Background The Ogdensburg Bridge and Port Authority (Authority), created in 1961, … North Country: the Ogdensburg-Prescott International Bridge (Bridge); the Ogdensburg International Airport …
https://www.osc.ny.gov/state-agencies/audits/2016/04/08/capital-planning-and-maintenanceOversight of Chemical Dependence Residential Services
… Addiction Services and Supports (OASAS) properly monitored residential services to ensure conditions are safe and secure … and recovery. OASAS oversees Chemical Dependence Residential Services delivered by certified providers, including Community Residential (CR) and Supportive Living (SL) services. A CR …
https://www.osc.ny.gov/state-agencies/audits/2021/12/03/oversight-chemical-dependence-residential-servicesCompliance With Jonathan's Law
… Objective To determine whether the Office of Mental Health is complying with the requirements … died while in the care of a State facility operated by the Office of Mental Retardation and Developmental Disabilities (subsequently renamed the Office for People With Developmental Disabilities). …
https://www.osc.ny.gov/state-agencies/audits/2019/07/19/compliance-jonathans-lawFare Evasion (Follow-Up)
… Bus Service pay their fare on the bus. Select Bus Service (SBS) passengers pay their fare before boarding at ticket purchase machines located at SBS bus stops. Transit’s Division of Operations Planning is … was often missing, which was especially problematic for SBS, where passengers pay the fare before boarding the bus. …
https://www.osc.ny.gov/state-agencies/audits/2023/06/22/fare-evasion-followReal Property Portfolio
… Objectives To determine whether Empire State Development (ESD) fully and accurately accounted for … disposed of real property in a manner beneficial to the State. The audit covered the period from April 2019 through … Program ESD’s mission is to promote a vigorous and growing state economy; encourage business investment and job …
https://www.osc.ny.gov/state-agencies/audits/2024/08/21/real-property-portfolioFire Prevention, Safety and Control
… Disabilities (Office) was in compliance with applicable fire prevention, safety and control requirements that help ensure the safety of … with developmental disabilities. On March 21, 2009, a fire in one of the residences resulted in the death of four … Disabilities Office was in compliance with applicable fire prevention safety and control requir …
https://www.osc.ny.gov/state-agencies/audits/2013/11/21/fire-prevention-safety-and-controlCity of Long Beach – Physical Accessibility to Programs and Services (S9-24-36)
… taking additional steps to increase physical accessibility for the 86 components identified in this report. City …
https://www.osc.ny.gov/local-government/audits/city/2025/02/21/city-long-beach-physical-accessibility-programs-and-services-s9-24-36Maternal Health
… made progress in comparison to other states: once ranked 46th among other U.S. states in 2010, it climbed to 15th with …
https://www.osc.ny.gov/state-agencies/audits/2024/07/30/maternal-healthOperational Training and Medical Assessments of Train Crews
… received a passing grade of 80 or higher on the final test, while 23 employees (51 percent) failed the test and returned to work; for the remaining six employees, … Train Operators and Conductors to have an annual hearing test. Thirty-four of the 49 Train Operators were required to …
https://www.osc.ny.gov/state-agencies/audits/2018/03/01/operational-training-and-medical-assessments-train-crewsManagement of Unexpected Delays and Events During Winter 2017-18
… passengers (using LIRR estimates of regular ridership). Only one “Lessons Learned” meeting was held for the sampled …
https://www.osc.ny.gov/state-agencies/audits/2018/08/07/management-unexpected-delays-and-events-during-winter-2017-18Administration of the Contract With the Center for Urban Community Services
… prescribed services, and ensured that CUCS was reimbursed only for appropriate contract expenses. Background DOHMH …
https://www.osc.ny.gov/state-agencies/audits/2016/02/16/administration-contract-center-urban-community-servicesMedicaid Program – Mainstream Managed Care Organizations: Administrative Costs Used in Premium Rate Setting
… costs in determining mainstream managed care premium rates. Our audit covered the period January 1, 2011 … care. Under managed care, Medicaid pays MCOs a monthly premium payment for each enrolled Medicaid recipient and the … is responsible for setting the monthly managed care premium rates, which are based, in part, on allowable MCO …
https://www.osc.ny.gov/state-agencies/audits/2016/10/13/medicaid-program-mainstream-managed-care-organizations-administrative-costs-used-premiumIV.4.B Department Operations – Non-Personal Service – IV. Accounting Codes - Uses and Descriptions
… 58981 Refunds Return of all or a portion of, a tax, fee, fine, etc. paid by a claimant to the State. In accordance …
https://www.osc.ny.gov/state-agencies/gfo/chapter-iv/iv4b-department-operations-non-personal-serviceArtificial Intelligence Governance
… groups other than white males. It further states that NYPD only uses facial recognition technology that has been …
https://www.osc.ny.gov/state-agencies/audits/2023/02/16/artificial-intelligence-governanceReport of Title V Operating Permit Program Revenues, Expenditures, and Changes in Fund Balance for the Eight Fiscal Years Ended March 31, 2017
… in place to accurately capture the Title V Operating Permit Program’s (Program) revenues, expenditures, and … sources subject to the Program must obtain an operating permit and pay annual fees established by the Act. The … bills them annually. The Act mandates that the Program’s permit fee revenues be sufficient to cover all reasonable …
https://www.osc.ny.gov/state-agencies/audits/2019/08/12/report-title-v-operating-permit-program-revenues-expenditures-and-changes-fund-balance