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Maximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program (Follow-Up)
… included in our initial audit report, Medicaid Program – Maximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program (Report 2021-S-11 ). About the Program The Department of Health (DOH) administers the … included in our initial audit report Medicaid Program Maximizing Drug Rebates Under the Federal Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2024/12/20/maximizing-drug-rebates-under-federal-medicaid-drug-rebate-program-followState Agencies Bulletin No. 2198
… inform agencies of the content information for the 2023 Form W-2. Affected Employees: All employees who receive a Form W-2 Wage and Tax Statement for calendar year 2023 are … 15 (Circular E) for 2023, and the Instructions for Form W-2 (Wage and Tax Statement), employers are required to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2198-form-w-2-wage-and-tax-statement-tax-year-2023State Agencies Bulletin No. 2308
… to inform agencies of the content information for the 2024 Form W-2. Affected Employees: All employees who receive a Form W-2 Wage and Tax Statement for calendar year 2024 are … 15 (Circular E) for 2024, and the Instructions for Form W-2 (Wage and Tax Statement), employers are required to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2308-form-w-2-wage-and-tax-statement-tax-year-2024Legal Topics and Approvals
… Advisory Legal Opinions Local Debt Refunding: Procedures for Seeking Comptroller's Approval Relating to Refunding … Local Government Ethics Resources Procurements: Guidelines for the "Piggybacking" Exception to Competitive Bidding [pdf] How to Apply for Exclusion of Sewer Debt from Municipal Debt Limits …
https://www.osc.ny.gov/local-government/resources/legal-topics-and-approvalsHawthorne Foundation, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Hawthorne Foundation, Inc. (Hawthorne) on its Consolidated Fiscal Report (CFR) were … covered the fiscal year ended June 30, 2015. Background Hawthorne is an SED-approved, not-for-profit special … To determine whether the costs reported by Hawthorne Foundation Inc on its Consolidated Fiscal Report …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/hawthorne-foundation-inc-compliance-reimbursable-cost-manualMultiple Same-Day Procedures on Ambulatory Patient Groups Claims (Follow-Up)
… over $11 million in improper and questionable APG claim payments. For example, overpayments were made for the … rehabilitation services and recovering $107,388 in APG claim overpayments. The initial report’s five audit …
https://www.osc.ny.gov/state-agencies/audits/2017/01/12/multiple-same-day-procedures-ambulatory-patient-groups-claims-followOversight and Collection of Snowmobile Registration Fees
… trails in New York State. Members of approved snowmobile clubs pay a reduced registration fee of $45, while non-club … fees for the three years we reviewed. Snowmobile clubs provide vouchers to members that show member name and …
https://www.osc.ny.gov/state-agencies/audits/2013/07/11/oversight-and-collection-snowmobile-registration-feesSunshine Developmental School – Compliance With the Reimbursable Cost Manual
… the State Education Department’s (SED) Reimbursable Cost Manual (Manual). The audit included all expenses claimed for the … Sunshine Developmental on its annual CFRs. SED issued the Manual to provide guidance to special education providers on …
https://www.osc.ny.gov/state-agencies/audits/2015/09/10/sunshine-developmental-school-compliance-reimbursable-cost-manualUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… recommendations made in our initial audit report, United HealthCare Insurance Company of New York: Empire Plan Drug … of Civil Service (Department) contracted with United HealthCare (United) to administer the Plan’s prescription … Interest New York State Health Insurance Program: United HealthCare: Payments for Fraudulent and Improper Claims …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followOversight of the Early Intervention Program’s State Fiscal Agent
… and toddlers from birth to three years of age whose healthy development is compromised and provide for …
https://www.osc.ny.gov/state-agencies/audits/2016/03/24/oversight-early-intervention-programs-state-fiscal-agentReporting and Utilization of Bias Incident Data
… violence, intimidation, and destruction of property based on bias and prejudice. The Act requires law enforcement … data is drawn from Incident Reports that are prepared by its Hate Crimes Task Force. Key Findings Based on existing … of hate crime-related data are reconciled and supported by the properly accounted for incident reports. Periodically …
https://www.osc.ny.gov/state-agencies/audits/2014/09/25/reporting-and-utilization-bias-incident-dataOverpayments of Claims for Selected Professional Services (Follow-Up)
… Purpose To determine the extent of implementation of the four recommendations included in our initial audit report, Overpayments of Claims for Selected Professional Services (Report … To determine the extent of implementation of the four recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2013/09/23/overpayments-claims-selected-professional-services-followCosts to Administer the Insurance Division Operations for the Three Fiscal Years Ended March 31, 2012
… accurately, pursuant to Section 332, Article 3 of the Insurance Law. Our audit covered the period April 1, 2009 … established with the merger of the former Departments of Insurance and Banking on October 3, 2011. The Department's Insurance Division carries on the core functions of …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/costs-administer-insurance-division-operations-three-fiscal-years-ended-march-31-2012Collection and Use of the Motor Vehicle Law Enforcement Fee
… March 31, 2012. Background New York State collects the Motor Vehicle Law Enforcement Fee (Fee) on each automobile … departments and district attorney's offices to combat motor vehicle theft and insurance fraud. The State Police uses Fee revenue …
https://www.osc.ny.gov/state-agencies/audits/2013/07/12/collection-and-use-motor-vehicle-law-enforcement-feeUncollected Penalties
… (Department) effectively pursues and collects outstanding penalties. The audit covers the period April 1, 2007 through February 1, … compliance. When problems are not corrected, monetary penalties can be assessed. Between April 1, 2007 and … Department effectively pursues and collects outstanding penalties The audit covers the period April …
https://www.osc.ny.gov/state-agencies/audits/2013/07/31/uncollected-penaltiesContract Advisory No. 31
… date the purchase order would be dispatched to the vendor. The Expire Date should be the last day of the fiscal … and the transaction should be created using the NYS Vendor Id associated with the centralized contract from which … EBV Electronic – Best Value (RFP) Once SFS users receive notification of the OC transaction approval, users may …
https://www.osc.ny.gov/state-agencies/advisories/contract-advisory/31-purchases-ogs-centralized-contractsKids in Action of Long Island, Inc. – Compliance With the Reimbursable Cost Manual
… Kids in Action is reimbursed for these services through rates set by SED. Kids in Action also operated a Department … this program are based on fixed fees. The reimbursement rates for the SEIT program are based on financial … in non-allowable telephone service fees, $452 in excess mileage expenses, and $320 in other ineligible costs. Key …
https://www.osc.ny.gov/state-agencies/audits/2022/03/04/kids-action-long-island-inc-compliance-reimbursable-cost-manualMedicaid Program – Improper Managed Care Payments for Misclassified Patient Discharges
… to reimburse hospitals for inpatient medical care. When a hospital bills an MCO for an inpatient stay, the hospital reports certain information on its claims, such as … than if the patient was simply discharged home from the hospital. Key Findings The audit identified 2,808 managed …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-improper-managed-care-payments-misclassified-patient-dischargesImproper Medicaid Payments for Recipients in Hospice Care (Follow-Up)
… audit report, Improper Medicaid Payments for Recipients in Hospice Care ( 2017-S-76 ). About the Program Hospice is a … Generally, when eligible Medicaid recipients elect hospice care, they waive their right to use Medicaid for … payments to providers on behalf of recipients receiving hospice care. The audit covered the period January 1, 2013 …
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/improper-medicaid-payments-recipients-hospice-care-followMedicaid Program – Improper Supplemental Maternity Capitation Payments to Managed Care Organizations
… through July 31, 2020. About the Program The Department of Health (Department) administers New York’s Medicaid program. Many of the State’s Medicaid recipients receive their services … eligible for reimbursement. Instead, the Department relies on audits by the Office of the Medicaid Inspector General …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-supplemental-maternity-capitation-payments-managed-care