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Medicaid Managed Care Organization Fraud and Abuse Detection (Follow-Up)
… the implementation status of the 11 recommendations made in our initial audit report, Medicaid Managed Care … been excluded or terminated from the Medicaid program. In addition, MCOs are required to have effective compliance … that only eligible health care providers participate in Medicaid. We issued our initial audit report on July 15, …
https://www.osc.ny.gov/state-agencies/audits/2018/08/22/medicaid-managed-care-organization-fraud-and-abuse-detection-followMultiple Same-Day Procedures on Ambulatory Patient Groups Claims (Follow-Up)
… the implementation status of the five recommendations made in our initial audit report, Multiple Same-Day Procedures on … of service. The Department of Health (Department) phased in the APG methodology beginning with hospital outpatient … December 1, 2008. The APG methodology was then implemented in diagnostic and treatment centers and freestanding …
https://www.osc.ny.gov/state-agencies/audits/2017/01/12/multiple-same-day-procedures-ambulatory-patient-groups-claims-followMedicaid Overpayments for Certain Medicare Part C Claims (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Medicaid Overpayments for … Many of the State’s Medicaid recipients are also enrolled in Medicare, the federal health insurance program for the … services provided to enrollees. For individuals enrolled in both Medicaid and Medicare Part C, plan providers bill …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/medicaid-overpayments-certain-medicare-part-c-claims-followMedicaid Program – Appropriateness of Medicaid Eligibility Determined by the New York State of Health System
… has adequate controls to ensure accurate enrollments in the Medicaid program and to determine whether improper … of the federal Patient Protection and Affordable Care Act in 2010, the State developed the New York State of Health … of the scope limitation on the conclusions presented in our report. Using other Medicaid data sources, we …
https://www.osc.ny.gov/state-agencies/audits/2015/10/28/medicaid-program-appropriateness-medicaid-eligibility-determined-new-york-state-healthUnified Court System Bulletin No. UCS-361
… increase for employees represented by DC37, Local 1070, in Bargaining Unit SK. Affected Employees: Employees represented by DC37, Local 1070, in Bargaining Unit SK are affected. Background: Per the … 1070 dated January 15, 2026, membership dues for employees in Bargaining Units SK (Deduction Code 238) will increase as …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-361-district-council-37-dc37-local-1070-dues-increaseCompliance With Executive Order 95 (Open Data) (Follow-Up)
… of implementation of the two recommendations included in our initial audit report, Compliance With Executive Order … by the Executive). EO 95 implementation was phased in beginning in March 2013, with covered entities required to be in full … of implementation of the two recommendations included in our initial audit report Compliance With Executive Order …
https://www.osc.ny.gov/state-agencies/audits/2022/02/01/compliance-executive-order-95-open-data-followCompliance With Executive Order 95 (Open Data) (Follow-Up)
… of implementation of the two recommendations included in our initial audit report, Compliance With Executive Order … by the Executive). EO 95 implementation was phased in beginning in March 2013, with covered entities required to be in full … of implementation of the two recommendations included in our initial audit report Compliance With Executive Order …
https://www.osc.ny.gov/state-agencies/audits/2022/04/13/compliance-executive-order-95-open-data-followEfficiency of Warehouse Space (Follow-Up)
… as of April 2022, of the six recommendations included in our initial audit report, Efficiency of Warehouse Space … State warehouses – leased and State owned – did not exist. In response to the onset of the COVID-19 pandemic in March 2020, OGS shifted its priorities, requiring it to …
https://www.osc.ny.gov/state-agencies/audits/2022/05/25/efficiency-warehouse-space-followNew York State Health Insurance Program – Empire Plan Members With Dual Family Coverage (Follow-Up)
… of implementation of the two recommendations included in our initial audit report, New York State Health Insurance … their spouse/domestic partner are both eligible to enroll in NYSHIP, only one may elect Family coverage (the other may … Civil Service officials addressed the issues identified in the initial audit, officials cited Health Insurance …
https://www.osc.ny.gov/state-agencies/audits/2022/09/26/new-york-state-health-insurance-program-empire-plan-members-dual-family-coverage-followOversight of Afterschool and Summer Youth Employment Contracts (Follow-Up)
… of implementation of the 10 recommendations included in our initial audit report, Oversight of Afterschool and … of 14 and 24 with paid summer employment for up to 6 weeks in July and August. The Department contracts with providers who, in turn, secure employment opportunities at local employers. …
https://www.osc.ny.gov/state-agencies/audits/2022/09/30/oversight-afterschool-and-summer-youth-employment-contracts-followCompliance With Executive Order 95 (Open Data) (Follow-Up)
… of implementation of the two recommendations included in our initial audit report, Compliance With Executive Order … by the Executive). EO 95 implementation was phased in beginning in March 2013, with covered entities required to be in full … of implementation of the two recommendations included in our initial audit report Compliance With Executive Order …
https://www.osc.ny.gov/state-agencies/audits/2022/11/09/compliance-executive-order-95-open-data-followOversight of Casino Revenues and Regulatory Oversight Reimbursement Collections (Follow-Up)
… of implementation of the four recommendations included in our initial audit report, Oversight of Casino Revenues and … (Commission) regulates all aspects of gaming activity in New York and is responsible for overseeing three types of casinos in the State: commercial, video lottery terminal (VLT), and …
https://www.osc.ny.gov/state-agencies/audits/2021/05/05/oversight-casino-revenues-and-regulatory-oversight-reimbursement-collections-followEnforcement of Commission Orders and Other Agreements (Follow-Up)
… of implementation of the four recommendations included in our initial audit report, Enforcement of Commission Orders … Commission (Commission) regulates 650 utilities operating in New York State. Through its Department of Public Service … the quality of service. These conditions are listed in Commission Orders (Orders), and any violation of an …
https://www.osc.ny.gov/state-agencies/audits/2021/09/01/enforcement-commission-orders-and-other-agreements-followUser Access Controls Over Selected System Applications (Follow-Up)
… of implementation of the two recommendations included in our initial audit report , User Access Controls Over … patient care. Upstate, the only academic medical center in Central New York, comprises four colleges, a research … and inappropriate access to applications after a change in the users’ status (e.g., employment separation, death). …
https://www.osc.ny.gov/state-agencies/audits/2021/07/16/user-access-controls-over-selected-system-applications-followCompliance With Executive Order 95 (Open Data) (Follow-Up)
… of implementation of the two recommendations included in our initial audit report, Compliance With Executive Order … by the Executive). EO 95 implementation was phased in beginning in March 2013, with covered entities required to be in full … of implementation of the two recommendations included in our initial audit report Compliance With Executive Order …
https://www.osc.ny.gov/state-agencies/audits/2021/08/18/compliance-executive-order-95-open-data-followCompliance With Executive Order 95 (Open Data) (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Compliance with Executive Order … by the Executive). EO 95 implementation was phased in beginning in March 2013, with covered entities required to be in full … of implementation of the three recommendations included in our initial audit report Compliance with Executive Order …
https://www.osc.ny.gov/state-agencies/audits/2021/08/27/compliance-executive-order-95-open-data-followLow-Income Housing Trust Fund Program (Follow-Up)
… Low-Income Housing Trust Fund Program (Report 2013-S-32 ). About the Program Our initial report, issued on August …
https://www.osc.ny.gov/state-agencies/audits/2020/04/02/low-income-housing-trust-fund-program-followMedicaid Overpayments for Medicare Advantage Plan Services (Follow-Up)
… of implementation of the five recommendations included in our initial audit report, Medicaid Overpayments for … program. Many Medicaid recipients are also enrolled in Medicare Part C, commonly referred to as Medicare Managed … overpayments occurred because adequate controls were not in place to detect the improper claims. We recommended the …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-advantage-plan-services-followControls and Management of the Unemployment Insurance System (Follow-Up)
… of implementation of the six recommendations included in our initial audit report, Controls and Management of the … Program One of the Department of Labor’s (DOL) key tasks in assisting the unemployed is administering the State’s … who become unemployed through no fault of their own. In March 2020, Executive Order 202.8 directed the temporary …
https://www.osc.ny.gov/state-agencies/audits/2024/06/17/controls-and-management-unemployment-insurance-system-followControls Over Capital Improvements at City-Owned Homeless Shelters (Follow-Up)
… of implementation of the four recommendations included in our initial audit report, Controls Over Capital … services for eligible homeless families and individuals in the City and for fiscal oversight of the homeless … shelters. DHS contracts with public and private entities in its mission to: prevent homelessness when possible; …
https://www.osc.ny.gov/state-agencies/audits/2023/03/22/controls-over-capital-improvements-city-owned-homeless-shelters-follow