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Medicaid Drug Rebate Program Under Managed Care (Follow-Up)
… Purpose To determine the implementation status of the 12 recommendations made in our initial audit report, Medicaid Drug Rebate Program Under … both pharmacy and physician-administered drugs. We issued our initial audit report on February 18, 2015. The audit … To determine the implementation status of the 12 recommendations made in our initial audit …
https://www.osc.ny.gov/state-agencies/audits/2017/06/30/medicaid-drug-rebate-program-under-managed-care-followEmpire BlueCross BlueShield Selected Payments for Special Items for the Period January 1, 2011 Through March 31, 2011
… acquisition costs. Background The New York State Health Insurance Program (NYSHIP) provides health coverage to active and retired State, participating local … Related Audits/Reports of Interest New York State Health Insurance Program: Payments Made to Hudson Valley Hospital …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2011-throughAdoption Subsidy Program (Follow-Up)
… governing regulations. The Office of Children and Family Services (OCFS) established the Adoption Subsidy Program (Program) to locate and maintain stable and permanent alternative homes for hard-to-place and … foster children. The Program, administered by local social services districts, provides subsidy payments to assist …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/adoption-subsidy-program-followPipeline Safety Oversight
… standards. Our audit scope covered the period April 1, 2013 through October 21, 2015. Background The Pipelines … New York had 91,181 miles of natural gas pipelines and 1,153 miles of hazardous materials pipelines. Between 1995 …
https://www.osc.ny.gov/state-agencies/audits/2016/03/08/pipeline-safety-oversightSelected Aspects of Inactive Hazardous Waste Site Remediation Cost Recovery
… costs related to site investigation and remediation, bill for and collect these costs from responsible parties in a timely manner, and identify and pursue parties responsible … The Department has taken steps to improve its Superfund billing process and the timeliness of billing. However, bill …
https://www.osc.ny.gov/state-agencies/audits/2015/01/22/selected-aspects-inactive-hazardous-waste-site-remediation-cost-recoveryAccounts Receivable Collection and Reporting
… the Authority’s efforts aim to reduce greenhouse gas emissions, accelerate economic growth, and reduce …
https://www.osc.ny.gov/state-agencies/audits/2015/08/05/accounts-receivable-collection-and-reportingMedicaid Program – Medicaid Drug Rebate Program Under Managed Care
… Purpose To determine whether the Department of Health (Department) has taken appropriate steps to maximize … care. Other Related Audit/Report of Interest Department of Health: Rebates and Discounts on Physician-Administered Drugs … To determine whether the Department of Health has taken appropriate steps to maximize rebate …
https://www.osc.ny.gov/state-agencies/audits/2015/02/18/medicaid-program-medicaid-drug-rebate-program-under-managed-careMonitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Follow-Up)
… initial audit report, Monitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Report 2010-S-21). Background … which was issued on December 9, 2010, examined whether nursing home claims submitted to Medicaid for hospital bed … reserve days were appropriate, and if not, to what extent nursing home claims exceeded the bed reserve day limits. …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/monitoring-medicaid-payments-nursing-home-bed-reserve-days-followOversight of Homeless Shelters
… oversees homeless shelters to ensure they are operating in compliance with applicable laws, rules, and regulations. … to county Departments of Social Services (Local Districts) in the operation of these programs. Through its Bureau of … and ensuring they meet certain standards, as established in New York Codes, Rules and Regulations. In contrast, the …
https://www.osc.ny.gov/state-agencies/audits/2016/02/12/oversight-homeless-sheltersSelected Operating and Administrative Practices of the Bureau of Narcotic Enforcement (Follow-Up)
… included in our initial audit report, Selected Operating and Administrative Practices at the Bureau of … Audit/Report of Interest Department of Health: Selected Operating and Administrative Practices of the Bureau of … included in our initial audit report Selected Operating and Administrative Practices at t …
https://www.osc.ny.gov/state-agencies/audits/2015/09/23/selected-operating-and-administrative-practices-bureau-narcotic-enforcement-followImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… audit report, Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Report 2014-S-5 ). … Medicaid inappropriately paid 29,289 fee-for-services pharmacy claims totaling $978,251 on behalf of 18,010 Medicaid recipients whose pharmacy benefits were covered by managed care. We …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followControls Over Cash Advance Accounts (Follow-Up)
… of implementation of the eight recommendations included in our original report, Controls Over Cash Advance Accounts … Fund – $1,500. Key Finding Parks made significant progress in correcting the problems we identified in the initial report. Of the eight prior audit …
https://www.osc.ny.gov/state-agencies/audits/2016/06/03/controls-over-cash-advance-accounts-followForensic Audit of Payments to On-Board Service Managers (Follow-Up)
… Purpose To determine the extent of implementation of the three … in our initial audit report, Forensic Audit of Payments to on-Board Service Managers (2011-S-35). Background Our … To determine the extent of implementation of 3 recommendations included in our intl …
https://www.osc.ny.gov/state-agencies/audits/2016/01/21/forensic-audit-payments-board-service-managers-followInspecting Highway Bridges and Repairing Defects (Follow-Up)
… of implementation of the four recommendations included in our initial report, Inspecting Highway Bridges and … five years. Key Finding Authority officials made progress in correcting the problems we identified. Of the four prior … are planned to address the unresolved issues discussed in this review. …
https://www.osc.ny.gov/state-agencies/audits/2016/06/30/inspecting-highway-bridges-and-repairing-defects-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations made in our audit report, New … benefits plan for NYSHIP. The New York State Department of Civil Service contracts with Empire BlueCross BlueShield … To determine the extent of implementation of 3 recommendations made in our audit …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… made in our initial audit report, United HealthCare Insurance Company of New York: Empire Plan Drug Rebate … made in our intl audit report United HealthCare Insurance Company of New York Empire …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followPayments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (2012-S-11). Background Our initial … 2011, Medicaid made improper payments totaling $94,460 to Davis Ethical Pharmacy. Based on information obtained from … indicated on the claims), auditors determined that Davis Ethical likely fabricated nearly all of the improper …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacy-followEffectiveness of the Information Technology Transformation
… the resulting Office of Information Technology Services (ITS) clusters operate efficiently and whether the … Background The Office of Information Technology Services (ITS) was established in November 2012 as part of a New York … merge State agencies’ operations and streamline services. ITS was created pursuant to a recommendation of the …
https://www.osc.ny.gov/state-agencies/audits/2016/08/24/effectiveness-information-technology-transformationUse of State Appropriations
… and Markets (NYSDAM). Its most recent contract was for $3.7 million and covered the four years ending March …
https://www.osc.ny.gov/state-agencies/audits/2016/06/16/use-state-appropriationsContracts for Personal and Miscellaneous Services (Follow-Up)
… included in our initial audit report, Contracts for Personal and Miscellaneous Services ( 2008-S-158 ). … have a requirement to periodically assess whether existing personal and miscellaneous service contracts were still … necessary goods or services. We estimated that by reducing personal and miscellaneous service contract costs by 10 …
https://www.osc.ny.gov/state-agencies/audits/2015/01/06/contracts-personal-and-miscellaneous-services-follow