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Universal Pre-Kindergarten Program – Monitoring of Health and Safety Requirements (Follow-Up)
… Pre-Kindergarten Program: Monitoring of Health and Safety Requirements (Report 2016-S-10 ). Background The … program functions and the Facilities Planning Office for safety and fire inspections. Department regulations require … used for UPK to be safe and to comply with applicable fire safety, health, and building codes, and for equipment and …
https://www.osc.ny.gov/state-agencies/audits/2018/03/05/universal-pre-kindergarten-program-monitoring-health-and-safety-requirements-followReducing Medicaid Costs for Recipients With End Stage Renal Disease (Follow-Up)
… report, Reducing Medicaid Costs for Recipients With End Stage Renal Disease (Report 2015-S-14 ). Background We issued … the Medicaid costs of recipients diagnosed with end stage renal disease (ESRD) who were eligible for, but not … of Health: Reducing Medicaid Costs for Recipients With End Stage Renal Disease ( 2015-S-14 ) …
https://www.osc.ny.gov/state-agencies/audits/2018/09/05/reducing-medicaid-costs-recipients-end-stage-renal-disease-followCollection of Petroleum Business Tax and Motor Fuel Excise Tax (Follow-Up)
… of implementation of the two recommendations included in our initial audit report, Collection of Petroleum Business … of fuel at a cents-per-gallon rate at different points in the distribution chain, depending on the product involved. … the PBT rate is 17.3 cents per gallon, up from 16.6 cents in 2021. Transactions exempt from PBT include sales to …
https://www.osc.ny.gov/state-agencies/audits/2022/06/08/collection-petroleum-business-tax-and-motor-fuel-excise-tax-followCompliance With Executive Order 88 – Energy Efficiency of State Buildings (Follow-Up)
… initial audit report, Compliance With Executive Order 88: Energy Efficiency of State Buildings ( 2018-S-62 ). About the … of BuildSmart NY – the State’s program for pursuing energy efficiency in certain New York State government … advancing economic growth, environmental protection, and energy security in the State. EO 88 is intended to accomplish …
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/compliance-executive-order-88-energy-efficiency-state-buildings-followImproper Fee-for-Service Payments for Services Covered by Managed Care (Follow-Up)
… (Report 2017-S-74 ). About the Program The Department of Health (Department) pays Medicaid providers using the … the Department, through its Medicaid claims processing and payment system, pays providers directly for services … ranging from hospital inpatient care to physician and dental services. Plans are responsible for providing most …
https://www.osc.ny.gov/state-agencies/audits/2021/02/11/improper-fee-service-payments-services-covered-managed-care-followOversight of Industrial Hemp (Follow-Up)
… Objective To determine the extent of implementation of the three … the United States, as both the stalk and seed can be used to produce thousands of different products, including … of higher education and state departments of agriculture to grow or cultivate industrial hemp for research purposes. …
https://www.osc.ny.gov/state-agencies/audits/2021/07/16/oversight-industrial-hemp-followResponsiveness to Noise Complaints Related to New York City Nightlife Establishments (Follow-Up)
… noise complaints related to nightlife establishments in New York City (NYC). The audit found that the NYPD’s and … strategies and tactics with each other were limited. In addition, the SLA did not access and analyze pertinent … complaints. Key Findings NYPD officials made some progress in addressing the problems we identified in the initial audit …
https://www.osc.ny.gov/state-agencies/audits/2020/02/04/responsiveness-noise-complaints-related-new-york-city-nightlife-establishments-followManagement of Invasive Species
… are commonly spread via fishing and boating activities. Boat stewards are volunteers or paid members of the community … AIS preventive measures, including public education (e.g., boat steward education/inspection program; warning signage at public boat launches) and is responsible for implementing and …
https://www.osc.ny.gov/state-agencies/audits/2020/07/23/management-invasive-speciesOversight of Managed Long-Term Care Member Eligibility (Follow-Up)
… services, such as home health care and nursing home care, for people who are chronically ill or disabled. For the year ended December 31, 2022, Medicaid paid MLTC plans $15.7 billion in premiums for 338,186 recipients enrolled in MLTC. The Department …
https://www.osc.ny.gov/state-agencies/audits/2024/03/13/oversight-managed-long-term-care-member-eligibility-followReporting of Community-Based Services Under the Transformation Reinvestment Plan (Follow-Up)
… further developing and enhancing community-based services (CBS) in the State. Under the Plan, OMH reinvests funds … State beds (about $110,000 per closed bed) into expanded CBS. To document its oversight of reinvestments and services … geographically and for what services. Examples of CBS supported via the reinvestment funds include supported …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/reporting-community-based-services-under-transformation-reinvestment-plan-followPrivacy and Security of Student Data (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Privacy and Security of Student … complete, interconnected systems of educational services in the United States. SED administers school aid, regulates … Commissioner of Education (Part 121), which was adopted in January 2020. The objectives of our initial audit, issued …
https://www.osc.ny.gov/state-agencies/audits/2024/09/26/privacy-and-security-student-data-followNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Payments by UnitedHealthcare for … Civil Service and United have made significant progress in addressing the issues identified in the initial audit. United recovered about $500,000 of the …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesCompliance With Special Education Regulations for the Provision of Services (Follow-Up)
… education. The New York City Department of Education (DOE) – the nation’s largest school system – served … 192,000 of these students in the 2021-22 school year. The DOE is responsible for evaluating students to determine their … receive appropriate services. Toward this end, the DOE follows a multi-step evaluation and placement process. …
https://www.osc.ny.gov/state-agencies/audits/2023/03/15/compliance-special-education-regulations-provision-services-followImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up)
… by the Centers for Medicare & Medicaid Services (CMS), Medicaid pays Medicare premiums for individuals who … and process enrollment in the Buy-in Program. In addition, CMS automatically enrolls certain individuals. Medicaid … who were automatically added to the Buy-in Program by CMS with coverage beginning more than 2 years retroactively, …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/improper-payments-medicare-buy-premiums-ineligible-recipients-followUse of Federal Funding for Election Technology and Security (Follow-Up)
… in our initial audit report, Use of Federal Funding for Election Technology and Security (Report 2020-S-18 ). About … (BOE) is responsible for administering and enforcing election laws in the State. To fulfill these … the nation’s voting process. HAVA established minimum election administration standards and created the U.S. …
https://www.osc.ny.gov/state-agencies/audits/2023/06/22/use-federal-funding-election-technology-and-security-followImproper Supplemental Maternity Capitation Payments to Managed Care Organizations (Follow-Up)
… of implementation of the six recommendations included in our initial audit report, Improper Supplemental Maternity … (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs pay for services their members require. In addition to the monthly premiums, MCOs can receive a …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/improper-supplemental-maternity-capitation-payments-managed-care-organizations-followCriminal History Background Checks of Unlicensed Health Care Employees (Follow-Up)
… (Department) effectively oversaw and monitored efforts by Nursing Homes, Adult Care Facilities (ACFs), and Home Health … conducting background checks on unlicensed employees of Nursing Homes, ACFs, and HHCs, according to State …
https://www.osc.ny.gov/state-agencies/audits/2018/11/20/criminal-history-background-checks-unlicensed-health-care-employees-followRegistration and Enforcement of Automotive Service, Sales, and Salvage Facilities (Follow-Up)
… included in our initial audit report, Registration and Enforcement of Automotive Service, Sales, and Salvage Facilities ( 2016-S-71 ). Background The … highway safety, promote proper repairs to vehicles, and protect consumers of motor vehicle repairs. The Vehicle …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/registration-and-enforcement-automotive-service-sales-and-salvage-facilities-followMedicaid Payments for Pharmacy Claims – Joia Pharmacy and a Related Prescriber (Follow-Up)
… made in our initial audit report, Medicaid Payments for Pharmacy Claims – Joia Pharmacy and a Related Prescriber (Report 2013-S-4 ). … made in our initial audit report Medicaid Payments for Pharmacy Claims Joia Pharmacy and a Related Prescriber Report 2013S4 …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/medicaid-payments-pharmacy-claims-joia-pharmacy-and-related-prescriber-followCVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service
… rebate revenue related to Empire Plan drug utilization in accordance with its contract with the Department of Civil … prescription drug program costs about $2 billion annually. In accordance with the contract, CVS Health was required to … period, Civil Service received more than $600 million in commercial drug rebates. Key Findings We reviewed the …
https://www.osc.ny.gov/state-agencies/audits/2019/01/28/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-service