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Improper Medicaid Payments During Permissible Overlapping Medicaid and Essential Plan Coverage (Follow-Up)
… (Report 2022-S-35 ). About the Program The Department of Health (DOH) administers the State’s Medicaid program and the Essential Plan, both of which provide health care services to individuals who are economically … of overlapping coverage. The Essential Plan should be the primary payer and Medicaid, as secondary payer, should pay …
https://www.osc.ny.gov/state-agencies/audits/2025/06/04/improper-medicaid-payments-during-permissible-overlapping-medicaid-and-essential-planCVS Caremark – Accuracy of Empire Plan Commercial Rebate Revenue Remitted to the Department of Civil Service
… remitted corresponding rebate revenue to the Department of Civil Service for prescription drugs provided under the … Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance coverage to about … remitted corresponding rebate revenue to the Department of Civil Service for prescription drugs provided under the …
https://www.osc.ny.gov/state-agencies/audits/2025/03/18/cvs-caremark-accuracy-empire-plan-commercial-rebate-revenue-remitted-department-civilFacility Oversight and Timeliness of Response to Complaints and Inmate Grievances
… for the oversight of correctional facilities and for responding timely to complaints and inmate grievances. Our audit scope covers the period … 54 State correctional facilities, four Office of Children and Family Services facilities, 74 local correctional … for the oversight of correctional facilities and for …
https://www.osc.ny.gov/state-agencies/audits/2018/01/19/facility-oversight-and-timeliness-response-complaints-and-inmate-grievancesOversight of Persons Convicted of Driving While Intoxicated (Follow-Up)
… blood alcohol concentration exceeds a preset level. For the period from January 1, 2015 to December 31, 2016, the courts ordered the installation of 1,084 IIDs for offenders under Probation’s supervision. We found that … of the IIDs were installed in the cars of persons cited for alcohol-related motor vehicle violations and that …
https://www.osc.ny.gov/state-agencies/audits/2017/05/15/oversight-persons-convicted-driving-while-intoxicated-followMedicaid Program – Ambulatory Patient Groups Payments for Duplicate Claims and Services in Excess of Medicaid Service Limits
… with hospital outpatient departments and ambulatory surgery centers on December 1, 2008. The methodology was … and potential overpayments to providers for services that exceeded Medicaid service limits. For example, Medicaid … of Interest Department of Health: Multiple Same-Day Procedures on Ambulatory Patient Groups Claims ( …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-ambulatory-patient-groups-payments-duplicate-claims-and-services-excessInternal Control System Components
… audits of internal control, and issuing the Standards for Internal Control in New York State Government … (Standards). The Standards form the minimum expectations for internal control in State agencies and public … As a result, the Office has multiple mechanisms in place for implementing and evaluating the effectiveness of its …
https://www.osc.ny.gov/state-agencies/audits/2015/08/04/internal-control-system-componentsSecurity Over Electronic Protected Health Information
… Purpose To determine whether the Roswell Park Cancer Institute (Institute) is properly safeguarding … To determine whether the Roswell Park Cancer Institute Institute is properly safeguarding its … and has protection policies in place and a plan to make man …
https://www.osc.ny.gov/state-agencies/audits/2015/07/06/security-over-electronic-protected-health-informationTuition Assistance Program – College of Westchester
… offers programs in business, computer, digital media, and health fields. Tuition for full-time students is … of this audit. Key Recommendations The Higher Education Services Corporation should recover $11,340 plus applicable … The State Education Department and the Higher Education Services Corporation should work with school officials to …
https://www.osc.ny.gov/state-agencies/audits/2016/06/30/tuition-assistance-program-college-westchesterProgram Oversight and Monitoring of the Maximus Contract for the New York State of Health (Insurance Marketplace) Customer Service Center
… known as the New York State of Health, to help New Yorkers shop for and enroll in health insurance coverage. Since 2010, … and Bureau officials had already taken actions to address the matters we identified to help ensure Maximus’ …
https://www.osc.ny.gov/state-agencies/audits/2016/06/16/program-oversight-and-monitoring-maximus-contract-new-york-state-health-insuranceUse of State Appropriations
… Purpose To determine whether the New York Wine and Grape Foundation (Foundation) has spent State funding in compliance with relevant statutory and contractual … To determine whether the New York Wine and Grape Foundation has spent State funding in …
https://www.osc.ny.gov/state-agencies/audits/2016/06/16/use-state-appropriationsAudit of the Tuition Assistance Program at Mercy College
… Education’s Rules and Regulations when certifying students for State-funded Tuition Assistance Program (TAP) awards. … TAP is an entitlement program designed to provide funds for paying tuition costs to eligible students. Schools … receiving TAP payments certify student eligibility. For the three academic years ended June 30, 2011, Mercy …
https://www.osc.ny.gov/state-agencies/audits/2013/11/04/audit-tuition-assistance-program-mercy-collegeAudit of the Tuition Assistance Program at New York Career Institute
… Purpose To determine whether New York Career Institute complied with … school located in downtown Manhattan. NYCI is approved to offer nine certificate and degree programs in the fields … ($12,750 per year). TAP is an entitlement program designed to provide financial assistance to help eligible students pay …
https://www.osc.ny.gov/state-agencies/audits/2014/02/07/audit-tuition-assistance-program-new-york-career-instituteNew York Psychiatric Center – Controls Over State Resources (Follow-Up)
… Institute (Institute), established in 1895, is one of two clinical research facilities administered by the Office of Mental Health (OMH). The Institute conducts clinical trials and research studies relating to the …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/new-york-psychiatric-center-controls-over-state-resources-followOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial audit report, Overpayments for Services Also Covered by Medicare Part B (2010-S-50). Background Many of … To determine the extent of implementation of the three recommendations …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followAspire of Western New York – Compliance With the Reimbursable Cost Manual
… Other Related Audit/Report of Interest The Norman Howard School: Compliance With the Reimbursable Cost Manual …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/aspire-western-new-york-compliance-reimbursable-cost-manualMotor Vehicle Financial Security and Safety Responsibility Acts – Assessable Expenses for the Fiscal Year Ended March 31, 2014
… audit was to determine whether the Department of Motor Vehicles (Department) has adequate procedures in place … which direct that the Comptroller and the Commissioner of Motor Vehicles ascertain the annual amount of expenses … March 31, 2014. Background The Department administers the Motor Vehicle Financial Security Act (Security Act) and the …
https://www.osc.ny.gov/state-agencies/audits/2015/04/15/motor-vehicle-financial-security-and-safety-responsibility-acts-assessable-expenses-fiscal2013 Year End Report
… and medical providers from the Workers’ Compensation Board’s (Board) sole custody funds during the period January 1, … York State Workers’ Compensation Law and New York State’s mandated fee schedules. Background The Board administered … processed by the Board or SFCC, are entered in the Board’s automated payment system, where they are subject to various …
https://www.osc.ny.gov/state-agencies/audits/2014/05/13/2013-year-end-reportCollection of Medicaid Accounts Receivable (Follow-Up)
… Purpose To determine the extent of implementation of the four … through February 18, 2010, we found the Department needed to act more effectively to collect about $37 million of accounts receivable … To determine the extent of implementation of the four …
https://www.osc.ny.gov/state-agencies/audits/2013/09/05/collection-medicaid-accounts-receivable-followSelected Aspects of Discretionary Spending
… Authority (Authority) was created in 1970 as a public benefit corporation, to provide transportation … accomplish its mission, the Authority incurs direct costs for specific program purposes and it incurs indirect or … documentation. Other Related Audit/Report of Interest Battery Park City Authority: Selected Aspects of …
https://www.osc.ny.gov/state-agencies/audits/2014/09/29/selected-aspects-discretionary-spending-1Selected Personal Service Contracts
… two selected Empire State Development Corporation (ESDC) personal service contracts were necessary, appropriately … economic opportunity. We audited two judgmentally selected personal service contracts. The first was a contract with BDO … of these requirements for both the BDO and Adrienne Driben personal service contracts. We also found that ESDC officials …
https://www.osc.ny.gov/state-agencies/audits/2014/04/16/selected-personal-service-contracts