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Medicaid Program – Improper Medicaid Payments for Childhood Vaccines
… ensure proper recoveries are made. Formally instruct MCOs on the proper payment of administered VFC Program vaccines. …
https://www.osc.ny.gov/state-agencies/audits/2018/12/06/medicaid-program-improper-medicaid-payments-childhood-vaccinesNew York Therapy Placement Services, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by New York Therapy Placement Services, Inc. (NYTPS) on its … for comparable administrative job titles of public school districts in the region; and $49,495 in ineligible …
https://www.osc.ny.gov/state-agencies/audits/2018/12/31/new-york-therapy-placement-services-inc-compliance-reimbursable-cost-manualMedicaid Program – Maximizing Drug Rebates for Health and Recovery Plans
… appropriate steps to collect all available drug rebates for Health and Recovery Plans. The audit covered the period … October 1, 2015 through December 31, 2017. Background In 1990, Congress created the Medicaid Drug Rebate Program to … the transition of certain behavioral health services to this new specialized program – the Department did not take …
https://www.osc.ny.gov/state-agencies/audits/2018/06/22/medicaid-program-maximizing-drug-rebates-health-and-recovery-plansHawthorne Foundation, Inc. – Compliance With the Reimbursable Cost Manual
… and allowable under the State Education Department’s (SED) guidelines, including the Reimbursable Cost Manual … special education provider located in Westchester County, New York. Hawthorne provides preschool special education services …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/hawthorne-foundation-inc-compliance-reimbursable-cost-manualState Comptroller DiNapoli Releases School Audits
… and public authority data. Visit the Reading Room for contract FOIL requests, bid protest decisions and …
https://www.osc.ny.gov/press/releases/2018/04/state-comptroller-dinapoli-releases-school-auditsCity of Yonkers – Budget Review (B6-16-10)
… in the City’s proposed budget for the 2016-17 fiscal year are reasonable. Background The City of Yonkers is … City to submit its proposed budgets for the next fiscal year to the State Comptroller and the Commissioner of …
https://www.osc.ny.gov/local-government/audits/city/2016/05/19/city-yonkers-budget-review-b6-16-10Access Controls Over Selected Critical Systems
… over selected Office of Children and Family Services (OCFS) systems are sufficient to prevent unauthorized or … 1, 2016 through December 10, 2018. About the Program OCFS is charged with promoting the safety, permanency, and … youth, families, and vulnerable populations in New York State. Its responsibilities encompass a wide range of social …
https://www.osc.ny.gov/state-agencies/audits/2019/03/21/access-controls-over-selected-critical-systemsComptroller DiNapoli Releases State Audits
… to a Dentist (Follow-Up) (2015-F-3) An audit issued in July 2013, determined that, for the period June 1, 2009 through Sept. 30, 2012, Medicaid made $66,402 in improper payments to a dentist. In a follow-up report, … the audit period for the transactions tested. There is low risk that a significant number of students certified for …
https://www.osc.ny.gov/press/releases/2015/10/comptroller-dinapoli-releases-state-auditsUnited HealthCare – Empire Plan Drug Rebate Revenue
… agreements to United. Consequently, United did not remit the $1,498,719 in rebate revenues to the …
https://www.osc.ny.gov/state-agencies/audits/2016/11/01/united-healthcare-empire-plan-drug-rebate-revenueElmcrest Children’s Center, Inc. – Compliance With the Reimbursable Cost Manual
… The audit covered expenses reported on Elmcrest’s CFR for the fiscal year ended June 30, 2014. Background Elmcrest is a not-for-profit organization located in Syracuse, New York that … We also determined Elmcrest did not disclose related-party transactions with two vendors on its CFR, as required. …
https://www.osc.ny.gov/state-agencies/audits/2017/05/24/elmcrest-childrens-center-inc-compliance-reimbursable-cost-manualMultiple Same-Day Procedures on Ambulatory Patient Groups Claims (Follow-Up)
… in our initial audit report, Multiple Same-Day Procedures on Ambulatory Patient Groups Claims (Report 2012-S-163). … Patient Groups (APG) payment methodology, which is based on patient condition and complexity of service. The … outpatient departments and ambulatory surgery centers on December 1, 2008. The APG methodology was then implemented …
https://www.osc.ny.gov/state-agencies/audits/2017/01/12/multiple-same-day-procedures-ambulatory-patient-groups-claims-followMonitoring of Prevailing Wage Compliance on Construction Contracts
… public and not-forprofit entities, including universities, health care facilities, and State agencies. Most Authority … compliance with Article 8, Section 220 of the State Labor Law on Public Work (Article 8) that requires payment of … Business Enterprises (2014-S-7) Office of Mental Health: OMH Contract With Shorefront Mental Health Board - …
https://www.osc.ny.gov/state-agencies/audits/2017/04/04/monitoring-prevailing-wage-compliance-construction-contractsBrookville Center for Children’s Services, Inc. – Compliance With the Reimbursable Cost Manual
… determine whether the costs reported by Brookville Center for Children’s Services, Inc. (Brookville) on its … The audit included expenses claimed on Brookville’s CFR for the fiscal year ended June 30, 2014, and certain expenses … NYSARC, Inc. - Nassau County Chapter (AHRC), a related party, provided Brookville with management services under the …
https://www.osc.ny.gov/state-agencies/audits/2017/10/04/brookville-center-childrens-services-inc-compliance-reimbursable-cost-manualPayments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial audit report, Payments for Fraudulent and … 10, 2015, William Davis pleaded guilty to Grand Larceny in the Second Degree in Nassau County District Court. He was …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacy-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… and retired State, participating local government and school district employees, and their dependents. The Empire Plan …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012 (Follow-Up)
… and retired State, participating local government and school district employees, and their dependents. The Empire …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughImproper Medicaid Payments to Eye Care Providers
… As a result of these weaknesses, six eye care professionals who did not fully comply with the Department’s … questionable circumstances. For example, the six eye care professionals obtained Medicaid eligibility under 34 provider … and $18,083 for services not supported by proper medical records. (This review was based on judgmental …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/improper-medicaid-payments-eye-care-providersCity of Olean – Budget Review (B18-1-1)
… and expenditure projections in the City’s proposed budget for the 2018-19 fiscal year are reasonable, and whether the … fund operating deficits to submit their tentative budgets for the next fiscal year to the State Comptroller for review while the deficit obligations are outstanding. Key …
https://www.osc.ny.gov/local-government/audits/city/2018/03/19/city-olean-budget-review-b18-1-1Parking Structures (2017-MS-3)
… parking structures were regularly inspected and repaired for the period January 1, 2015 through January 31, 2017. We … maintaining parking structures to be safe and acceptable for public use. Accordingly, the process of continuously … using the results from inspections to create a clear plan for repairs should be implemented. Officials should have …
https://www.osc.ny.gov/local-government/audits/city/2017/12/29/parking-structures-2017-ms-3Quality of Internal Control Certifications (Follow-Up)
… of audits at 12 State agencies focusing specifically on their 2011-2012 Internal Control Certifications submitted … whether these agencies submitted their certifications on time, answered all the questions with the appropriate … issuance of the follow-up review to provide information on any actions that are planned to address the unresolved …
https://www.osc.ny.gov/state-agencies/audits/2015/07/07/quality-internal-control-certifications-follow