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Unnecessary and Potentially Illegal Consultant Contract With Former New York State Council on the Arts Executive Director
… Background The Empire State Development Corporation (ESDC) is a public benefit corporation whose mission is to promote a growing and vigorous economy and encourage … The New York State Council on the Arts (Council) is a State agency dedicated to preserving and expanding New …
https://www.osc.ny.gov/state-agencies/audits/2013/09/26/unnecessary-and-potentially-illegal-consultant-contract-former-new-york-state-council-artsAdministration of Non-Competitive and Limited-Competition Contracts
… years ended June 30, 2013. Background The mission of ACS is to protect and promote the safety and well-being of New … organizations to operate many of its programs. ACS is required to comply with the provisions of the City’s Rules … register contracts in a timely manner. Since the City is not permitted to pay unregistered contractors, a vendor’s …
https://www.osc.ny.gov/state-agencies/audits/2015/06/17/administration-non-competitive-and-limited-competition-contractsTuition Assistance Program – Vaughn College
… for State financial aid. Background TAP is the largest student grant program administered by the Higher Education … financial aid payments are responsible for certifying student eligibility. Vaughn College of Aeronautics and … students enrolled. The tuition for a full-time student is $10,940 per semester. For the three academic years …
https://www.osc.ny.gov/state-agencies/audits/2016/05/19/tuition-assistance-program-vaughn-collegeNY-Sun Incentive Program
… the marketplace for solar energy in New York. NY-Sun aims to add more than three gigawatts (3 billion watts) of …
https://www.osc.ny.gov/state-agencies/audits/2016/09/02/ny-sun-incentive-programMedicaid Program – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… Purpose To determine whether Davis Ethical Pharmacy (Davis Ethical) inappropriately billed Medicaid for … Program provides prescription drug coverage for enrollees. Davis Ethical is an independently owned pharmacy located in … To determine whether Davis Ethical Pharmacy Davis Ethical inappropriately billed …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/medicaid-program-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyTuition Assistance Program – DeVry College
… students for State-funded Tuition Assistance Program (TAP) awards. Background Founded in 1931, DeVry University … consists of two eight-week sessions. Students pay tuition on a per-credit basis. For the 2014-15 academic year, tuition … totaling almost $6.4 million that were paid to the school on behalf of 1,689 students. We reviewed a sample of 100 …
https://www.osc.ny.gov/state-agencies/audits/2015/04/06/tuition-assistance-program-devry-collegeMedicaid Program – Medicaid Claims Processing Activity April 1, 2014 Through September 30, 2014
… Purpose To determine whether the Department of Health’s eMedNY system … Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period April 1, 2014 … claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-medicaid-claims-processing-activity-april-1-2014-through-september-30-2014Performance Incentive Program
… Purpose To determine whether the Rochester-Genesee Regional … Performance Incentive Program uses reasonable criteria to measure employee performance and whether incentive awards … To determine whether the RochesterGenesee Regional …
https://www.osc.ny.gov/state-agencies/audits/2015/02/27/performance-incentive-programFood Safety Monitoring
… Division of Food Safety and Inspection (Division) is responsible for enforcing State laws and Department … related to food safety. The Division's objective is to ensure a safe and properly labeled food supply - from … required inspection. The Division's staff of 82 inspectors is 27 to 37 percent below the level recommended by the U.S. …
https://www.osc.ny.gov/state-agencies/audits/2014/01/30/food-safety-monitoringUpstate Medical University's Billing Practices
… (Upstate) billing practices are adequate to ensure that insurance carriers are billed timely and that services being … 1.8 million patients annually, and works with over 30 insurance carriers to provide health care for their insured … denied, and payments might not be obtained for services. Insurance carriers may deny payment for a variety of reasons …
https://www.osc.ny.gov/state-agencies/audits/2017/02/17/upstate-medical-universitys-billing-practicesLead Contamination of State Armories (Follow-Up)
… over the New York National Guard and provides them with federal resources, including funding, regulatory … regarding a possible lead dust hazard in ARNG armories, with personal exposure possibly resulting in growth disorders …
https://www.osc.ny.gov/state-agencies/audits/2021/12/16/lead-contamination-state-armories-followOversight of the Clean Water State Revolving Fund
… Objective To determine if the Environmental Facilities Corporation … overseeing the Clean Water State Revolving Fund (CWSRF) to ensure funds are being awarded, used, and collected in … To determine if the Environmental Facilities Corporation is …
https://www.osc.ny.gov/state-agencies/audits/2021/12/30/oversight-clean-water-state-revolving-fundMedicaid Program – Claims Processing Activity April 1, 2021 Through September 30, 2021
… Objective To determine whether the Department of Health’s (Department) … Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period from April … To determine whether the Department of Healths Department …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-claims-processing-activity-april-1-2021-through-september-30-2021Cost Saving Opportunities on Payments of Medicare Part C Claims (Follow-Up)
… copayments. The Centers for Medicare & Medicaid Services (CMS) allows state Medicaid programs to determine the payment … fee, or a rate between those two amounts approved by CMS. In New York, Medicaid pays 85% of dual-eligibles’ …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/cost-saving-opportunities-payments-medicare-part-c-claims-followBuffalo Hearing & Speech Center, Inc. – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs and revenues reported by … the Center provides preschool special education services to children with disabilities who are between three and five … information, including costs, that the Center reports to SED on its annual CFRs. To be eligible for reimbursement, …
https://www.osc.ny.gov/state-agencies/audits/2021/05/27/buffalo-hearing-speech-center-inc-compliance-reimbursable-cost-manualOversight of Telemental Health Services
To determine if the Office of Mental Health is adequately monitoring the delivery and performance of telemental health services and ensuring that related telemental health activities are conducted in accordance with applicable laws and regulations
https://www.osc.ny.gov/state-agencies/audits/2021/06/17/oversight-telemental-health-servicesOversight of Passenger Safety (Follow-Up)
… specific trip information, such as date and time of use, driver, occupants, and purpose of the trip. We issued our … vehicles are being operated safely by employees with valid driver licenses. Our audit covered the period of April 1, … assigned to transport clients, despite having suspended driver licenses. In addition, repairs related to manufacturer …
https://www.osc.ny.gov/state-agencies/audits/2020/07/28/oversight-passenger-safety-followOversight of Transportation Services and Expenses (Follow-Up)
… initial audit report, Oversight of Transportation Services and Expenses (Report 2021-S-1 ). About the Program DOCCS … of both passenger (e.g., cars, SUVs, vans, pickup trucks) and large transportation (e.g., inmate buses, tractor … operations. Of the 44 facilities, 32 manage the repairs and procurement of parts for their facility or another …
https://www.osc.ny.gov/state-agencies/audits/2024/07/31/oversight-transportation-services-and-expenses-followImproper Medicaid Managed Care Payments for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies on Behalf of Recipients in Nursing Homes (Follow-Up)
… Objective To assess the extent of implementation of the four … the cost of most DMEPOS, and separate payments are not to be made for DMEPOS when the cost of these items is … Moreover, it is the dispensing provider’s responsibility to verify with the recipient’s nursing home whether the …
https://www.osc.ny.gov/state-agencies/audits/2023/06/21/improper-medicaid-managed-care-payments-durable-medical-equipment-prosthetics-orthotics-andImproper Medicaid Payments for Claims Not in Compliance With Ordering, Prescribing, Referring, and Attending Requirements (Follow-Up)
… Objective To assess the extent of implementation of the 12 … a level of assurance over the OPRA provider's validity to provide Medicaid services. It further allows the Department to verify the provider's licensing and other credentials to … To assess the extent of implementation of the 12 …
https://www.osc.ny.gov/state-agencies/audits/2023/09/13/improper-medicaid-payments-claims-not-compliance-ordering-prescribing-referring-and