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Medicaid Program – Claims Processing Activity April 1, 2024 Through September 30, 2024
… Objective To determine whether the Department of Health’s eMedNY system … were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in … to providers. The audit covered the period from April 2024 through September 2024, and certain claims going back to …
https://www.osc.ny.gov/state-agencies/audits/2025/06/18/medicaid-program-claims-processing-activity-april-1-2024-through-september-30-2024Churchill School and Center – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by the Churchill School and Center on its Consolidated Fiscal Reports (CFRs) … fiscal years ended June 30, 2011. Background The Churchill School and Center consists of the Churchill School (Churchill), the Churchill Center (Center), and a …
https://www.osc.ny.gov/state-agencies/audits/2014/05/27/churchill-school-and-center-compliance-reimbursable-cost-manualCost-Saving Ideas: Managing Workers' Compensation Costs
… Workers' Compensation Law Seek Competition Review vendor and self-insured options and costs at regular intervals. If your experience rating and other factors are good, you may find comparable coverage …
https://www.osc.ny.gov/local-government/publications/cost-saving-ideas-managing-workers-compensation-costsRensselaer City School District – Medicaid Reimbursements (2024M-42)
… report – pdf] Audit Objective Determine whether the Rensselaer City School District (District) officials claimed Medicaid reimbursements to which the District was entitled. Key Findings District officials … students and did not correct and resubmit rejected claims. The District also lacked adequate procedures to ensure …
https://www.osc.ny.gov/local-government/audits/school-district/2024/07/12/rensselaer-city-school-district-medicaid-reimbursements-2024m-42HeartShare Human Services, Inc. – Compliance With the Reimbursable Cost Manual
… to children with disabilities who are between the ages of three and five years. During the 2013-14 school year, … served about 318 students. The New York City Department of Education (DoE) refers students to HeartShare and pays for … by SED. The DoE is reimbursed by SED for a portion of its payments to HeartShare. For the three fiscal years …
https://www.osc.ny.gov/state-agencies/audits/2017/10/24/heartshare-human-services-inc-compliance-reimbursable-cost-manualCredit Cards – Travel and Conference Expense Management
… travel and conference expenses. This can be accomplished by allowing employees who travel frequently to have a local … district and the employee’s name and official capacity, by allowing authorized employees to sign out a credit card when they need to travel, or by allowing the business or treasurer’s office to have a …
https://www.osc.ny.gov/local-government/publications/travel-conference-expense/credit-cardsReducing the Cost of Hospital Services Provided to County Inmates (2013-MS-4)
… audit was to determine if counties are controlling inmate hospital costs and paying the appropriate rates for the … January 1 through December 31, 2012. Background Inmate health care costs can be a heavy burden on a county’s … or 50 percent, was for outpatient hospital services. New York State Public Health Law requires counties to pay …
https://www.osc.ny.gov/local-government/audits/county/2014/09/19/reducing-cost-hospital-services-provided-county-inmates-2013-ms-4The Child Study Center of New York – Compliance With the Reimbursable Cost Manual
… the Reimbursable Cost Manual (RCM). The audit covered expenses reported on CSC’s CFR for the fiscal year ended June … food, personal travel, gifts, and other non-reimbursable expenses. Key Recommendations To SED: Review the …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/child-study-center-new-york-compliance-reimbursable-cost-manualSpringbrook NY, Inc. – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Springbrook NY, Inc. (Springbrook) on its Consolidated … calculated, adequately documented, and allowable under the State Education Department’s (SED) guidelines, including the … is reimbursed for these services through rates set by SED. The reimbursement rates are based on financial …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/springbrook-ny-inc-compliance-reimbursable-cost-manualBuilding Blocks Developmental Preschool, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Building Blocks Developmental Preschool, Inc. (Building Blocks) on its Consolidated Fiscal Reports (CFRs) …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/building-blocks-developmental-preschool-inc-compliance-reimbursable-cost-manualJowonio School – Compliance With the Reimbursable Cost Manual
… The audit covered expenses reported on Jowonio’s CFR for the fiscal year ended June 30, 2014, and certain expenses reported on Jowonio’s CFRs for the two fiscal years ended June 30, 2013. Background … between three and five years of age. Jowonio is reimbursed for preschool special education services through …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/jowonio-school-compliance-reimbursable-cost-manualBehavior Analysts of New York, LLC – Compliance With the Reimbursable Cost Manual
… Objective To determine whether reported costs submitted by Behavior … provider of preschool special education services to children with disabilities who are between three and five …
https://www.osc.ny.gov/state-agencies/audits/2020/01/31/behavior-analysts-new-york-llc-compliance-reimbursable-cost-manualSt. Anne Institute – Compliance With the Reimbursable Cost Manual
… year ended June 30, 2016. About the Program St. Anne is an SED-approved, not-for-profit private school located in … the rate-based preschool special education program that it provided. Key Findings For the fiscal year ended June 30, … services, and $241 in other non-reimbursable costs such as food, gifts, and donations. Key Recommendations T o …
https://www.osc.ny.gov/state-agencies/audits/2019/12/10/st-anne-institute-compliance-reimbursable-cost-manualBornhava – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Bornhava on its … offers a range of preschool special education services to children with disabilities from birth to five years of …
https://www.osc.ny.gov/state-agencies/audits/2016/10/26/bornhava-compliance-reimbursable-cost-manualState Agencies Bulletin No. 1956
… tax withholding purposes only and does not increase the employee’s compensation. Tax Information Certification, … it is supplemental taxable income, will be added to the employee’s taxable gross wages for tax withholding purposes, … nonresidents. The CLEFR amount will be reported on the employee’s Form W-2 in box 14 under code FRB . Payroll …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1956-certification-licensure-and-exam-fee-reimbursement-clefr-2021State Agencies Bulletin No. 1864
… Purpose The purpose of this bulletin is to inform agencies of the taxable fringe benefit CLEFR for … through Time Entry using the earn code CFR . This amount is used for reporting and tax withholding purposes only and … Certification, Licensure and Exam Fee Reimbursement is considered a taxable fringe benefit. As such, it is …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1864-certification-licensure-and-exam-fee-reimbursement-clefr-2020Maintenance and Tuition Payments to the Lake Grove School and Mountain Lake Children's Residence
… Grove and Mountain Lake to establish daily reimbursement rates for services provided to their respective residents. … our report and, as appropriate, revise the reimbursement rates for Lake Grove and Mountain Lake and seek restitution … Setting Special Education Itinerant Teacher Services Rates (2008-S-146) Henry Viscardi School: Compliance with the …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/maintenance-and-tuition-payments-lake-grove-school-and-mountain-lake-childrens-residenceTheraCare Preschool Services, Inc. – Compliance With the Reimbursable Cost Manual
… to children between the ages of three and five who live in New York City as well as Westchester, Nassau, and Suffolk counties. Pursuant to New York State's Education Law, providers such as …
https://www.osc.ny.gov/state-agencies/audits/2014/04/02/theracare-preschool-services-inc-compliance-reimbursable-cost-manualDiNapoli: State Should Recoup $11.7 Million from Special Education Contractors
… for $479,596 in property costs and $113,552 in excess executive compensation. League Treatment Center (LTC): … in ineligible consultant costs. Compensation costs for the executive director, CFO, and assistant executive director over three years exceeded the regional …
https://www.osc.ny.gov/press/releases/2020/02/dinapoli-state-should-recoup-117-million-special-education-contractorsMedicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services (2017-S-46) 90-Day Response
To determine if the Department of Health overpaid health care providers’ Medicaid claims for services also covered by Medicare Advantage plans.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2019-17s46-response.pdf