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Tuition Assistance Program – Wagner College
… students for State financial aid. Background TAP is the largest student grant program administered by the Higher Education Services Corporation (HESC) and is designed to help eligible students pay postsecondary … certifying student eligibility. Wagner College (Wagner) is a four-year private college located on Staten Island. It …
https://www.osc.ny.gov/state-agencies/audits/2016/05/19/tuition-assistance-program-wagner-collegeUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… Purpose To determine if Davis Ethical Pharmacy inappropriately billed United … reimburses United for all properly adjudicated claims. Davis Ethical Pharmacy (Davis Ethical) is an independently owned pharmacy located in … To determine if Davis Ethical Pharmacy inappropriately billed United …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyExamination of Unemployment Insurance Benefits
… requests. For example, we analyzed the daily UI payment file to identify potential inappropriate payment requests and … matching: (i) the Department of Taxation and Finance wage file to the DOL payment file to identify payments made to claimants that may have …
https://www.osc.ny.gov/state-agencies/audits/2016/09/16/examination-unemployment-insurance-benefitsDual Employment
… through February 6, 2013. Background DOCCS is responsible for the confinement and habilitation of approximately 56,000 … among multiple facilities. Employees may also work for other government agencies subject to certain restrictions … time and attendance rules, resulting in improper payments for time not worked. These three cases showed a pattern of …
https://www.osc.ny.gov/state-agencies/audits/2013/12/19/dual-employment-2Medicaid Program – Oversight of Localities' Efforts to Coordinate Veterans' Health Care Benefits Under Medicaid and the U.S. Department of Veterans Affairs
… Medicaid and the U.S. Department of Veterans Affairs (VA). The audit covers the period April 1, 2008 through … are also entitled to health care benefits through the VA. While it is a veteran's choice to use a VA health care benefit or a Medicaid benefit, the Department …
https://www.osc.ny.gov/state-agencies/audits/2014/03/19/medicaid-program-oversight-localities-efforts-coordinate-veterans-health-care-benefitsFacility Planning Bureau Project Review (Follow-Up)
… Objective To determine the extent of implementation of the three … projects, exclusive of New York City. The Code applies to every facility owned or operated by school districts or … of Cooperative Educational Services (collectively referred to in this report as Districts). These facilities include, …
https://www.osc.ny.gov/state-agencies/audits/2022/01/05/facility-planning-bureau-project-review-followSelected Performance Measures (Follow-Up)
… audit report, Selected Performance Measures (Report 2018-S-18 ). About the Program The Metropolitan Transportation …
https://www.osc.ny.gov/state-agencies/audits/2022/04/08/selected-performance-measures-followPayments by Beacon Health Options for Mental Health and Substance Abuse Services for Ineligible Members
To determine whether Beacon Health Options paid mental health and substance abuse MHSA claims for Empire Plan members who were not eligible for coverage
https://www.osc.ny.gov/state-agencies/audits/2022/05/13/payments-beacon-health-options-mental-health-and-substance-abuse-services-ineligibleMedicaid Program – Improper Overlapping Medicaid and Essential Plan Enrollments
… Objective To determine whether Medicaid and Essential Plan enrollments determined by NY State of Health were accurately reflected in eMedNY when … transitioned between the Medicaid and Essential Plan programs and to identify overpayments resulting from … To determine whether Medicaid and Essential Plan enrollments determined by NY State of Health were …
https://www.osc.ny.gov/state-agencies/audits/2022/10/11/medicaid-program-improper-overlapping-medicaid-and-essential-plan-enrollmentsOversight of Telemental Health Services (Follow-Up)
… Objective To determine the extent of implementation, as of November 15, … for developing regulations and providing guidance to assist OMH-licensed and -designated providers under … two-way, real-time interactive audio and video equipment to provide and support mental health services and psychiatric …
https://www.osc.ny.gov/state-agencies/audits/2022/12/06/oversight-telemental-health-services-followEnforcement of Article 19-A of the Vehicle and Traffic Law (Follow-Up)
… In 1972, a tragic school bus and freight train collision near Congers, New York, that involved bus driver negligence …
https://www.osc.ny.gov/state-agencies/audits/2021/02/08/enforcement-article-19-vehicle-and-traffic-law-followMedicaid Program – Improper Medicaid Payments for Claims Not in Compliance With Ordering, Prescribing, Referring, and Attending Requirements
… Objective To determine whether the Department of Health (Department) … Medicaid program provides a wide range of medical services to those who are economically disadvantaged and/or have … services through the Medicaid fee-for-service program to be enrolled as participating providers and their NPIs to …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/medicaid-program-improper-medicaid-payments-claims-not-compliance-ordering-prescribingPurchasing Practices at the Linden Plaza Mitchell-Lama Housing Development (Follow-Up)
… the extent of implementation of the recommendations in our initial audit report Purchasing Practices at the … goods, supplies, and services at competitive prices and in accordance with applicable requirements. The audit period … 31, 2017. The Mitchell-Lama Housing Program was created in 1955 to provide affordable rental and cooperative housing …
https://www.osc.ny.gov/state-agencies/audits/2020/06/23/purchasing-practices-linden-plaza-mitchell-lama-housing-development-followControls Over Transportation Services and Transportation-Related Expenses
… DDSOs for monitoring repair and maintenance costs for its fleet and does not monitor these costs centrally. Some DDSOs …
https://www.osc.ny.gov/state-agencies/audits/2020/07/28/controls-over-transportation-services-and-transportation-related-expensesCompliance With Freedom of Information Law Requirements
… its subsidiaries have policies, procedures, and processes in place to fulfill CDTA’s responsibilities under the Freedom … of Information Law (FOIL), and to determine if CDTA is in compliance with its responsibilities under FOIL. The audit … January 23, 2020. About the Program CDTA was created in 1970 by the New York State Legislature. Today, CDTA is the …
https://www.osc.ny.gov/state-agencies/audits/2020/10/16/compliance-freedom-information-law-requirementsNew York City Department of Homeless Services – Oversight of Contract Expenditures of Samaritan Daytop Village, Inc.
… Objective To determine whether the New York City Department of Homeless … contract with Samaritan Daytop Village, Inc. (Samaritan) to ensure reported costs are allowable, supported, and … To determine whether the New York City Department of Homeless …
https://www.osc.ny.gov/state-agencies/audits/2024/02/06/new-york-city-department-homeless-services-oversight-contract-expenditures-samaritan-daytopOversight of Managed Long-Term Care Member Eligibility (Follow-Up)
… Objective To assess the extent of implementation of the four … contracts with Maximus Health Services, Inc. (Maximus) to conduct initial eligibility assessments for individuals who choose to voluntarily enroll in MLTC (other individuals meeting … To assess the extent of implementation of the four …
https://www.osc.ny.gov/state-agencies/audits/2024/03/13/oversight-managed-long-term-care-member-eligibility-followImproper Supplemental Maternity Capitation Payments to Managed Care Organizations (Follow-Up)
… in our initial audit report, Improper Supplemental Maternity Capitation Payments to Managed Care Organizations … monthly premiums, MCOs can receive a one-time Supplemental Maternity Capitation Payment (SMCP) for the prenatal and … or birthing center delivery costs associated with the maternity care of a recipient. However, MCOs are not eligible …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/improper-supplemental-maternity-capitation-payments-managed-care-organizations-followLeague Treatment Center – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by League Treatment … Reports (CFR) were reasonable, necessary, directly related to the special education programs, and sufficiently documented pursuant to the State Education Department’s (SED) Reimbursable Cost …
https://www.osc.ny.gov/state-agencies/audits/2019/12/16/league-treatment-center-compliance-reimbursable-cost-manualCity of Newburgh – Budget Review (B22-6-10)
… proposed budget were reasonable. Background The City of Newburgh, located in Orange County, is authorized by Chapter … expenditures in their 2023 adopted budget for the New York State Touring Route Program because there is no … revenue and amend as necessary. Review the estimates for New York State Touring Route Program revenue and expenditures …
https://www.osc.ny.gov/local-government/audits/city/2022/11/18/city-newburgh-budget-review-b22-6-10