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DiNapoli: State Should Recoup $11.7 Million from Special Education Contractors
… State Comptroller Thomas P. DiNapoli announced today his … and recover millions, but more needs to be done. My office is working with SED to account for every dollar and make … the Preschool Integrated Special Class program. Find out how your government money is spent at Open Book New York . …
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.pdfImproper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (2018-S-71) 180-day response
To determine whether Medicaid made improper payments to providers on behalf of dual-eligible individuals receiving hospice care covered by Medicare.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-18s71-response.pdfCost-Saving Ideas: Minimizing Unemployment Insurance Costs
… for unemployment insurance, DOL will determine whether or not the employee is eligible for benefits. If they are, … unemployment benefits guidance for creating new job titles or filling vacant positions staffing factors that will affect …
https://www.osc.ny.gov/local-government/publications/cost-saving-ideas-minimizing-unemployment-insurance-costsRecovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance (Follow-Up)
… Medicaid Program: Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With … pays managed care organizations (MCOs) a monthly premium for each enrolled recipient and, in turn, MCOs are required … in addition to Medicaid (e.g., employer-based coverage or Medicare Part D). Medicaid is considered the payer of last …
https://www.osc.ny.gov/state-agencies/audits/2024/01/31/recovering-managed-care-overpayments-pharmacy-services-behalf-recipients-third-party-healthBrookville Center for Children’s Services, Inc. – Compliance With the Reimbursable Cost Manual
… the ages of three and five years. During the 2013-14 school year, Brookville served about 456 students. Local …
https://www.osc.ny.gov/state-agencies/audits/2017/10/04/brookville-center-childrens-services-inc-compliance-reimbursable-cost-manualXIII.5 Alternatives to the State Travel Card – XIII. Employee Expense Reimbursement
… not limited to: Making arrangements with specific lodging or transportation vendors to provide the needed services. The …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiii/xiii5-alternatives-state-travel-cardMedicaid Program – Ambulatory Patient Groups Payments for Duplicate Claims and Services in Excess of Medicaid Service Limits
… Health established adequate controls to prevent duplicate and excessive Medicaid payments to clinics and outpatient …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-ambulatory-patient-groups-payments-duplicate-claims-and-services-excessPayments Allowed in Advance of Audit – Improving the Effectiveness of Your Claims Auditing Process
… The governing board of a local government or school district generally may, by resolution, authorize … request reimbursement for the fund by submitting all bills or receipts for purchases made from the petty cash fund. The person or body auditing claims should audit the reimbursement …
https://www.osc.ny.gov/local-government/publications/claims-auditing-process/payments-allowed-advance-auditFamily and Educational Consultants – Compliance With the Reimbursable Cost Manual
… with disabilities who are between three and five years of age. FEC is reimbursed for these services through rates … to FEC’s tuition reimbursement rates. Remind FEC officials of the pertinent SED requirements that relate to the …
https://www.osc.ny.gov/state-agencies/audits/2019/05/16/family-and-educational-consultants-compliance-reimbursable-cost-manualKinderwise Learning Associates, LLC – Compliance With the Reimbursable Cost Manual
… with disabilities who are between three and four years of age. Kinderwise is reimbursed for preschool special … that were incorrectly reported on the CFR, which consisted of $1,080 that should have been allocated to another … as needed. Other Related Audits/Reports of Interest Kennedy Child Study Center: Compliance With the Reimbursable …
https://www.osc.ny.gov/state-agencies/audits/2018/10/23/kinderwise-learning-associates-llc-compliance-reimbursable-cost-manualWayne County Chapter NYSARC, Inc. – Compliance With the Reimbursable Cost Manual
… expenses reported on ARC Wayne’s 2016 and 2017 CFRs for the fiscal year ended June 30, 2017. About the Program … for these services through rates set by SED. The reimbursement rates are based on financial information, … Wayne reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with the RCM …
https://www.osc.ny.gov/state-agencies/audits/2020/12/07/wayne-county-chapter-nysarc-inc-compliance-reimbursable-cost-manualThe Kelberman Center, Inc. – Compliance With the Reimbursable Cost Manual
… expenses reported on Kelberman’s 2016 and 2017 CFRs for the fiscal year ended June 30, 2017. About the Program … for these services through rates set by SED. The reimbursement rates are based on school year financial … reports to SED on its annual CFRs. To be eligible for reimbursement, reported costs must be reasonable, necessary, …
https://www.osc.ny.gov/state-agencies/audits/2020/12/23/kelberman-center-inc-compliance-reimbursable-cost-manualFunctional MDS – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Functional MDS on its Consolidated Fiscal Reports (CFRs) … to the State Education Department’s (SED) Reimbursable Cost Manual (Manual). Our audit included all expenses claimed … Programs) for about 190 disabled children between the ages of three and five who live in Queens, Brooklyn, Manhattan, …
https://www.osc.ny.gov/state-agencies/audits/2014/12/31/functional-mds-compliance-reimbursable-cost-manualAdirondack Helping Hands, Inc. – Compliance With the Reimbursable Cost Manual
… (CFR) were properly calculated, adequately documented, and allowable under the State Education Department’s (SED) … The audit covered expenses reported on Adirondack’s CFR for the fiscal year ended June 30, 2014. Background … Other Related Audits/Reports of Interest Jowonio School: Compliance With the Reimbursable Cost Manual …
https://www.osc.ny.gov/state-agencies/audits/2017/08/02/adirondack-helping-hands-inc-compliance-reimbursable-cost-manualBilingual Care, Inc. – Compliance With the Reimbursable Cost Manual
To determine whether the costs reported by Bilingual Care Inc on its Consolidated Fiscal Reports were reasonable necessary directly
https://www.osc.ny.gov/state-agencies/audits/2019/09/11/bilingual-care-inc-compliance-reimbursable-cost-manualTravel Advisory No. 15
… Effective August 20, 2021, the temporary eligibility for full personal vehicle mileage reimbursement is no longer applicable for business-related … (GFO) Chapter XIII, Section 4 – Employee Travel Expense Reimbursement, the Office of the State Comptroller’s (OSC) …
https://www.osc.ny.gov/state-agencies/advisories/travel-advisory/15-covid-19-travel-and-expense-temporary-exceptionsAbilities First, Inc. – Compliance With the Reimbursable Cost Manual
… covered expenses reported on AFI’s 2018 and 2019 CFRs for the fiscal year ended June 30, 2019. About the Program AFI is a not-for-profit special education provider located in Wappingers … and 5 years at four different locations. AFI is reimbursed for these services through rates set by SED. The …
https://www.osc.ny.gov/state-agencies/audits/2023/02/13/abilities-first-inc-compliance-reimbursable-cost-manualField of Dreams, Inc. – Compliance With the Reimbursable Cost Manual
… covered the costs submitted by FOD to SED on its CFRs for the fiscal year ended June 30, 2019 and certain expenses for the fiscal year ended June 30, 2018. About the Program FOD is an SED-approved, for-profit special education provider located in Slate Hill, …
https://www.osc.ny.gov/state-agencies/audits/2022/10/26/field-dreams-inc-compliance-reimbursable-cost-manualJCC of Mid-Westchester – Compliance With the Reimbursable Cost Manual
… fiscal years ended June 30, 2014. Background JCC is a not-for-profit organization located in Scarsdale, New York, that … for these services through rates set by SED. These reimbursement rates are based on financial information, … JCC reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with the RCM …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/jcc-mid-westchester-compliance-reimbursable-cost-manual