Search
Excessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans (2021-S-37)
To determine whether Medicaid overpaid Mainstream Managed Care and Health and Recovery Plan premiums on behalf of dual-eligible individuals. The audit covered the period from March 2021 through March 2022.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21s37.pdfJCC 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-manualWestchester Community Opportunity Program, Inc. – Compliance With the Reimbursable Cost Manual
… June 30, 2013. Background WestCOP is an SED-approved, not-for-profit special education provider located in Westchester … special education services through rates set by SED. The reimbursement rates are based on financial information, … reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with RCM …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/westchester-community-opportunity-program-inc-compliance-reimbursable-cost-manualJawonio, Inc. – Compliance With the Reimbursable Cost Manual
… year ended December 31, 2014. Background Jawonio is a not-for-profit organization located in Rockland County, New York … for these services through rates set by SED. The reimbursement rates are based on financial information, … 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/2016/10/07/jawonio-inc-compliance-reimbursable-cost-manualUnited Cerebral Palsy Association of Nassau County, Inc. – Compliance With the Reimbursable Cost Manual
… covered the expenses reported on CPN’s 2017 and 2018 CFRs for the fiscal year ended June 30, 2018. About the Program … for these services through rates set by SED. The reimbursement rates are based on financial information, … CPN reports to SED on its annual CFRs. To be eligible for reimbursement, reported costs must comply with RCM …
https://www.osc.ny.gov/state-agencies/audits/2022/06/08/united-cerebral-palsy-association-nassau-county-inc-compliance-reimbursable-cost-manualMary Cariola Children’s Center, Inc. – Compliance With the Reimbursable Cost Manual
… expenses reported on Mary Cariola’s 2015 and 2016 CFRs for the fiscal year ended June 30, 2016. About the Program … for these services through rates set by SED. The reimbursement rates are based on financial information, … 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/mary-cariola-childrens-center-inc-compliance-reimbursable-cost-manualFranziska Racker Centers, Inc.: Compliance With the Reimbursable Cost Manual
… covered expenses reported on Racker’s 2017 and 2018 CFRs for the fiscal year ended June 2018. About the Program Racker … for these services through rates set by SED. The reimbursement rates are based on financial information, … reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with RCM …
https://www.osc.ny.gov/state-agencies/audits/2022/02/01/franziska-racker-centers-inc-compliance-reimbursable-cost-manualHTA of New York, Inc. – Compliance With the Reimbursable Cost Manual
… for-profit special education provider located in Westchester County, New York. HTA provides preschool … year ended June 30, 2014, HTA reported about $2.7 million in reimbursable costs on its CFR for one rate-based preschool … the fiscal year ended June 30, 2014, we identified $28,952 in ineligible costs that HTA reported on its CFR for the SEIT …
https://www.osc.ny.gov/state-agencies/audits/2016/12/15/hta-new-york-inc-compliance-reimbursable-cost-manualWhispering Pines Preschool, Inc. – Compliance With the Reimbursable Cost Manual
… Manual (RCM). Our audit covered the two fiscal years ended June 30, 2012. Background Whispering Pines is a SED-approved, for-profit special education provider of center- and home-based services to infants, toddlers, and …
https://www.osc.ny.gov/state-agencies/audits/2015/06/02/whispering-pines-preschool-inc-compliance-reimbursable-cost-manualBrookville 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 … make the appropriate adjustments to Brookville’s CFRs and reimbursement rates, as warranted. Work with Brookville …
https://www.osc.ny.gov/state-agencies/audits/2017/10/04/brookville-center-childrens-services-inc-compliance-reimbursable-cost-manualEast Moriches Union Free School District - Budget Review (B7-15-5)
… independent evaluation of the District’s proposed budget for the 2015-16 fiscal year. Background The East Moriches … local government is authorized to issue obligations and for each subsequent fiscal year during which the deficit … charter school tuition fees and social security and Medicare taxes. We believe revenues from tuition payments …
https://www.osc.ny.gov/local-government/audits/school-district/2015/04/09/east-moriches-union-free-school-district-budget-review-b7-15-5Payments Allowed in Advance of Audit – Improving the Effectiveness of Your Claims Auditing Process
… generally may, by resolution, authorize payment in advance for public utility services, postage, freight and express … petty cash payments will involve small amounts required for infrequent purchases, such as office supplies. The amount … petty cash fund should periodically request reimbursement for the fund by submitting all bills or receipts for …
https://www.osc.ny.gov/local-government/publications/claims-auditing-process/payments-allowed-advance-auditState Agencies Bulletin No. 2157
… Clothing Allowance provided the employee: Has a Payroll Status of Active, Leave With Pay, or Leave of Absence … above but is on an authorized leave of absence with a Payroll Status of Leave of Absence (except with an … and is not included in the calculation of overtime. Tax Information: The 2023 CSEA ASU Work-Related Clothing …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2157-2023-work-related-clothing-allowance-asu-employees-title-racingState Agencies Bulletin No. 1849
… Clothing Allowance provided the employee: Has a Payroll Status of Active, Leave With Pay, or Leave of Absence … above but is on an authorized leave of absence with a Payroll Status of Leave of Absence (except with an … and is not included in the calculation of overtime. Tax Information T he 2020 CSEA ASU Work-Related Clothing …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1849-2020-work-related-clothing-allowance-asu-employees-title-racingState Agencies Bulletin No. 2264
… through 03/31/2025, the allowance (up to $70.00) is paid by separate check as explained in the 08/27/2024 OER …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2264-2024-work-related-clothing-allowance-asu-employees-title-racing-0Village of Hancock – Insurance Withholdings (2022M-108)
… whether the Village of Hancock (Village) officials ensured insurance premium contributions were accurately calculated … Key Findings Village officials did not ensure that insurance premium contributions were accurately calculated … Board (Board) action to support the contribution rates for dental insurance. Four employees overpaid a total of $1,400 …
https://www.osc.ny.gov/local-government/audits/village/2022/10/28/village-hancock-insurance-withholdings-2022m-108DiNapoli: Chatham Police Chief Sentenced for Pension Double-Dipping
… and perform 200 hours of community service today for defrauding the New York State pension system by … concealing his unlawful post-retirement public income and for stealing from the village through sham requests for reimbursement. His fraud was discovered during a joint …
https://www.osc.ny.gov/press/releases/2021/07/dinapoli-chatham-police-chief-sentenced-pension-double-dippingMedicaid Program – Ambulatory Patient Groups Payments for Duplicate Claims and Services in Excess of Medicaid Service Limits
… methodology in an effort to pay providers more accurately for their services. APG claims are reimbursed based on … million in actual and potential overpayments to providers for services that exceeded Medicaid service limits. For … As a result, none of the 41 claims were eligible for reimbursement. Medicaid also overpaid $7.5 million for …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-ambulatory-patient-groups-payments-duplicate-claims-and-services-excessDiNapoli: Stable Government Funding Needed for NYC Health + Hospitals to Provide Essential Care
… to manage increased operational demands. By June 23, 2021, H+H had administered one million vaccinations (11% of … annually from previous cost saving efforts starting in FY 2021, and $1.2 billion in new savings which includes $611 …
https://www.osc.ny.gov/press/releases/2021/09/dinapoli-stable-government-funding-needed-nyc-health-hospitals-provide-essential-careOpinion 89-18
… made to an assessor as reimbursement for lost wages. You ask whether a town may reimburse a town assessor for … the New York State Board of Equalization and Assessment. You indicate that the chairman of the board of assessors has, … attendance at two training schools during 1987. Therefore, you also ask, if the payment by the town to the chairman was …
https://www.osc.ny.gov/legal-opinions/opinion-89-18