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Medicaid Program – Medicaid Claims Processing Activity October 1, 2015 Through March 31, 2016
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … 2016, eMedNY processed about 200 million claims, resulting in payments to providers of about $29 billion. The claims are …
https://www.osc.ny.gov/state-agencies/audits/2016/11/30/medicaid-program-medicaid-claims-processing-activity-october-1-2015-through-march-31-2016Medicaid Program – Medicaid Claims Processing Activity April 1, 2013 Through September 30, 2013
… 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, 2013 … for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for their …
https://www.osc.ny.gov/state-agencies/audits/2015/02/05/medicaid-program-medicaid-claims-processing-activity-april-1-2013-through-september-30-2013The Child School – Compliance With the Reimbursable Cost Manual
… the State Education Department’s (SED) Reimbursable Cost Manual (Manual). Our audit covered the three fiscal years ended June … they understand and comply with the Reimbursable Cost Manual and the Consolidated Fiscal Reporting and Claiming …
https://www.osc.ny.gov/state-agencies/audits/2015/09/11/child-school-compliance-reimbursable-cost-manualSelected Employee Travel Expenses
… Purpose To determine whether the use of travel monies by selected government employees complied … expenses, which are discretionary and under the control of agency management, include car rentals, meals, lodging, … such as airline baggage and travel agency fees. As part of a statewide audit initiative to determine whether the use …
https://www.osc.ny.gov/state-agencies/audits/2014/02/18/selected-employee-travel-expensesMedicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for their claims. During the six-month period ended March 31, … Medicaid payments, including: $1,335,151 in overpayments for hospital claims for which eMedNY did not properly factor …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014New York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up)
… Objective To assess the extent of implementation of the three recommendations included in our initial audit … Services for Ineligible Members (Report 2020-S-34 ). About the Program The New York State Health Insurance Program …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesDowntown Ithaca Business Improvement District (DIBID) – Disbursements (2012M-252)
… which comprises 10 members who represent property owners in the DIBID, five members who represent commercial tenants, … members, one County member, and four non-voting members. In 2011, the DIBID received $347,875 from special assessments … $176,901 from promotional events, and received $91,000 in government funding, for a total of $615,776 of total …
https://www.osc.ny.gov/local-government/audits/district/2013/04/05/downtown-ithaca-business-improvement-district-dibid-disbursements-2012m-252Mary Cariola Children’s Center, Inc. – Compliance With the Reimbursable Cost Manual
… calculated, adequately documented, and allowable under the State Education Department’s (SED) guidelines, including the … calculated adequately documented and allowable under the State Education Departments guidelines including the …
https://www.osc.ny.gov/state-agencies/audits/2020/12/07/mary-cariola-childrens-center-inc-compliance-reimbursable-cost-manualWayne County Chapter NYSARC, Inc. – Compliance With the Reimbursable Cost Manual
… Program ARC Wayne is a not-for-profit organization located in Wayne County. Among other programs, ARC Wayne provides … June 30, 2017, ARC Wayne reported approximately $3 million in reimbursable costs on its CFR for the Preschool Special … the fiscal year ended June 30, 2017, we identified $20,988 in ineligible costs that ARC Wayne reported on its CFRs for …
https://www.osc.ny.gov/state-agencies/audits/2020/12/07/wayne-county-chapter-nysarc-inc-compliance-reimbursable-cost-manualImproper Medicaid Payments for Childhood Vaccines (Follow-Up)
… of implementation of the six recommendations included in our initial audit report, Improper Medicaid Payments for … no cost to physicians and public health clinics enrolled in the VFC Program. Because the federal government purchases … inaccurate payments for the administration fee. Of this amount, managed care organizations (MCOs) made improper …
https://www.osc.ny.gov/state-agencies/audits/2020/12/23/improper-medicaid-payments-childhood-vaccines-followThe Kelberman Center, Inc. – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs submitted by The Kelberman … provider located in Utica. Kelberman’s mission is to provide state-of-the-art programs and services for …
https://www.osc.ny.gov/state-agencies/audits/2020/12/23/kelberman-center-inc-compliance-reimbursable-cost-manualKids Unlimited, PT, OT & SLP, PLLC – Compliance With the Reimbursable Cost Manual
… of three and five years. Kids Unlimited serves children in New York City’s five boroughs. For the fiscal year ended … 2015, Kids Unlimited reported approximately $8.8 million in reimbursable costs for the SEIT preschool cost-based … fiscal years ended June 30, 2015, we identified $446,835 in reported costs that did not comply with the requirements …
https://www.osc.ny.gov/state-agencies/audits/2020/12/31/kids-unlimited-pt-ot-slp-pllc-compliance-reimbursable-cost-manualNational Directory of New Hires Data Security
… Objective To determine whether the Office of Temporary and Disability … New Hires data. The audit covers the period June 2, 2016 to March 3, 2020. About the Program The Office of Temporary …
https://www.osc.ny.gov/state-agencies/audits/2020/05/20/national-directory-new-hires-data-securityNYS Common Retirement Fund Reports Third Quarter Results
… estate and real assets (8.6 percent) and absolute return strategies and opportunistic alternatives (3.5 percent). The …
https://www.osc.ny.gov/press/releases/2020/02/nys-common-retirement-fund-reports-third-quarter-resultsWindows Domain Administration and Management
… Objective To determine whether the Office of Information Technology Services has security … and monitoring of its Active Directory environment. The audit covered the period from January 2021 through March 2023. About the Program The Office of Information Technology …
https://www.osc.ny.gov/state-agencies/audits/2023/05/31/windows-domain-administration-and-managementMedicaid Program – Maximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program
To determine whether the Department of Health took appropriate steps to collect all available drug rebates under the federal Medicaid Drug Rebate Program
https://www.osc.ny.gov/state-agencies/audits/2023/04/05/medicaid-program-maximizing-drug-rebates-under-federal-medicaid-drug-rebate-programDiNapoli: Former Village of Bemus Point Clerk-Treasurer Pleads Guilty to Embezzling Village Funds
… County District Attorney Schmidt and Sheriff Quattrone, we have held her accountable for her violation of the … stolen is a dollar not spent on the community. Here, we secured full restitution to the Village for the money …
https://www.osc.ny.gov/press/releases/2021/12/dinapoli-former-village-bemus-point-clerk-treasurer-pleads-guilty-embezzling-village-fundsVillage of Oxford – Justice Court Operations (2013M-219)
… Purpose of Audit The purpose of our audit was to review the Justice Court’s … through April 30, 2013. Background The Village of Oxford is located in the Town of Oxford in Chenango County and has a population of approximately 1,450. The Village is governed by a Board of Trustees which comprises four …
https://www.osc.ny.gov/local-government/audits/justice-court/2014/02/14/village-oxford-justice-court-operations-2013m-219College of Mount Saint Vincent – Tuition Assistance Program
… and Regulations when certifying Manhattan campus students for State-funded Tuition Assistance Program (TAP) awards. … is approximately 1,800 students and the annual tuition for full-time study is about $27,860. TAP is an entitlement program designed to provide funds for paying tuition costs to eligible students. Schools …
https://www.osc.ny.gov/state-agencies/audits/2013/05/09/college-mount-saint-vincent-tuition-assistance-programMedicaid Program – Claims Processing Activity October 1, 2022 Through March 31, 2023
… computer system processes claims submitted by providers for services rendered to Medicaid-eligible recipients and generates payments to reimburse the providers for their claims. During the 6-month period ended March 31, … Medicaid payments, as follows: $12.2 million was paid for managed care premiums on behalf of Medicaid recipients …
https://www.osc.ny.gov/state-agencies/audits/2023/10/25/medicaid-program-claims-processing-activity-october-1-2022-through-march-31-2023