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Medicaid Program – Medicaid Claims Processing Activity April 1, 2015 Through September 30, 2015
… Activity October 1, 2014 Through March 31, 2015 (2014-S-53) Department of Health: Medicaid Claims Processing Activity …
https://www.osc.ny.gov/state-agencies/audits/2016/08/09/medicaid-program-medicaid-claims-processing-activity-april-1-2015-through-september-30-2015Incorrect Payments by CVS Caremark for Medicare Rx Drug Claims That Were Improperly Paid Under the Commercial Plan (Follow-up)
… initial audit report, Incorrect Payments by CVS Caremark for Medicare Rx Drug Claims That Were Improperly Paid Under … The Empire Plan is the primary health benefits plan for NYSHIP, covering over 1 million members. Civil Service … CVS Caremark to administer the prescription drug program for the Empire Plan. This program includes a Commercial Plan …
https://www.osc.ny.gov/state-agencies/audits/2025/06/18/incorrect-payments-cvs-caremark-medicare-rx-drug-claims-were-improperly-paid-underSelected Employee Travel Expenses
… using State funds to pay for her travel with him and the team to local and national track events. Key Recommendations …
https://www.osc.ny.gov/state-agencies/audits/2014/05/07/selected-employee-travel-expensesSunshine Developmental School – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by the Sunshine Developmental School on its Consolidated Fiscal … the three fiscal years ended June 30, 2011. Background The Sunshine Developmental School (Sunshine Developmental) provides special education and … To determine whether the costs reported by the Sunshine Developmental School on its Consolidated Fiscal …
https://www.osc.ny.gov/state-agencies/audits/2015/09/10/sunshine-developmental-school-compliance-reimbursable-cost-manualOpinion 91-58
Whether a city may conduct an advisory referendum on the question of whether to grant site plan approval and a favorable determination as to consistency with the local waterfront revitalization program for a tiretoenergy facility sought to be located at a particular site within the city
https://www.osc.ny.gov/legal-opinions/opinion-91-58Elmcrest Children’s Center, Inc. – Compliance With the Reimbursable Cost Manual
… it operated. The ineligible costs included: $18,264 in personal service costs, which consisted of bonuses and … against program expenses; $12,911 in improperly allocated personal service and other than personal service costs; and • $6,497 in other than personal …
https://www.osc.ny.gov/state-agencies/audits/2017/05/24/elmcrest-childrens-center-inc-compliance-reimbursable-cost-manualNorth Country Kids, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by North County Kids, Inc. (North Country) on its Consolidated Fiscal Reports (CFRs) were … Cost Manual (RCM). The audit covered expenses reported on North Country’s CFR for the fiscal year ended June 30, 2014, … To determine whether costs reported by North County Kids Inc on its Consolidated Fiscal Reports were …
https://www.osc.ny.gov/state-agencies/audits/2017/04/12/north-country-kids-inc-compliance-reimbursable-cost-manualSelected Procurement and Contracting Practices
… Purpose To determine if the State University of New York’s (SUNY) internal controls over procurement … through September 3, 2014. Background The State University of New York (SUNY) consists of 64 colleges located throughout the State and a central … To determine if the State University of New Yorks SUNY internal controls over procurement ensure …
https://www.osc.ny.gov/state-agencies/audits/2015/07/06/selected-procurement-and-contracting-practicesOverpayments of Certain Medicare Crossover Claims (Follow-Up)
… extent of implementation of the five recommendations made in our audit report, Overpayments of Certain Medicare … Background Many Medicaid recipients are also enrolled in Medicare, the federal health care program for people 65 … years old with certain disabilities. Individuals enrolled in both programs are referred to as “dual-eligibles.” …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/overpayments-certain-medicare-crossover-claims-followNew York State Health Insurance Program – Payments by Beacon Health Options for Mental Health and Substance Abuse Services for Ineligible Members (Follow-Up)
… NYBEAS and Carelon’s system to help ensure claims are paid only for eligible members. Civil Service continues to provide …
https://www.osc.ny.gov/state-agencies/audits/2024/01/03/new-york-state-health-insurance-program-payments-beacon-health-options-mental-health-andOversight of Mental Health Education in Schools (Follow-Up)
… Objective To determine the extent of implementation of the two recommendations included in our initial audit report, Oversight of Mental Health Education in Schools (Report 2020-S-63 ). About the Program … To determine the extent of implementation of the two recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2023/09/27/oversight-mental-health-education-schools-followJoin Our Information Technology Team
… of database systems Application development Grow Your Career With Us! A career in State government offers opportunities for advancement on a defined career path. While promotion is not guaranteed, this graphic …
https://www.osc.ny.gov/jobs/information-technologyCounty Inmates Receiving Inappropriate Benefits While Incarcerated (2013MS-1)
… , Onondaga [pdf] , Orange [pdf] , Schenectady [pdf] and Warren [pdf] . Purpose of Audit The purpose of our audit was … received inappropriate Medicaid benefits. Positively, Warren County did not have any inappropriate social welfare …
https://www.osc.ny.gov/local-government/audits/county/2013/10/04/county-inmates-receiving-inappropriate-benefits-while-incarcerated-2013ms-1Medicaid Program – Excessive Payments for Durable Medical Equipment Rentals
… caps). A special category of DME – oxygen equipment – is only available for rental and generally has no limit on the …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/medicaid-program-excessive-payments-durable-medical-equipment-rentalsKids in Action of Long Island, Inc. – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Kids in Action of Long Island, Inc. (Kids in Action) on its Consolidated Fiscal Report (CFR) were … (CFR Manual). The audit covered expenses reported on Kids in Action’s CFR for the fiscal year ended June 30, 2015. …
https://www.osc.ny.gov/state-agencies/audits/2022/03/04/kids-action-long-island-inc-compliance-reimbursable-cost-manualMedicaid Program – Claims Processing Activity October 1, 2020 Through March 31, 2021
… Objective To determine whether the Department of Health’s (Department) … Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period from October … To determine whether the Department of Healths eMedNY system …
https://www.osc.ny.gov/state-agencies/audits/2022/04/19/medicaid-program-claims-processing-activity-october-1-2020-through-march-31-2021Monitoring and Administration of Public Protection Grant Programs (Follow-Up)
… Violence Elimination (GIVE) program and the SNUG (“guns” spelled backward) program. GIVE is a crime-fighting …
https://www.osc.ny.gov/state-agencies/audits/2021/11/16/monitoring-and-administration-public-protection-grant-programs-followTechnology Transfer Program and Royalty Payments (Follow-Up)
… Transfer Program and Royalty Payments (Report 2019-S-10 ). About the Program As part of its duties, the Research …
https://www.osc.ny.gov/state-agencies/audits/2021/02/08/technology-transfer-program-and-royalty-payments-followDiNapoli: Fire Chief Charged In Alleged $2,700 Gasoline Theft
… also found that Royal was suspended for a month after selling the VFA truck for $3,000 without informing his … the VFA due to the lack of treasurer reports for four such events. DiNapoli made 16 recommendations to the VFA board and … records related to cash transactions, fundraising events and loans to members. VFA officials agreed with the …
https://www.osc.ny.gov/press/releases/2015/11/dinapoli-fire-chief-charged-alleged-2700-gasoline-theftControls Over Revocable Consents (Follow-Up)
… Objective To determine the extent of implementation of the five recommendations in our initial audit report, … ). About the Program A revocable consent is the grant of a right to an individual or organization to construct and … To determine the extent of implementation of the five recommendations in our initial …
https://www.osc.ny.gov/state-agencies/audits/2022/05/13/controls-over-revocable-consents-follow