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United HealthCare Insurance Company of New York – Empire Plan Drug Rebates (Follow-Up)
… made in our audit report, United HealthCare Insurance Company of New York: Empire Plan Drug Rebates (Report 2014-S-62). … by drug manufacturers. In 2012, Express Scripts Holding Company (Express Scripts) acquired Medco. Our initial audit … made in our audit report United HealthCare Insurance Company of New York Empire Plan Drug Rebates …
https://www.osc.ny.gov/state-agencies/audits/2017/05/24/united-healthcare-insurance-company-new-york-empire-plan-drug-rebates-followAssertive Community Treatment Program (Follow-Up)
… and emergency room visits. To achieve those goals, ACT teams employ evidence-based practices to provide services. ACT teams include members from various fields (e.g., psychiatry, … to OMH officials, there are currently 83 ACT provider teams licensed by OMH and operating throughout the State to …
https://www.osc.ny.gov/state-agencies/audits/2017/01/11/assertive-community-treatment-program-followAdministration of Non-Competitive and Limited-Competition Contracts
… years ended June 30, 2013. Background The mission of ACS is to protect and promote the safety and well-being of New … organizations to operate many of its programs. ACS is required to comply with the provisions of the City’s Rules … register contracts in a timely manner. Since the City is not permitted to pay unregistered contractors, a vendor’s …
https://www.osc.ny.gov/state-agencies/audits/2015/06/17/administration-non-competitive-and-limited-competition-contractsDisposal of Electronic Devices
… are permanently cleaned of all data, including personal, private, and sensitive information. The audit covers the … formal procedures to address the risk that personal, private, or sensitive information (PPSI) may be improperly … dispose of electronic devices on their own; however, the Office of General Services (OGS) provides this service for …
https://www.osc.ny.gov/state-agencies/audits/2013/06/25/disposal-electronic-devicesThe Mitchell-Lama Program – Awarding Housing Units and Maintaining Waiting Lists
… City Department of Housing Preservation and Development (HPD) is the nation’s largest municipal housing preservation … moderate-income families. In New York City, there are 97 HPD-supervised Mitchell-Lama rental and limited-equity … a Board of Directors (cooperatives) or a managing agent (rentals and cooperatives). Applicants apply to the individual …
https://www.osc.ny.gov/state-agencies/audits/2015/07/29/mitchell-lama-program-awarding-housing-units-and-maintaining-waiting-listsPerformance Incentive Program
… Purpose To determine whether the Rochester-Genesee Regional … Performance Incentive Program uses reasonable criteria to measure employee performance and whether incentive awards … To determine whether the RochesterGenesee Regional …
https://www.osc.ny.gov/state-agencies/audits/2015/02/27/performance-incentive-programCompliance With the Clery Act
… Purpose To determine whether the State University of New York's … been an important issue for students and their families. To address this concern, in 1990, Congress enacted the Clery Act, which requires colleges and universities to disclose crime statistics and security policies to help …
https://www.osc.ny.gov/state-agencies/audits/2014/08/22/compliance-clery-actOvertime and Other Time and Attendance Matters Found in the Use of Certain Federal Funds
… A great portion of the work on these projects is performed by employees assigned to the LIRR Engineering … of fraud, waste and abuse are mitigated and that there is a high level of transparency and accountability in the … and attendance, employees might be paid for overtime that is unnecessary and/or not worked. For example, Department …
https://www.osc.ny.gov/state-agencies/audits/2014/01/24/overtime-and-other-time-and-attendance-matters-found-use-certain-federal-fundsUpstate Medical University's Billing Practices
… (Upstate) billing practices are adequate to ensure that insurance carriers are billed timely and that services being … 1.8 million patients annually, and works with over 30 insurance carriers to provide health care for their insured … denied, and payments might not be obtained for services. Insurance carriers may deny payment for a variety of reasons …
https://www.osc.ny.gov/state-agencies/audits/2017/02/17/upstate-medical-universitys-billing-practicesLead Contamination of State Armories (Follow-Up)
… over the New York National Guard and provides them with federal resources, including funding, regulatory … regarding a possible lead dust hazard in ARNG armories, with personal exposure possibly resulting in growth disorders …
https://www.osc.ny.gov/state-agencies/audits/2021/12/16/lead-contamination-state-armories-followNew NY Broadband Program
… by the end of 2018. ESD’s Broadband Program Office (BPO) is responsible for managing the Program, which includes … 2021. Currently, BPO states that broadband Internet is available to 98.95% of the State. Key Findings BPO … until December 2022. BPO’s assertion that broadband is available to 98.95% of the State is overstated as it’s …
https://www.osc.ny.gov/state-agencies/audits/2022/07/01/new-ny-broadband-programMedicaid Program – Claims Processing Activity April 1, 2021 Through September 30, 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 April … To determine whether the Department of Healths Department …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-claims-processing-activity-april-1-2021-through-september-30-2021Oversight of Afterschool and Summer Youth Employment Contracts (Follow-Up)
… to help alleviate the effects of poverty and to provide opportunities for New York City youth and families. To … contracts with providers who, in turn, secure employment opportunities at local employers. The program’s goal is to … provide participants with the skills, training, and work opportunities necessary to succeed in employment. COMPASS …
https://www.osc.ny.gov/state-agencies/audits/2022/09/30/oversight-afterschool-and-summer-youth-employment-contracts-followImproper Managed Care Premium Payments for Recipients With Duplicate Client Identification Numbers (Follow-Up)
… audit report, Improper Managed Care Premium Payments for Recipients With Duplicate Client Identification Numbers (Report 2018-S-24 ). … the State’s Medicaid program. Each individual who applies for Medicaid benefits is assigned a Client Identification … audit report Improper Managed Care Premium Payments for Recipients With Duplicate Client Identification Numbers …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/improper-managed-care-premium-payments-recipients-duplicate-client-identification-numbersUnitedHealthcare: Improper Payments for Acupuncture and Acupuncture-Related Services
… Objective To determine whether UnitedHealthcare Insurance Company of … (Civil Service), provides health insurance coverage to over 1.2 million active and retired State, participating … UnitedHealthcare Insurance Company of New York (United) to administer the medical/surgical portion of the Empire Plan …
https://www.osc.ny.gov/state-agencies/audits/2021/10/27/unitedhealthcare-improper-payments-acupuncture-and-acupuncture-related-servicesOversight of Casino Revenues and Regulatory Oversight Reimbursement Collections
… regulates all aspects of gaming activity in New York and is responsible for overseeing three types of casinos in the … assessing commercial casinos, the rulemaking process is now complete and these costs will be billed. The … that may arise. We found that, while the Commission is adequately monitoring commercial, VLT, and tribe/nation …
https://www.osc.ny.gov/state-agencies/audits/2020/01/10/oversight-casino-revenues-and-regulatory-oversight-reimbursement-collectionsLow-Income Housing Trust Fund Program (Follow-Up)
… Housing Trust Fund Program (Program) funds were being awarded and disbursed in an efficient manner to help meet the … per project selected to receive funding. Program funds are awarded through a Unified Funding Process, wherein applicants …
https://www.osc.ny.gov/state-agencies/audits/2020/04/02/low-income-housing-trust-fund-program-followMonitoring and Administration of Public Protection Grant Programs
… active during the period July 1, 2016 to June 30, 2019, SNUG ("guns" spelled backwards) contracts that were active … We focused our audit efforts on the GIVE and SNUG programs, which seek to reduce and prevent shootings and … the funds and document their receipt. The Division awards SNUG contracts to not-for-profit organizations that use …
https://www.osc.ny.gov/state-agencies/audits/2020/04/24/monitoring-and-administration-public-protection-grant-programsOversight of Chronic Absenteeism (Follow-Up)
… as a student missing at least 10 percent of enrolled school days. Student absences, attributed to factors such as poor school performance, bullying, and unwelcoming school climates, increase students’ risk for disengagement, …
https://www.osc.ny.gov/state-agencies/audits/2020/05/06/oversight-chronic-absenteeism-followOversight of Passenger Safety (Follow-Up)
… specific trip information, such as date and time of use, driver, occupants, and purpose of the trip. We issued our … vehicles are being operated safely by employees with valid driver licenses. Our audit covered the period of April 1, … assigned to transport clients, despite having suspended driver licenses. In addition, repairs related to manufacturer …
https://www.osc.ny.gov/state-agencies/audits/2020/07/28/oversight-passenger-safety-follow