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Inappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… review the remaining $115 million in premiums and recover all overpayments, and strengthen controls to prevent the …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andOversight of Homeless Shelters
… Twenty-one of those 96 shelters had been visited on prior audits and had been determined to be in poor condition at …
https://www.osc.ny.gov/state-agencies/audits/2020/03/10/oversight-homeless-sheltersMedicaid Program – Improper Payments for Drugs Without a Federal Drug Rebate Agreement
… To determine whether Medicaid inappropriately paid for drugs from manufacturers that did not enter into a … the Department of Health and Human Services in exchange for state Medicaid coverage of most of the manufacturer’s … Manufacturers then pay states rebates on those drugs for which Medicaid payments were made. Covered outpatient …
https://www.osc.ny.gov/state-agencies/audits/2024/02/23/medicaid-program-improper-payments-drugs-without-federal-drug-rebate-agreementMedicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims
… State’s Medicaid program is administered by the Department of Health (Department). The Medicaid program reimburses … recipients according to their diagnosis and severity of illness, which provides the basis for calculating the … presence in a facility. Key Findings We found that a lack of Department guidance to assist hospitals in determining …
https://www.osc.ny.gov/state-agencies/audits/2023/08/30/medicaid-program-improper-medicaid-payments-outpatient-services-billed-inpatient-claimsAccess Controls Over Selected Critical Systems
… on four systems containing confidential information for individuals who no longer worked for OCFS. OCFS did not keep accurate records of those … including: Maintaining and regularly reviewing user lists for each application; Developing and maintaining an …
https://www.osc.ny.gov/state-agencies/audits/2019/03/21/access-controls-over-selected-critical-systemsProblem Gambling Treatment Program
… private providers throughout Queens County. OASAS also has a toll-free HOPEline, which provides callers with information … study to identify the number or location of individuals in need of problem gambling treatment services since 2006, even though four commercial casinos opened in New York State in 2013. Therefore, we could not determine …
https://www.osc.ny.gov/state-agencies/audits/2019/02/05/problem-gambling-treatment-programMedicaid Payments for Pharmacy Claims – Joia Pharmacy and a Related Prescriber (Follow-Up)
… Purpose To determine the extent of implementation of the four … in the Medicaid program dispense prescription drugs to Medicaid beneficiaries. During the period January 1, 2008 … recipients. One particular doctor (herein referred to as “the Doctor”) was listed as the prescriber on 31,351 …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/medicaid-payments-pharmacy-claims-joia-pharmacy-and-related-prescriber-followRestrictions on Consecutive Hours of Work for Nurses (Follow-Up)
… conduct investigations to determine compliance. The Law does not preclude nurses from volunteering to work additional hours and does not apply in situations such as health care disasters or …
https://www.osc.ny.gov/state-agencies/audits/2019/09/09/restrictions-consecutive-hours-work-nurses-followCollection of Fines Related to Tenant Complaints
… process, and policy weaknesses. ORA does not exercise its full authority to collect outstanding fines more timely. As … that accurately tracks fines and settlements. Exercise full authority to collect outstanding fines. Consider whether …
https://www.osc.ny.gov/state-agencies/audits/2019/12/11/collection-fines-related-tenant-complaintsState Agencies Bulletin No. 2407
… to inform agencies of the content information for the 2025 Form W-2. Affected Employees: All employees who receive a Form W-2 Wage and Tax Statement for calendar year 2025 are … Online (NYSPO) or by agencies, will have the employee’s full Social Security number. Taxable Gross Calculations: …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2407-form-w-2-wage-and-tax-statement-tax-year-2025State Agencies Bulletin No. 1893
… Purpose The purpose of this bulletin is to describe new Time Entry … Codes requiring a manually calculated amount, such as: OTT, OTO, CVO, and CVA. When entering an adjustment code, …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1893-reporting-adjustments-overtimeRestitution Payments (2021-MS-2)
… victims receive court ordered restitution. Our review of 13 County Probation Departments found: More than half, or 160 of the probationers tested, were behind on their restitution payments by a total of $283,620. The courts were often not notified because …
https://www.osc.ny.gov/local-government/audits/county/2021/12/14/restitution-payments-2021-ms-2School District Website Transparency (2021-MS-1)
… Beacon City [pdf] , Central Square Central [pdf] , Grand Island Central [pdf] , Haldane Central [pdf] , Hunter-Tannersville Central [pdf] , Island Trees Union Free [pdf] , Lake Pleasant Central [pdf] , Newark Central [pdf] , New …
https://www.osc.ny.gov/local-government/audits/school-district/2021/03/23/school-district-website-transparency-2021-ms-1CUNY Bulletin No. CU-190
… One Effective Date Immediately Background Pursuant to the Memorandum of Agreement between the City University of New York and the … and job information for the newly established titles as follows: Deduction Information Field Code Description …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-190-newly-established-bargaining-unit-iatse-local-one-andMedicaid Program – Improper Payments for Certain Third-Party Cost-Sharing Claims
… prior to billing Medicaid for services. After processing a claim from a provider, the third-party insurer issues an … Claims with a CARC PR 45 are currently configured to pay in eMedNY, while claims with a CARC CO 45 are not. All claims … of the coordination of benefits process, resulting in Medicaid overpayments to providers who misapplied CARC PR …
https://www.osc.ny.gov/state-agencies/audits/2025/11/05/medicaid-program-improper-payments-certain-third-party-cost-sharing-claimsCity of Newburgh – Budget Review (B21-6-13)
… when these agreements are settled. The proposed budget does not include a contingency appropriation in the general fund. The proposed budget does not include a tax overlay, which could potentially …
https://www.osc.ny.gov/local-government/audits/city/2021/11/10/city-newburgh-budget-review-b21-6-13City of Glen Cove – Budget Review (B7-16-12)
… 31, 2006. New York State Local Finance Law requires all local governments that have been authorized to issue …
https://www.osc.ny.gov/local-government/audits/city/2016/10/14/city-glen-cove-budget-review-b7-16-12Tier 2, 3, 5 and 6 Death Benefits – Police and Fire Plan
… die while in active service, your beneficiary will be paid the greater of the two death benefits; if you die after retirement, and meet … benefit in almost all cases. Death benefit two is equal to your salary multiplied by your years of service, not to …
https://www.osc.ny.gov/retirement/publications/1512/tier-2-3-5-and-6-death-benefitsReimbursement of Social Services Costs (2013MS-3)
… [read complete report - pdf] We also released 7 letter reports to the following Counties: Franklin [pdf] , Genesee [pdf] , … interdepartmental service costs (costs incurred by other county departments for the benefit of the DSS) that are …
https://www.osc.ny.gov/local-government/audits/county/2013/12/13/reimbursement-social-services-costs-2013ms-3Access Controls Over Student Information Systems (2014-MR-1)
… report - pdf] We also released 6 letter reports to the following school districts: Altmar-Parish-Williamstown … [pdf] , Westhill Central School District [pdf] . Purpose of Audit The purpose of our audit was to determine if school … districts use software applications, often referred to as Student Information Systems (SIS), to store and manage …
https://www.osc.ny.gov/local-government/audits/school-district/2014/08/19/access-controls-over-student-information-systems-2014-mr-1