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Appropriateness of Medicaid Eligibility Determined by the New York State of Health System (Follow-Up)
… of Medicaid Eligibility Determined by the New York State of Health System (Report 2014-S-4 ). Background The Department of Health (Department) administers the State’s Medicaid program, which provides a wide range of … enactment of the Affordable Care Act in 2010, the State developed the New York State of Health (NYSOH) as a new …
https://www.osc.ny.gov/state-agencies/audits/2017/12/07/appropriateness-medicaid-eligibility-determined-new-york-state-health-system-followUniversal Pre-Kindergarten Program – Monitoring of Health and Safety Requirements (Follow-Up)
… two recommendations included in our initial audit report, Universal Pre-Kindergarten Program: Monitoring of Health and … Safety Requirements (Report 2016-S-10 ). Background The Universal Pre-Kindergarten (UPK) program provides … Audit/Report of Interest State Education Department: Universal Pre-Kindergarten Program: Monitoring of Health and …
https://www.osc.ny.gov/state-agencies/audits/2018/03/05/universal-pre-kindergarten-program-monitoring-health-and-safety-requirements-followReducing Medicaid Costs for Recipients With End Stage Renal Disease (Follow-Up)
… in Medicare, Medicare becomes the primary insurer (payer) and Medicaid the secondary. As a secondary payer, rather than … pays the recipient’s Medicare premiums, deductibles, and coinsurance amounts, which allows for a significant … the recipients about their entitlement to Medicare and helped them enroll, the Medicaid program could have saved …
https://www.osc.ny.gov/state-agencies/audits/2018/09/05/reducing-medicaid-costs-recipients-end-stage-renal-disease-followNew York City Airport Lease
… a base rent at the greater of either Minimum Annual Rent (MAR) or 8 percent of the annual gross revenue from various … fuel farm fees. For the years 2004-06, the lease set the MAR at $93.5 million. Subsequent to 2006, the MAR is reset every five years, to 10 percent of the average …
https://www.osc.ny.gov/state-agencies/audits/2017/04/19/new-york-city-airport-leaseCollection of Petroleum Business Tax and Motor Fuel Excise Tax (Follow-Up)
… report, Collection of Petroleum Business Tax and Motor Fuel Excise Tax ( 2018-S-28 ). About the Program Petroleum … is paid by registered distributors of applicable types of fuel at a cents-per-gallon rate at different points in the … the product involved. Fuels subject to PBT include motor fuel and highway diesel fuel, among others. Effective January …
https://www.osc.ny.gov/state-agencies/audits/2022/06/08/collection-petroleum-business-tax-and-motor-fuel-excise-tax-followCompliance With Executive Order 88 – Energy Efficiency of State Buildings (Follow-Up)
… Objective To assess the extent of implementation of the three … and energy security in the State. EO 88 is intended to accomplish broader State policy goals, such as reducing … covered agencies and authorities (collectively referred to as Affected State Entities, or ASEs) by April 1, 2020. …
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/compliance-executive-order-88-energy-efficiency-state-buildings-followImproper Fee-for-Service Payments for Services Covered by Managed Care (Follow-Up)
To determine the extent of implementation of the six recommendations included in our initial audit report Improper FeeforService Payments for Services Covered by Managed Care Report 2017S74
https://www.osc.ny.gov/state-agencies/audits/2021/02/11/improper-fee-service-payments-services-covered-managed-care-followOversight of Industrial Hemp (Follow-Up)
… included in our initial audit report Oversight of Industrial Hemp (Report 2018-S-32 ). About the Program Industrial hemp is an expanding commodity in the United … and biodegradable plastics. Federal and State law define industrial hemp as any part of the Cannabis sativa L. plant …
https://www.osc.ny.gov/state-agencies/audits/2021/07/16/oversight-industrial-hemp-followResponsiveness to Noise Complaints Related to New York City Nightlife Establishments (Follow-Up)
… noise complaints related to nightlife establishments in New York City (NYC). The audit found that the NYPD’s and … strategies and tactics with each other were limited. In addition, the SLA did not access and analyze pertinent … complaints. Key Findings NYPD officials made some progress in addressing the problems we identified in the initial audit …
https://www.osc.ny.gov/state-agencies/audits/2020/02/04/responsiveness-noise-complaints-related-new-york-city-nightlife-establishments-followManagement of Invasive Species
… (Department) was effectively managing invasive species to prevent and mitigate the harmful effects of invasive species populations in New York State. The audit covers the … 1, 2017 through November 22, 2019. About the Program Many species of plants and animals currently found in New York …
https://www.osc.ny.gov/state-agencies/audits/2020/07/23/management-invasive-speciesOversight of Managed Long-Term Care Member Eligibility (Follow-Up)
… community-based long-term care (CBLTC) for more than 120 days. After the initial assessment, MLTC plans were … disenrollment of enrollees when it is determined they are no longer MLTC eligible (e.g., enrollees who did not receive … MLTC premiums on behalf of 52,397 recipients who were no longer eligible for MLTC. Additionally, we determined …
https://www.osc.ny.gov/state-agencies/audits/2024/03/13/oversight-managed-long-term-care-member-eligibility-followReporting of Community-Based Services Under the Transformation Reinvestment Plan (Follow-Up)
… funds realized through the closure of inpatient State beds (about $110,000 per closed bed) into expanded CBS. To …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/reporting-community-based-services-under-transformation-reinvestment-plan-followPrivacy and Security of Student Data (Follow-Up)
… recommendations included in our initial audit report, Privacy and Security of Student Data (Report 2021-S-29 ). … follows all laws and regulations regarding the safety and privacy of students’ data and is monitoring New York State … with the legislation and regulations that govern data privacy and security. The audit covered the period from March …
https://www.osc.ny.gov/state-agencies/audits/2024/09/26/privacy-and-security-student-data-followNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up)
… with UnitedHealthcare Insurance Company of New York (United) to administer the Empire Plan’s medical/surgical … (HBA) as well as by Civil Service. Civil Service provides United with a daily update file of NYBEAS changes, and United also has access to NYBEAS to confirm eligibility …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesCompliance With Special Education Regulations for the Provision of Services (Follow-Up)
… education. The New York City Department of Education (DOE) – the nation’s largest school system – served … 192,000 of these students in the 2021-22 school year. The DOE is responsible for evaluating students to determine their … receive appropriate services. Toward this end, the DOE follows a multi-step evaluation and placement process. …
https://www.osc.ny.gov/state-agencies/audits/2023/03/15/compliance-special-education-regulations-provision-services-followImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up)
… Objective To assess the extent of implementation of the five … of our initial audit report, issued November 29, 2021, was to determine if Medicaid made improper Medicare premium … Medicare Buy-in Program credits from January 1, 2015 to November 30, 2020. We determined the Department had not …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/improper-payments-medicare-buy-premiums-ineligible-recipients-followUse of Federal Funding for Election Technology and Security (Follow-Up)
… in our initial audit report, Use of Federal Funding for Election Technology and Security (Report 2020-S-18 ). About … (BOE) is responsible for administering and enforcing election laws in the State. To fulfill these … the nation’s voting process. HAVA established minimum election administration standards and created the U.S. …
https://www.osc.ny.gov/state-agencies/audits/2023/06/22/use-federal-funding-election-technology-and-security-followCriminal History Background Checks of Unlicensed Health Care Employees (Follow-Up)
… included in our initial audit report, Criminal History Background Checks of Unlicensed Health Care Employees … safeguard patients through requests for required criminal history background checks when hiring unlicensed persons in … Audit/Report of Interest Department of Health: Criminal History Background Checks of Unlicensed Health Care Employees …
https://www.osc.ny.gov/state-agencies/audits/2018/11/20/criminal-history-background-checks-unlicensed-health-care-employees-followRegistration and Enforcement of Automotive Service, Sales, and Salvage Facilities (Follow-Up)
… businesses, including registration of repair shops, dealers, dismantlers, and junk and salvage facilities and …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/registration-and-enforcement-automotive-service-sales-and-salvage-facilities-followMedicaid Payments for Pharmacy Claims – Joia Pharmacy and a Related Prescriber (Follow-Up)
… on behalf of 706 Medicaid recipients. One particular doctor (herein referred to as “the Doctor”) was listed as the prescriber on 31,351 (63 percent) … whether Medicaid made proper payments to Joia and the Doctor in compliance with applicable Medicaid laws and …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/medicaid-payments-pharmacy-claims-joia-pharmacy-and-related-prescriber-follow