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Medicaid Program – Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance
… to pharmacies on behalf of recipients who had third-party insurance and, if so, whether appropriate recoveries were … recipients. Many recipients have other third-party health insurance (TPHI) for pharmacy services in addition to … During the audit period: Gainwell did not bill TPHI carriers for the recovery of over $28.8 million in pharmacy …
https://www.osc.ny.gov/state-agencies/audits/2023/05/11/medicaid-program-improper-fee-service-pharmacy-payments-recipients-third-party-healthThe Alcott School – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by the Alcott School (Alcott) on its … costs, which consisted of $49,874 in unsupported staff time, and $2,568 in employee compensation that was reported as more than one full-time equivalent on the …
https://www.osc.ny.gov/state-agencies/audits/2016/07/25/alcott-school-compliance-reimbursable-cost-manualVillage of Delhi - Disbursements (2019M-204)
… to pay full restitution plus $500 to cover the Village’s insurance deductible with a one year conditional discharge. Key …
https://www.osc.ny.gov/local-government/audits/village/2020/01/31/village-delhi-disbursements-2019m-204South Jefferson Central School District – Community Services (2016M-343)
… period July 1, 2014 through May 9, 2016. Background The South Jefferson Central School District is located in the … property were not clearly outlined. The District’s cost per mile for its buses was $4.59 but District officials … policy periodically to include updated reimbursement rates that cover the District’s costs and periodically update …
https://www.osc.ny.gov/local-government/audits/school-district/2017/06/02/south-jefferson-central-school-district-community-services-2016m-343Anthem Blue Cross – Coordination of Benefits with Medicare (2023-S-30)
To determine whether Anthem Blue Cross coordinated benefits to properly pay claims for NYSHIP Empire Plan members with Medicare coverage.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2024-23s30.pdfStarting Point Services for Children – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Starting Point Services for Children (Starting Point) on its Consolidated Fiscal Reports (CFRs) …
https://www.osc.ny.gov/state-agencies/audits/2015/12/11/starting-point-services-children-compliance-reimbursable-cost-manualReimbursement of Homeless Shelter Providers – Rescue Mission Alliance of Syracuse (2021-S-34) 180-Day Response
To determine if the Office of Temporary Disability Assistance (Office) adequately monitors and appropriately reimburses claims for homeless shelter providers, such as Rescue Mission Alliance of Syracuse.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21s34-response.pdfMarion Central School District – Tuition Reimbursements (2016M-11)
… tuition reimbursements and supporting documentation for the period July 1, 2012 through January 6, 2016. … steps to verify that employees have fulfilled any post-reimbursement employment obligations. District officials made … the credit hour or grade level requirements necessary for reimbursement. Key Recommendations Develop written procedures …
https://www.osc.ny.gov/local-government/audits/school-district/2016/04/08/marion-central-school-district-tuition-reimbursements-2016m-11Town of Bergen – Town Supervisor (2024M-30)
… annually submit sufficient accounting records to the Board for audit and while he filed the AFR in a timely manner, it … transactions without oversight. Did not obtain timely reimbursement of $130,000 in payroll expenditures from the … records with monthly bank reconciliations. Obtain timely reimbursement for Library payroll expenditures. Town …
https://www.osc.ny.gov/local-government/audits/town/2024/06/14/town-bergen-town-supervisor-2024m-30XVI.4.A Cash and Investments – XVI. Financial Reporting
… Statement No. 28 – Accounting and Financial Reporting for Securities Lending Transactions (GASB Codification Section … of the State include the Short Term Investment Pool (STIP) which is used for the temporary investment of funds not … have been formally adopted for the purpose of limiting a government’s allowable deposits and investments. Credit Risk …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xvi/xvi4a-cash-and-investmentsState Comptroller DiNapoli Releases Audits
… drug is an outpatient drug (other than a vaccine) that is usually administered by a health care … A physician-administered drug is a drug, other than a vaccine, that is typically administered by a health care …
https://www.osc.ny.gov/press/releases/2023/10/state-comptroller-dinapoli-releases-auditsHelping Hands School – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Helping Hands … covered the fiscal year ended June 30, 2014. Background To determine whether the costs reported by Helping Hands …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/helping-hands-school-compliance-reimbursable-cost-manualCUNY Bulletin No. CU-302
… Purpose To notify agencies of the change in the deduction calculation routine for Deduction Code 582 (SS/Med … is reached, the deduction is automatically stopped. The calculation routine - “Percent of Total Gross” - will … Flat Amount to Percent of Total Gross. This calculation method will ensure an accurate recovery amount of 3% of the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-302-change-deduction-calculation-routine-deduction-code-582State Agencies Bulletin No. 1760
… Criteria Employees in Bargaining Unit 02 in the title of Racing Inspector at the Gaming Commission are eligible to … of FEE and Is assigned to a track location in the title of Racing Inspector during the month of July 2019 An employee … Clothing Allowance for employees in titles other than Racing Inspector. Agency Actions Employee Reimbursement …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1760-2019-work-related-clothing-allowance-asu-employees-title-racingState Agencies Bulletin No. 1430
… Clothing Allowance. Affected Employees Employees in the Operational Services Unit (OSU) – BU03 who meet the … 49.1 of the 2011-2016 OSU Agreement between the State of New York and the Civil Service Employees Association and the … Eligibility Criteria Employees in Bargaining Unit 03 on 10/01/15 are eligible to receive the 2015 CSEA OSU …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1430-2015-work-related-clothing-allowance-osu-employees-represented-civilState Agencies Bulletin No. 1608
… York and the Civil Service Employees Association and the Governor’s Office of Employee Relations (GOER) memorandum dated … eligibility for this payment may be directed to the Governor’s Office of Employee Relations. Questions regarding …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1608-2017-work-related-clothing-allowance-osu-employees-represented-civilState Agencies Bulletin No. 1519
… Affected Employees Employees in the Operational Services Unit (OSU) – BU03 who meet the eligibility criteria … Eligibility Criteria Employees in Bargaining Unit 03 on 10/01/16 are eligible to receive the 2016 CSEA OSU Work-Related … return from leave. Agency Actions Employee Reimbursement Distribution Method If an employee provides work-related …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1519-2016-work-related-clothing-allowance-osu-employees-represented-civilState Agencies Bulletin No. 1361
… of overtime. Tax Information These monies are taxable income and are subject to all employment taxes and income taxes. The monies will be included in the employee’s …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1361-2014-work-related-clothing-allowance-osu-employees-represented-civilComptroller DiNapoli Releases State Audits
… of its highway bridges, but does not follow New York state requirements for classifying, reporting and repairing bridge … selected for review were appropriate. For a track coach, however, officials did not enforce Office of State … Institute (2013-T-3) Auditors determined that Pratt's certification procedures substantially complied with the …
https://www.osc.ny.gov/press/releases/2014/06/comptroller-dinapoli-releases-state-auditsTravel Advisory No. 17
… of the State Comptroller (OSC) Travel Manual states if the employee’s agency or another agency provides meals without … reimbursable. Therefore, employees are not entitled to a per diem meal allowance on a day they consumed a meal provided to …
https://www.osc.ny.gov/state-agencies/advisories/travel-advisory/17-agency-provided-meals-state-employees