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Medicaid Program – Medicaid Claims Processing Activity April 1, 2015 Through September 30, 2015
… through New York State of Health, the Department’s online marketplace for health insurance; $1,052,058 in overpayments …
https://www.osc.ny.gov/state-agencies/audits/2016/08/09/medicaid-program-medicaid-claims-processing-activity-april-1-2015-through-september-30-2015Business Services Center Shared Services
… Purpose To determine whether implementation of the Business Services Center has improved the consistency, efficiency, and … Efficiency (SAGE) Commission, established the Business Services Center (Center) within the Office of General Services (OGS) as a centralized office for processing Human …
https://www.osc.ny.gov/state-agencies/audits/2016/12/16/business-services-center-shared-servicesCompliance With Payment Card Industry Standards
… of Department of Motor Vehicles’ Licensing and Registration Systems (2013-S-58) State University of New …
https://www.osc.ny.gov/state-agencies/audits/2017/02/06/compliance-payment-card-industry-standardsTravel Advisory No. 18
… to assist with readability and clarified existing expense type descriptions. …
https://www.osc.ny.gov/state-agencies/advisories/travel-advisory/18-gfo-updates-chapter-xiii-section-9-allowed-values-processing-payments-sfsMedicaid Program – Improper Payments of Medicare Buy-in Premiums for Ineligible Recipients
… by the Centers for Medicare & Medicaid Services (CMS), Medicaid pays Medicare premiums for individuals who … and process enrollment in the Buy-in Program. In addition, CMS automatically enrolls certain individuals. Medicaid … for 282 individuals identified as deceased. According to CMS, improper premium payments beyond two months for reasons …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-payments-medicare-buy-premiums-ineligible-recipientsNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members
… To determine whether UnitedHealthcare Insurance Company of New York paid claims for Empire Plan members who were not … NYSHIP, serving about 1.1 million members. The Department of Civil Service (Civil Service) contracts with UnitedHealthcare Insurance Company of New York (United) to administer the medical/surgical …
https://www.osc.ny.gov/state-agencies/audits/2021/09/29/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesChildren's Development Group, PLLC – Compliance With the Reimbursable Cost Manual
… the costs submitted by Children’s Development Group, PLLC (CDG) on its Consolidated Fiscal Report (CFR) were … whether the costs submitted by Childrens Development Group PLLC on its Consolidated Fiscal Report were allowable properly …
https://www.osc.ny.gov/state-agencies/audits/2019/12/11/childrens-development-group-pllc-compliance-reimbursable-cost-manualChildren’s Education Services, Inc. – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Children’s … CES provides preschool special education services to children with disabilities who are between three and four … financial information, including costs, that CES reports to SED on its annual CFR. To be eligible for reimbursement, …
https://www.osc.ny.gov/state-agencies/audits/2019/12/18/childrens-education-services-inc-compliance-reimbursable-cost-manualOversight of Select High-Technology Projects
… The audit covered the period January 1, 2013 through April 30, 2019. About the Program ESD is the chief agency … high-tech projects administered through SUNY Poly and the Buffalo Billion initiative (an investment announced in 2012 for the Buffalo area economy to create jobs and spur economic growth) …
https://www.osc.ny.gov/state-agencies/audits/2020/08/21/oversight-select-high-technology-projectsFare Evasion (Follow-Up)
… Objective To determine the extent of implementation of the 19 … Brooklyn as well as express bus routes from those boroughs to Manhattan. The MTA has the authority to collect fares from the riding public, pursuant to the New … To determine the extent of implementation of the 19 …
https://www.osc.ny.gov/state-agencies/audits/2023/06/22/fare-evasion-followHomeless Outreach Program at the Metro-North Railroad
… United States. As of December 2017, Metro-North had 123 stations (not including Grand Central Terminal) distributed … Fairfield). The presence of the homeless at Metro-North stations is a growing concern for Metro-North customers and … The homeless outreach data BRC reported was not accurate or complete, and Metro-North does not have a process in place …
https://www.osc.ny.gov/state-agencies/audits/2019/02/21/homeless-outreach-program-metro-north-railroadMedicaid Program – Improper Managed Care Payments for Recipients With Duplicate Client Identification Numbers
… pays managed care organizations (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs … Medicaid is at risk of making improper concurrent monthly premium payments for each CIN. Key Findings Medicaid made over $102.1 million in improper managed care premium payments on behalf of recipients with duplicate CINs. …
https://www.osc.ny.gov/state-agencies/audits/2019/07/29/medicaid-program-improper-managed-care-payments-recipients-duplicate-client-identificationSpringbrook NY, Inc. – Compliance With the Reimbursable Cost Manual
… on Springbrook’s CFR for the fiscal year ended June 30, 2015. About the Program Springbrook is an SED-approved … age. Springbrook is reimbursed for these services through rates set by SED. The reimbursement rates are based on … in excessive salary costs and $1,473 for certain life insurance costs; and $16,604 in other than personal service …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/springbrook-ny-inc-compliance-reimbursable-cost-manualBilingual Care, Inc. – Compliance With the Reimbursable Cost Manual
… on Bilingual’s CFR for the fiscal year ended June 30, 2015 and included certain expenses claimed on its CFRs for … students to Bilingual and pays for those services using rates established by SED. The rates are based on financial … bonus payments; and $21,449 in non-allowable health insurance costs. Key Recommendations To SED: Review the …
https://www.osc.ny.gov/state-agencies/audits/2019/09/11/bilingual-care-inc-compliance-reimbursable-cost-manualOversight of Information Technology Consultants and Contract Staffing
… technology (IT) services procured from consultants and contract staff to ensure compliance with contract terms and deliverables. The audit covered ITS agreements between April 1, 2015 and July 12, 2018 and subsequent documentation and … information technology services procured from consultants and …
https://www.osc.ny.gov/state-agencies/audits/2019/09/16/oversight-information-technology-consultants-and-contract-staffingCompliance With Jonathan's Law
… are required to do the following in response to any incident involving a patient receiving care and treatment: … person within 24 hours of the initial reporting of an incident; Upon request by a qualified person, promptly provide a copy of the written incident report; Offer to hold a meeting with a qualified person to …
https://www.osc.ny.gov/state-agencies/audits/2019/11/18/compliance-jonathans-lawOversight of Industrial Hemp
… the stalk and seed can be used to produce a wide range of products, from clothing to building materials and …
https://www.osc.ny.gov/state-agencies/audits/2019/12/09/oversight-industrial-hempPsychotherapeutic Evaluational Programs, Inc. d.b.a. Parsons Preschool – Compliance With the Reimbursable Cost Manual
… Manual, as follows: $612,855 in non-reimbursable personal service costs associated with paid lunch periods for … equipment, repair and maintenance, cleaning, elevator, air conditioning, telephone, and extermination expenses. These …
https://www.osc.ny.gov/state-agencies/audits/2019/12/16/psychotherapeutic-evaluational-programs-inc-dba-parsons-preschool-compliance-reimbursableState Agencies Bulletin No. 1781
… Purpose The purpose of this bulletin is to provide agency instructions for … eligibility criteria are affected. Background Article 49.1 of the 2016-2021 OSU Agreement between the State of New York and the Civil Service Employees Association and … The purpose of this bulletin is to provide agency instructions for …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1781-2019-work-related-clothing-allowance-osu-employees-represented-civilCUNY Bulletin No. CU-847
… by Teamsters Local 237 in Bargaining Units SB, SC, SE, SL, SM, SP, ST, SU, SV, SW, SX, SZ, TS, or TT. Employees … TR, TU, TX, U3, U6 $107.00 PL3 Teamsters Local 237 SB, SC, SE, SL, SM, SP, ST, SU, SV, SW, SX, SZ, TS, TT $139.88 PL1 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-847-prepaid-legal-service-benefit-city-university-new-york-cuny