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Medicaid Program – Errors in Identification of 340B Providers in the Medicaid Drug Rebate Program
… Purpose To determine whether the Department of Health (Department) … Program in 1990. The program requires drug manufacturers to pay rebates to state Medicaid programs for prescription drugs dispensed … To determine whether the Department of Health accurately …
https://www.osc.ny.gov/state-agencies/audits/2017/06/30/medicaid-program-errors-identification-340b-providers-medicaid-drug-rebate-programElmcrest Children’s Center, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Elmcrest … its early education center. Elmcrest is authorized by SED to provide preschool education services to children with disabilities between the ages of three and … To determine whether the costs reported by Elmcrest Childrens …
https://www.osc.ny.gov/state-agencies/audits/2017/05/24/elmcrest-childrens-center-inc-compliance-reimbursable-cost-manualControls Over Revocable Consents (Follow-Up)
… Objective To determine the extent of implementation of the five … the Program A revocable consent is the grant of a right to an individual or organization to construct and maintain certain structures on, over, or … To determine the extent of implementation of the five …
https://www.osc.ny.gov/state-agencies/audits/2022/05/13/controls-over-revocable-consents-followMedicaid Program – Oversight of Managed Long-Term Care Member Eligibility
… Objective To determine whether the Department of Health (Department) … enrollees. The audit covered the period from January 2015 to March 2021. About the Program Many of the State’s Medicaid … contracts with Maximus Health Services, Inc. (Maximus) to conduct initial eligibility assessments for individuals …
https://www.osc.ny.gov/state-agencies/audits/2022/08/05/medicaid-program-oversight-managed-long-term-care-member-eligibilityReporting of Community-Based Services Under the Transformation Reinvestment Plan
… Objective To determine whether the Office of Mental Health provides … The mission of the Office of Mental Health (OMH) is to promote the mental health of all New Yorkers, with a … illness and children with serious emotional disturbances. To carry out its mission, OMH operates psychiatric centers …
https://www.osc.ny.gov/state-agencies/audits/2022/10/26/reporting-community-based-services-under-transformation-reinvestment-planAuditory Oral Learning Center – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by the Auditory Oral … Report (CFR) were reasonable, necessary, directly related to the special education program, and sufficiently documented, pursuant to the State Education Department’s (SED) Reimbursable Cost …
https://www.osc.ny.gov/state-agencies/audits/2019/12/31/auditory-oral-learning-center-compliance-reimbursable-cost-manualQuality Services for the Autism Community – Compliance With the Reimbursable Cost Manual
… determine whether the costs reported by Quality Services for the Autism Community (QSAC) on its Consolidated Fiscal … (RCM). The audit included expenses claimed on QSAC’s CFR for the fiscal year ended June 30, 2015. About the Program … and adults with autism. QSAC’s administrative office for all programs is located in Manhattan. QSAC was …
https://www.osc.ny.gov/state-agencies/audits/2019/12/31/quality-services-autism-community-compliance-reimbursable-cost-manualMinds in Motion, Inc. – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Minds in Motion, … MIM provides preschool special education services to children with disabilities who are between three and four … financial information, including costs, that MIM reports to SED on its annual CFR. To be eligible for reimbursement, …
https://www.osc.ny.gov/state-agencies/audits/2019/12/31/minds-motion-inc-compliance-reimbursable-cost-manualSafety at Stations (Follow-Up)
… Objective To determine the extent of implementation of the two … SIR is a separate operating unit, reporting to New York City Transit’s Department of Subways. SIR … of Staten Island (about 14 miles) from St. George Terminal to the southern terminal at Tottenville. Riders can connect …
https://www.osc.ny.gov/state-agencies/audits/2020/01/06/safety-stations-followControls Over Equipment (Follow-Up)
… Objective To assess the extent of implementation of the six … When equipment is disposed of, information pertaining to that item is purged from the system. Our initial report, … 7, 2018, found that H+H’s controls over equipment needed to be improved, as auditors were unable to find some items …
https://www.osc.ny.gov/state-agencies/audits/2022/12/20/controls-over-equipment-followCase Management
… Objective To determine whether the New York City Department for the … important goal for many older adults and their families is to be able to live independently, safely, and comfortably in one’s home … To determine whether the New York City Department for the …
https://www.osc.ny.gov/state-agencies/audits/2023/07/26/case-managementMedicaid Program – Improper Medicaid Payments During Permissible Overlapping Medicaid and Essential Plan Coverage
… Objective To determine whether Medicaid made improper payments on … Medicaid program, which provides health care services to individuals who are economically disadvantaged. The … New York’s Essential Plan, which provides health insurance to lower-income individuals who, generally, don’t otherwise …
https://www.osc.ny.gov/state-agencies/audits/2023/09/14/medicaid-program-improper-medicaid-payments-during-permissible-overlapping-medicaid-andSelected Wage Investigation Procedures (Follow-Up)
… Objective To determine the implementation status of the four … Labor’s (DOL) Division of Labor Standards (Division) seeks to vigorously enforce State Labor Laws (Laws), such as those … of an investigation. DOL can require employers found to be in violation of the Laws to pay restitution of wages …
https://www.osc.ny.gov/state-agencies/audits/2024/02/16/selected-wage-investigation-procedures-followWelcome Center and Rest Area Planning and Implementation
… Objective To determine if the Department of Transportation (Department) … About the Program It is the mission of the Department to ensure its customers – those who live, work, and travel in … balanced, and environmentally sound transportation system. To help accomplish this mission, the Department plans and …
https://www.osc.ny.gov/state-agencies/audits/2019/06/20/welcome-center-and-rest-area-planning-and-implementationChildren’s Unit for Treatment and Evaluation – Compliance With the Reimbursable Cost Manual
… provides preschool special education services to children with disabilities who are between three and five years of … be eligible for reimbursement, reported costs must comply with the RCM requirements. For the three fiscal years ended … identified $232,606 in reported costs that did not comply with the RCM’s requirements for reimbursement. These costs …
https://www.osc.ny.gov/state-agencies/audits/2019/07/15/childrens-unit-treatment-and-evaluation-compliance-reimbursable-cost-manualDepartment of Labor Examination of Unemployment Insurance Benefit Payments January 1, 2017 – December 31, 2017
… Purpose The objectives of our examination were to determine whether: (i) Unemployment Insurance (UI) benefit … through December 31, 2017. We also used data analytics to identify and facilitate the recovery of previous overpayments due and owing to the Department from New York State employees. Key Findings …
https://www.osc.ny.gov/state-agencies/audits/2018/11/19/department-labor-examination-unemployment-insurance-benefit-payments-january-1-2017Medicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services
… Purpose To determine if the Department of Health overpaid health care … plans. The audit covered the period from January 1, 2013 to July 31, 2017. Background Many Medicaid recipients are … benefits and offer different health care plans (referred to as Medicare Advantage plans) tailored to the specific …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-advantage-plan-servicesFood Metrics Implementation (Follow-Up)
… Purpose To determine the extent of implementation of the two … Food Metrics Implementation ( 2017-S-18 ). Background To assist agencies in increasing their New York State food … (OGS) and the Department of Agriculture and Markets to develop regulations, establish guidelines, and provide …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/food-metrics-implementation-followContinuity of Operations Planning (Follow-Up)
… Objective To determine the extent of implementation of the two … The Division encourages and supports State agency efforts to develop agency-specific Continuity of Operations Plans … a series of guidance documents (Guidance) intended to aid agency planning teams when they prepare COOPs. The …
https://www.osc.ny.gov/state-agencies/audits/2019/09/11/continuity-operations-planning-followMedicaid Program – Claims Processing Activity October 1, 2018 Through March 31, 2019
… Objective To determine whether the Department of Health’s eMedNY system … Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period October 1, … claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to …
https://www.osc.ny.gov/state-agencies/audits/2019/09/27/medicaid-program-claims-processing-activity-october-1-2018-through-march-31-2019