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Selected Operating and Administrative Practices of the Bureau of Narcotic Enforcement (Follow-Up)
… the bulk of which was not provided until June and July 2015. In addition, some of the information that we requested …
https://www.osc.ny.gov/state-agencies/audits/2015/09/23/selected-operating-and-administrative-practices-bureau-narcotic-enforcement-followImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… audit report, Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Report 2014-S-5 ). … Medicaid inappropriately paid 29,289 fee-for-services pharmacy claims totaling $978,251 on behalf of 18,010 Medicaid recipients whose pharmacy benefits were covered by managed care. We …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followControls Over Cash Advance Accounts (Follow-Up)
… Purpose To determine the extent of implementation of the eight … accounts received little scrutiny and made recommendations to improve internal controls over these accounts. As of March 31, 2016, Parks was authorized to have three advance accounts with a total value of …
https://www.osc.ny.gov/state-agencies/audits/2016/06/03/controls-over-cash-advance-accounts-followUnited HealthCare – Overpayments for Services Provided by Dr. John Gomes
… costs, and if so, to quantify the overpayments made by United HealthCare (United) resulting from this practice. Our audit covered the … Department of Civil Service (Department) contracts with United to process and pay medical claims for services … outofpocket costs if so to quantify overpayments made by United …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-dr-john-gomesTuition Assistance Program – College of Westchester
… Purpose To determine whether College of Westchester complied with the Education Law and the … for State financial aid. Background The College of Westchester, (Westchester) offers programs in business, computer, digital … To determine whether College of Westchester complied with the Education Law and the …
https://www.osc.ny.gov/state-agencies/audits/2016/06/30/tuition-assistance-program-college-westchesterTuition Assistance Program – Wagner College
… financial aid. Background TAP is the largest student grant program administered by the Higher Education Services … in the arts, business, nursing, physician’s assistant and teacher education approved by the State Education Department. … for a full-time student is approximately $42,000 and the school’s enrollment is approximately 1,700 undergraduate …
https://www.osc.ny.gov/state-agencies/audits/2016/05/19/tuition-assistance-program-wagner-collegeTuition Assistance Program – LIM College
… through an integrated approach utilizing the classroom, internships, and the fashion industry at large. LIM offers …
https://www.osc.ny.gov/state-agencies/audits/2015/10/01/tuition-assistance-program-lim-collegeThe Alcott School – Compliance With the Reimbursable Cost Manual
… (RCM). We audited costs that Alcott reported on its CFR for the year ended June 30, 2014. Background Alcott is an SED-approved, not-for-profit special education provider located in Westchester … between three and five years of age. Alcott is reimbursed for preschool special education services through rates set by …
https://www.osc.ny.gov/state-agencies/audits/2016/07/25/alcott-school-compliance-reimbursable-cost-manualNY-Sun Incentive Program
… commitment of $1 billion to stimulate the marketplace for solar energy in New York. NY-Sun aims to add more than three gigawatts (3 billion watts) of solar capacity, enough to power approximately 400,000 homes … is to help establish a self-sustaining and self-sufficient solar industry in the State. The roughly $1 billion will be …
https://www.osc.ny.gov/state-agencies/audits/2016/09/02/ny-sun-incentive-programCrossroads Center for Children – Compliance With the Reimbursable Cost Manual
… located in Schenectady, New York. Crossroads provides preschool special education services to children with … ages of three and five years. Crossroads is reimbursed for preschool special education services through rates set by … in reimbursable costs on its CFR for two rate-based preschool special education programs. Key Findings For the …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/crossroads-center-children-compliance-reimbursable-cost-manualNewmeadow, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Newmeadow Inc. … New York, provides preschool special education services to children with disabilities between the ages of three and … information, including costs, that Newmeadow reports to SED on its annual CFR. To be eligible for reimbursement, …
https://www.osc.ny.gov/state-agencies/audits/2015/12/29/newmeadow-inc-compliance-reimbursable-cost-manualInspecting Highway Bridges and Repairing Defects (Follow-Up)
… for an annual interim inspection if the repairs are not completed. Further, we noted that 10 of the 17 Safety … and one was not implemented. Key Recommendation Officials are given 30 days after the issuance of the follow-up review to provide information on any actions that are planned to address the unresolved issues discussed in …
https://www.osc.ny.gov/state-agencies/audits/2016/06/30/inspecting-highway-bridges-and-repairing-defects-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… of the Plan. Empire processes and pays Plan claims for hospital services in accordance with agreements Empire negotiates with member hospitals. Payments for hospital services are generally based on standard fee …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… three recommendations made in our initial audit report, United HealthCare Insurance Company of New York: Empire Plan … Department of Civil Service (Department) contracted with United HealthCare (United) to administer the Plan’s … of Interest New York State Health Insurance Program: United HealthCare: Payments for Fraudulent and Improper …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followThe ARC of Ulster-Greene – Compliance With the Reimbursable Cost Manual
… year ended December 31, 2014. Background Ulster-Greene, a not-for-profit organization located in Kingston, New York, is an SED-approved provider of … disabilities between the ages of three and five years. In 2014, Ulster-Greene provided preschool special education …
https://www.osc.ny.gov/state-agencies/audits/2016/09/02/arc-ulster-greene-compliance-reimbursable-cost-manualUse of State Appropriations
… Purpose To determine whether the New York Wine and Grape Foundation (Foundation) has spent … a public authority, located in Canandaigua, which supports New York State’s wine and grape industry through research, … receives State funding through a contract with the New York State Department of Agriculture and Markets …
https://www.osc.ny.gov/state-agencies/audits/2016/06/16/use-state-appropriationsInternal Control System Components
… Purpose To determine whether the Department of Motor Vehicles’ … Audit and Internal Control Act requiring each State agency to institute a comprehensive system of internal control over … Bulletin B-350 requires the head of each covered agency to certify compliance with the Act by April 30 of each year …
https://www.osc.ny.gov/state-agencies/audits/2016/03/17/internal-control-system-componentsUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… whether UnitedHealthcare improperly paid for medical services designated with modifier code 59 that were not distinct and independent from other services provided on the same day. The audit covered the … to process and pay medical and surgical claims for services provided to Empire Plan members. United’s payments …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59Audit of the Tuition Assistance Program at Stony Brook University
… Purpose To determine whether Stony Brook University complied with the Education Law and … Tuition Assistance Program (TAP) awards. Background Stony Brook University (Stony Brook) is a university within the State University of … To determine whether Stony Brook University complied with the Education Law and …
https://www.osc.ny.gov/state-agencies/audits/2014/12/26/audit-tuition-assistance-program-stony-brook-universityTuition Assistance Program – LaGuardia Community College
… certifying students for State-funded Tuition Assistance Program (TAP) awards. Background LaGuardia Community … fields, including nursing, business, liberal arts, and computer science. LaGuardia’s student enrollment at the time … York City residents is about $4,500. TAP is an entitlement program designed to provide funds for paying tuition costs to …
https://www.osc.ny.gov/state-agencies/audits/2014/12/04/tuition-assistance-program-laguardia-community-college