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Elmcrest Children’s Center, Inc. – Compliance With the Reimbursable Cost Manual
… for these services through rates set by SED. These reimbursement rates are based on financial information, … reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with the RCM … costs reported on Elmcrest’s CFR and to Elmcrest’s tuition reimbursement rates. Remind Elmcrest officials of the …
https://www.osc.ny.gov/state-agencies/audits/2017/05/24/elmcrest-childrens-center-inc-compliance-reimbursable-cost-manualControls Over Revocable Consents (Follow-Up)
… consent revenues were $19.3 million for City Fiscal Year (CFY) ended June 30, 2020 and $18.5 million for CFY ended June 30, 2021. We issued our initial audit report …
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
… services, such as home health care and nursing home care, for people who are chronically ill or disabled. For the year … for initiating disenrollment of enrollees when it is determined they are no longer MLTC eligible (e.g., enrollees who did not receive any CBLTC services in a month, deceased recipients), and Maximus is responsible for …
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
… funds realized through the closure of inpatient State beds (about $110,000 per closed bed) into CBS. To document … realized through the reduction of State-operated inpatient beds under the Plan and served more than 111,000 individuals. …
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
… for the preschool special education services through rates established by SED. The reimbursement rates are based on the financial information that AOLC … are based on fixed fees, as opposed to the cost-based rates established through CFR-reported financial information. …
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
… is approved by SED to provide Preschool Special Education (SC) and Special Education Itinerant Teacher (SEIT) program … with autism between three and five years of age. Both the SC and SEIT programs are located in Douglaston, Queens. For … 2015, QSAC served 164 students, which consisted of 140 in SC and 32 in SEIT, with 8 children enrolled in both Programs. …
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
… (RCM). We audited the costs that MIM reported on its CFR for the fiscal year ended June 30, 2015. About the Program MIM is an SED-approved, for-profit special education provider located in Newburgh. … are between three and four years of age. MIM is reimbursed for these services through rates set by SED. The …
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 recommendations included in our initial report, Safety at Stations (Report 2016-S-91 ). About the Program Staten Island Railway (SIR) is a subsidiary of … To determine the extent of implementation of the two recommendations …
https://www.osc.ny.gov/state-agencies/audits/2020/01/06/safety-stations-followControls Over Equipment (Follow-Up)
… $285.6 million in equipment. Descriptions, purchase order numbers, and other information about major movable equipment … system. The equipment includes ultrasound machines, vital sign monitors, and laptops. Equipment costing $500 or more must be tagged and the tag numbers are recorded in the asset management system. When …
https://www.osc.ny.gov/state-agencies/audits/2022/12/20/controls-over-equipment-followCase Management
… York City Department for the Aging provided and paid case management services appropriately for eligible seniors. The … certain functional limitations may be eligible for case management to ensure access to appropriate services, … of life. DFTA reported over 39,000 seniors received case management services in City fiscal year 2022. DFTA contracts …
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
… payments on behalf of recipients with Department of Health-authorized overlapping Medicaid and Essential Plan … New York’s Medicaid program, which provides health care services to individuals who are economically … New York’s Essential Plan, which provides health insurance to lower-income individuals who, generally, don’t …
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)
… included in our initial audit report, Selected Wage Investigation Procedures ( 2019-S-46 ). About the Program The … other labor violations that arise during the course of an investigation. DOL can require employers found to be in … 3, 2021, was to determine if DOL was following its wage investigation procedures, including conducting outreach to …
https://www.osc.ny.gov/state-agencies/audits/2024/02/16/selected-wage-investigation-procedures-followWelcome Center and Rest Area Planning and Implementation
… Make It Sustainable, and System Not Projects – with Safety being the overarching theme for all of the principles. … program includes projects to construct and improve Rest Areas located on interstate highways. The Rest Area Plan, … objectives, it did not provide detailed plans (amenities, parking, vendor location, utilities) for individual completed …
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
… To determine whether the costs reported by Childrens Unit for Treatment and Evaluation on its …
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
… on the overpayments identified, DOL assessed $1,852,169 in penalties to claimants who made false statements or … not entitled. We also worked with DOL to offset $204,464 in UI benefit payments against penalties assessed for overpayments we identified, recover $426,637 in overpayments owed by State employees and identify an …
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
… providers’ Medicaid claims for services also covered by Medicare Advantage plans. The audit covered the period from … Background Many Medicaid recipients are also enrolled in Medicare Part C, also known as Medicare Managed Care or Medicare Advantage. Under Medicare …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-advantage-plan-servicesFood Metrics Implementation (Follow-Up)
… two recommendations included in our initial audit report, Food Metrics Implementation ( 2017-S-18 ). Background To assist agencies in increasing their New York State food purchases, the State Finance Law (Law) requires the … guidelines, and provide training on New York State food purchasing to agency personnel involved in the …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/food-metrics-implementation-followContinuity of Operations Planning (Follow-Up)
… Security and Emergency Services (Division) is responsible for coordinating emergency management planning efforts in New … (COOPs), which each State agency should have in place for each of its facilities. Toward this end, the Division has … of State agencies’ continuity of operations planning for major unexpected events. We tested a sample of 11 State …
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
… was actually provided; $1.4 million was paid for newborn birth claims that contained inaccurate birth information, such as the newborn’s birth weight; $1 million was paid for practitioner, pharmacy, …
https://www.osc.ny.gov/state-agencies/audits/2019/09/27/medicaid-program-claims-processing-activity-october-1-2018-through-march-31-2019Long-Term Care Ombudsman Program
… services; identifying, investigating, and resolving complaints made by or on behalf of residents in a timely manner; establishing … relationships with residents, and respond to resident complaints. Key Findings Certain system-generated Office data …
https://www.osc.ny.gov/state-agencies/audits/2019/10/03/long-term-care-ombudsman-program