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Improper Episodic Payments to Home Health Providers (Follow-Up)
… on 60-day episodes of care. CHHAs can be paid for a full episode (when the episode of care is 60 days) or for a partial episode (when the episode of care is less than 60 days). We …
https://www.osc.ny.gov/state-agencies/audits/2018/05/04/improper-episodic-payments-home-health-providers-followMedicaid Program – Medicaid Drug Rebate Program Under Managed Care
… 2014. Background In 1990, Congress created the Medicaid Drug Rebate Program (Rebate Program) to reduce state and … been able to recover a portion of Medicaid prescription drug costs by requesting rebates from drug manufacturers. The Affordable Care Act, enacted in 2010, …
https://www.osc.ny.gov/state-agencies/audits/2015/02/18/medicaid-program-medicaid-drug-rebate-program-under-managed-careMedicaid Program – Overpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns
… overpaid managed care organizations and hospitals for low birth weight newborn claims. The audit covered the period … effective April 1, 2012, MCOs receive a “Supplemental Low Birth Weight Newborn Capitation Payment” (low birth weight kick payment) for each enrolled newborn …
https://www.osc.ny.gov/state-agencies/audits/2014/10/02/medicaid-program-overpayments-managed-care-organizations-and-hospitals-low-birth-weightContract Participation of Minority- and Women-Owned Business Enterprises
… contract participation goals for minority- and women-owned business enterprises and accurately reported program results to the Department of Economic Development. The audit covered the period of April 1, 2011 … to promote the participation of minority- and women-owned business enterprises (MWBEs) in their contracts. State …
https://www.osc.ny.gov/state-agencies/audits/2015/07/08/contract-participation-minority-and-women-owned-business-enterprisesTrash Can Free Stations Pilot Program
… evaluated the various Phases of the Trash Can Free Stations Pilot Program, intended to improve cleanliness of stations and reduce the rodent population. The audit covered … and refuse collection for Transit’s 468 subway stations throughout Brooklyn, the Bronx, Manhattan and …
https://www.osc.ny.gov/state-agencies/audits/2015/09/22/trash-can-free-stations-pilot-programExamination of Unemployment Insurance Benefits
… Purpose The objectives of our examination were to determine if: (i) Unemployment Insurance (UI) benefit payment requests and … based on the results of our findings. Background To accomplish our examination objectives, we selected for … The objectives of our examination were to determine if i Unemployment Insurance UI benefit payment …
https://www.osc.ny.gov/state-agencies/audits/2015/10/07/examination-unemployment-insurance-benefitsOversight of Persons Convicted of Driving While Intoxicated
To determine whether the New York City Department of Probation provided proper oversight of persons convicted of Driving While Intoxicated
https://www.osc.ny.gov/state-agencies/audits/2015/10/07/oversight-persons-convicted-driving-while-intoxicatedMedicaid Program – Oversight of Localities' Efforts to Coordinate Veterans' Health Care Benefits Under Medicaid and the U.S. Department of Veterans Affairs
… Medicaid and the U.S. Department of Veterans Affairs (VA). The audit covers the period April 1, 2008 through … are also entitled to health care benefits through the VA. While it is a veteran's choice to use a VA health care benefit or a Medicaid benefit, the Department …
https://www.osc.ny.gov/state-agencies/audits/2014/03/19/medicaid-program-oversight-localities-efforts-coordinate-veterans-health-care-benefitsCriminal History Background Checks of Unlicensed Health Care Employees
… oversees and monitors efforts by Nursing Homes, Adult Care Facilities (ACF), and Home Health Care (HHC) … effectively oversees and monitors efforts by Nursing Homes Adult Care Facilities and Home Health Care providers to …
https://www.osc.ny.gov/state-agencies/audits/2017/06/08/criminal-history-background-checks-unlicensed-health-care-employeesAccounts Payable Advisory No. 29
… Guide to Financial Operations: Chapter XII, Section 4.B - Certification of Vouchers Chapter XII, Section 4.D - Certification of Internal Controls over the Payment Process … controls over the payment process as a basis for that certification. This certification requirement is separate and …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/29-internal-controls-certificationImproper Fee-for-Service Payments for Services Covered by Managed Care (Follow-Up)
… for Services Covered by Managed Care (Report 2017-S-74 ). About the Program The Department of Health (Department) …
https://www.osc.ny.gov/state-agencies/audits/2021/02/11/improper-fee-service-payments-services-covered-managed-care-followAdministration of Mitchell-Lama Waiting Lists (Follow-Up)
… of 269 State-supervised developments, with over 105,000 apartments, were built under the Program. In exchange for … out, they are no longer subject to DHCR supervision, and apartments do not need to be kept affordable for … Program developments with approximately 64,000 apartments. Apartments are rented or sold to applicants on …
https://www.osc.ny.gov/state-agencies/audits/2021/01/19/administration-mitchell-lama-waiting-lists-followOpioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program (Follow-Up)
… Opioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program (Report 2017-S-66 ). About the Program Opioid treatment programs (Treatment Programs) provide medication-assisted treatment, … Opioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program Report 2017S66 …
https://www.osc.ny.gov/state-agencies/audits/2020/05/07/opioid-prescriptions-medicaid-recipients-opioid-treatment-program-followHomeless Housing and Assistance Program – Project Selection and Maintenance (Follow-Up)
… four recommendations included in our initial audit report, Homeless Housing and Assistance Program – Project Selection … and Maintenance (Report 2018-S-4 ). About the Program The Homeless Housing and Assistance Program (HHAP), created in … provides funding for the establishment of projects for the homeless. HHAP is overseen by the Homeless Housing and …
https://www.osc.ny.gov/state-agencies/audits/2020/08/18/homeless-housing-and-assistance-program-project-selection-and-maintenance-followPrivacy and Security of Student Data
… through November 2022. About the Program The Department is part of the University of the State of New York, one of the … students and their data. In 2020, the Department adopted Part 121 of the Regulations of the Commissioner of Education … privacy and security and protect personally identifiable information (PII). Our audit focused on charter schools and …
https://www.osc.ny.gov/state-agencies/audits/2023/05/16/privacy-and-security-student-dataImproper Supplemental Maternity Capitation Payments to Managed Care Organizations (Follow-Up)
… Objective To determine the extent of implementation of the six … Improper Supplemental Maternity Capitation Payments to Managed Care Organizations (Report 2020-S-57 ). About the … To determine the extent of implementation of the six …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/improper-supplemental-maternity-capitation-payments-managed-care-organizations-followPatient Safety Center Activities and Handling of Revenues (Follow-Up)
… included in our initial audit report, Patient Safety Center Activities and Handling of Revenues (Report 2019-S-15 … to the Public Health Law (PHL), a Patient Safety Center (PSC) was established within the Department of Health … included in our initial audit report Patient Safety Center Activities and Handling of Revenues Report 2019S15 …
https://www.osc.ny.gov/state-agencies/audits/2024/01/03/patient-safety-center-activities-and-handling-revenues-followOversight of Campus Foundations (Follow-Up)
… of the four recommendations included in our initial audit report Oversight of Campus Foundations (Report 2016-S-93 ). About the Program The State University of … of the four recommendations included in our initial audit report Oversight of Campus Foundations Report 2016S93 …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/oversight-campus-foundations-followUnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services
… December 31, 2016. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to over 1.2 million active and retired … million of these members. The State Department of Civil Service (Civil Service) administers NYSHIP. In carrying out …
https://www.osc.ny.gov/state-agencies/audits/2018/12/31/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesOswego County – Court and Trust Funds (2022-C&T-5)
… have established appropriate controls to safeguard and account for court and trust funds for the period January 1, 2019 through … have established appropriate controls to safeguard and account for court and trust funds for the period January 1 2019 through …
https://www.osc.ny.gov/local-government/audits/county/2022/11/23/oswego-county-court-and-trust-funds-2022-ct-5