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Medicaid Program – Medicaid Claims Processing Activity October 1, 2012 Through March 31, 2013
… system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for their claims. During the six-month period ended March 31, … payments, including: $6,329,458 in questionable payments for claims that were not subjected to the appropriate edits …
https://www.osc.ny.gov/state-agencies/audits/2014/05/22/medicaid-program-medicaid-claims-processing-activity-october-1-2012-through-march-31-2013Conservation Fund – Sources and Uses of Funds
… Purpose To determine whether Conservation Fund (Fund) revenues are … regulations. Background The Fund was established in 1925 to provide a stable, long-term source of revenue to help support the Department of Environmental … To determine whether Conservation Fund Fund revenues are …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/conservation-fund-sources-and-uses-fundsChurchill School and Center – Compliance With the Reimbursable Cost Manual
… Education Law (Law), to children in kindergarten through 12th grade. Pursuant to the Law, schools such as Churchill …
https://www.osc.ny.gov/state-agencies/audits/2014/05/27/churchill-school-and-center-compliance-reimbursable-cost-manualMedicaid Claims Processing Activity April 1, 2012 Through September 30, 2012
… Claims with incorrect billings for alternate levels of care, which caused $465,313 in overpayments; Claims for dental services that should have been covered by a managed care plan, which caused $336,780 in overpayments; and Claims …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/medicaid-claims-processing-activity-april-1-2012-through-september-30-2012Real Estate Portfolio
… procedures that define the specific steps for setting lease and license rates for using Authority property. Other …
https://www.osc.ny.gov/state-agencies/audits/2014/03/27/real-estate-portfolioFinancial Condition and Selected Expenses
… all rights, titles, and interests in racetrack properties (land and buildings) to New York State. In return, the State …
https://www.osc.ny.gov/state-agencies/audits/2016/06/10/financial-condition-and-selected-expensesThe Child Development Council, Inc. – Compliance With the Reimbursable Cost Manual
… organization located in Johnson City, New York, provides preschool special education services to children with … the ages of three and five years. TCDC is reimbursed for preschool special education services through rates set by … in reimbursable costs on its CFR for the rate-based preschool special education programs it operated. Key Finding …
https://www.osc.ny.gov/state-agencies/audits/2016/11/17/child-development-council-inc-compliance-reimbursable-cost-manualEmployee Incentive and Bonus Payments
… if incentive and bonus payments made by the Erie County Medical Center Corporation (ECMCC) were warranted, supported, … Public Authorities Law §3626 to manage the Erie County Medical Center health network. Between January 1, 2013 and … if incentive and bonus payments made by the Erie County Medical Center Corporation were warranted supported and …
https://www.osc.ny.gov/state-agencies/audits/2017/01/13/employee-incentive-and-bonus-paymentsThe Association of Neurologically Impaired Brain Injured Children, Inc. – Compliance With the Consolidated Fiscal Reporting and Claiming Manual
… For over 50 years, ANIBIC has provided a broad range of services to people with special needs, from ages five … as well as two day habilitation programs, recreational and family support services, Medicaid and Non-Medicaid Service … and documentation of program costs and make certain all costs reported are business related. Other Related …
https://www.osc.ny.gov/state-agencies/audits/2016/12/09/association-neurologically-impaired-brain-injured-children-inc-compliance-consolidatedOversight of Health and Safety Regulations at Public Pools, Beaches, and Spray Grounds
… spray grounds throughout the State, including those on the Atlantic Ocean and the Great Lakes and in remote locations …
https://www.osc.ny.gov/state-agencies/audits/2017/06/21/oversight-health-and-safety-regulations-public-pools-beaches-and-spray-groundsAccounts Payable Advisory No. 71
… than Form 1099-MISC. Payors also report certain income in different box numbers on the redesigned 1099-MISC. OSC … year 2020 using the withholding data provided by agencies in the Statewide Financial System (SFS). On October 25, 2021, … more information. (Updates to this section are currently in progress.) Agency personnel should email [email protected] …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/71-processing-payments-subject-federal-reportingManagement of Invasive Species (Follow-Up)
… invasive species (TIS). AIS are commonly spread via fishing and boating activities. The Department is authorized …
https://www.osc.ny.gov/state-agencies/audits/2021/11/19/management-invasive-species-followPurchasing and Procurement Practices
… Section 208 of the Racing, Pari-Mutuel Wagering and Breeding Law requires all contracts entered into by NYRA for …
https://www.osc.ny.gov/state-agencies/audits/2022/03/16/purchasing-and-procurement-practicesDetermination of Residency for Tuition Purposes
… whether SUNY has adequate assurance that campuses are making accurate residency determinations for students and thus charging the correct tuition rates. The … (Residency Policy), each campus is responsible for making the final determination of students’ residency status …
https://www.osc.ny.gov/state-agencies/audits/2022/05/26/determination-residency-tuition-purposesOversight of the Farm-to-School Program (Follow-Up)
… relationships between schools. The Program is intended to connect schools with local farms and food producers, …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/oversight-farm-school-program-followCVS Health – Temporary Holding Account Rebate Revenue (Follow-Up)
… included in our initial audit report, Temporary Holding Account Rebate Revenue ( 2019-S-27 ). Background The New York … eligible prescription drug claims in its temporary holding account. We found that CVS Health improperly designated a temporary holding account, used to process certain prescription drug claims, as …
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/cvs-health-temporary-holding-account-rebate-revenue-followCompliance With Jonathan’s Law (Follow-Up)
… of the three recommendations included in our initial audit report, Compliance With Jonathan’s Law (Report 2017-S-67 ). About the Program In February 2007, … of the three recommendations included in our initial audit report Compliance With Jonathans Law Report 2017S67 …
https://www.osc.ny.gov/state-agencies/audits/2021/02/25/compliance-jonathans-law-followAccess Controls Over Selected Critical Systems (Follow-Up)
… vulnerable adult protective services; preventive services for children and families; and juvenile justice. OCFS owns … inappropriate access to OCFS systems because OCFS hadn’t performed required annual user reviews. We also found OCFS …
https://www.osc.ny.gov/state-agencies/audits/2020/12/29/access-controls-over-selected-critical-systems-followLong-Term Care Ombudsman Program (Follow-Up)
… made in our initial audit report, Long-Term Care Ombudsman Program (Report 2018-S-48 ). About the Program … to establish an Office of the State Long-Term Care Ombudsman. In New York, this office (hereafter referred to as … housing more than 160,000 residents who have a need for ombudsman services. The Office’s responsibilities include …
https://www.osc.ny.gov/state-agencies/audits/2020/12/31/long-term-care-ombudsman-program-followUse of Vendor-Supported Technology (Follow-Up)
… Technology Security Policy (Policy) established by the New York State Office of Information Technology … levels. However, we identified unsupported systems used by NFTA on 66 devices. We found that NFTA officials did not develop …
https://www.osc.ny.gov/state-agencies/audits/2021/01/19/use-vendor-supported-technology-follow