Search
Medicaid Program – Oversight of Managed Care Provider Networks
… has provided adequate oversight of Medicaid managed care provider networks to ensure cost efficiency and access to … access to all services covered under the contract. If the provider network cannot provide services, the member can go out of network. MCOs are required to submit their provider network to DOH quarterly using the Provider Network …
https://www.osc.ny.gov/state-agencies/audits/2025/10/22/medicaid-program-oversight-managed-care-provider-networksImproper Medicaid Payments to Eye Care Providers
… Purpose To determine (1) whether certain eye care providers who appeared to be affiliated complied … and (2) if Medicaid paid for improper claims billed by the eye care providers. This audit covered the period January 1, … State requirements. As a result of these weaknesses, six eye care professionals who did not fully comply with the …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/improper-medicaid-payments-eye-care-providersMedicaid Program – Overpayments of Ambulatory Patient Group Claims
… overpaid Ambulatory Patient Groups (APG) claims because of deficiencies in the claims processing and payment system. … reimbursed based on a patient's condition and complexity of service. The APG system was adopted by the Department of Health (Department) in an effort to more accurately pay …
https://www.osc.ny.gov/state-agencies/audits/2013/08/20/medicaid-program-overpayments-ambulatory-patient-group-claimsDual Employment
… State agencies are working their required hours at each job. The audit covered the period April 1, 2010 to March 31, … Such employment may not interfere with the employee's job responsibilities or represent a conflict of interest. Key … State agencies are working their required hours at each job …
https://www.osc.ny.gov/state-agencies/audits/2013/12/18/dual-employmentInfrastructure Inspection and Maintenance
… the New York State Canal Corporation’s (Corporation) inspection scheduling procedures ensure that all high- and … structures are periodically inspected and whether inspection results are considered when maintenance activities … in good condition. The Corporation’s Canal Structure Inspection Manual-95 has established inspection requirements …
https://www.osc.ny.gov/state-agencies/audits/2015/05/26/infrastructure-inspection-and-maintenanceSelected Financial Management Practices
… Purpose To determine if the Hudson River Park Trust has established adequate controls over the following financial management functions: revenue and collection; procurement and contracting; time and … 2010 through March 26, 2014. Background The Hudson River Park Trust (Trust) is a public benefit corporation authorized …
https://www.osc.ny.gov/state-agencies/audits/2014/12/26/selected-financial-management-practicesAudit of the Tuition Assistance Program at Stony Brook University
… complied with the Education Law and the Commissioner of Education’s Rules and Regulations when certifying students … (Stony Brook) is a university within the State University of New York system and is located in Suffolk County on Long … $60.6 million that were paid to the school on behalf of 12,352 students. We reviewed a sample of 175 randomly …
https://www.osc.ny.gov/state-agencies/audits/2014/12/26/audit-tuition-assistance-program-stony-brook-universityLong Island Association for AIDS Care, Inc.
… objective of our examination was to determine whether the Long Island Association for AIDS Care, Inc. (LIAAC) charged … (CSP) since 1986, LIAAC provides services and support for Long Island residents infected and affected by HIV/AIDS or at … 2018. LIAAC rents its principal place of business from the Long Island Network of Community Services (LINCS), a related …
https://www.osc.ny.gov/state-agencies/audits/2014/09/30/long-island-association-aids-care-incReview of the American Academy of Pediatrics
… payments made to American Academy of Pediatrics, District II (AAP) for various immunization initiatives under contracts … payments made to American Academy of Pediatrics District II AAP for various immunization initiative …
https://www.osc.ny.gov/state-agencies/audits/2015/09/29/review-american-academy-pediatricsLow-Income Housing Trust Fund Program
… about 4,400 low-income housing units, due to: questionable award decisions; lax monitoring or enforcement of … adhere to its own policies regarding the project award process. During our audit period, the Program awarded … but not recommended." The Program does not adequately document management decisions to award funding to projects …
https://www.osc.ny.gov/state-agencies/audits/2014/08/28/low-income-housing-trust-fund-programWage Theft Investigations
… mission is to protect workers, assist the unemployed and connect job seekers to jobs. Its Division of Labor Standards … Protection Management system does not provide management with accurate or useful case management reports. Employers … the case backlog and complete new cases sooner. Work with Information Technology Services to correct the current …
https://www.osc.ny.gov/state-agencies/audits/2014/06/06/wage-theft-investigationsUncollected Penalties
… Purpose To determine if the Department of Agriculture and Markets … February 1, 2013. Background The Department's mission is to foster a competitive food and agriculture industry that … The Department conducts inspections of various operations to ensure compliance with the Agriculture and Markets Law. …
https://www.osc.ny.gov/state-agencies/audits/2013/07/31/uncollected-penaltiesOversight of Contract Expenditures of Bowery Residents’ Committee
… must comply with the DHS Human Service Providers Fiscal Manual (Fiscal Manual), the New York City Health and Human Services Cost Policies and Procedures Manual (Cost Manual), and the JRR contract. Key Findings DHS …
https://www.osc.ny.gov/state-agencies/audits/2021/12/30/oversight-contract-expenditures-bowery-residents-committeeControls Over Revocable Consents (Follow-Up)
To determine the extent of implementation of the five recommendations in our initial audit report Controls Over Revocable Consents Report 2018N1
https://www.osc.ny.gov/state-agencies/audits/2022/05/13/controls-over-revocable-consents-followImproper Medicaid Payments for Recipients in Hospice Care (Follow-Up)
… Objective To determine the extent of implementation of the 11 recommendations made in our initial audit report, … To determine the extent of implementation of the 11 recommendations made in our …
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/improper-medicaid-payments-recipients-hospice-care-followCareer and Technical Education
… and hands-on training to prepare them for future careers in occupational fields. During the 2017-18 school …
https://www.osc.ny.gov/state-agencies/audits/2021/05/20/career-and-technical-educationMedicaid Program – Improper Supplemental Maternity Capitation Payments to Managed Care Organizations
… Program The Department of Health (Department) administers New York’s Medicaid program. Many of the State’s Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-supplemental-maternity-capitation-payments-managed-careMonitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance (Follow-Up)
… the Division works with cemetery officials on a wide range of issues, including the sale of lots, service fees, …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/monitoring-not-profit-cemeteries-fiscal-stability-and-adequate-facility-maintenance-followAccounts Payable Advisory No. 1
… TCard, and NET-Card Payments to JPMorgan Chase Bank, N.A. Filling the Invoice Number Field on the Voucher: In order … card accounts, agencies must enter their 16 digit billing account number followed by the two-digit billing month and … field. OSC will return JPMorgan Chase Bank, N.A. payments with invoice numbers containing spaces, letters or …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/1-complex-entity-jpmorgan-chase-bank-naAccounts Payable Advisory No. 37
… credit card charges within 30 days of the payment of the Citibank bill (see the Guide to Financial Operations (GFO), …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/37-reconciliation-credit-card-transactions