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Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance (Follow-Up)
… of the seven recommendations made in our initial audit report, Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance (Report 2016-S-60 ). About the Program Mainstream managed … them from managed care. We issued our initial audit report on June 13, 2018. The audit objective was to determine …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/managed-care-premium-payments-recipients-comprehensive-third-party-insurance-followOversight of Hazardous Materials and Waste (Follow-Up)
… January 1, 2015 through May 4, 2018, examined whether State University of New York (SUNY) institutions have developed … over hazardous materials. At most of the non-university center campuses, we found select areas in which controls over …
https://www.osc.ny.gov/state-agencies/audits/2020/01/30/oversight-hazardous-materials-and-waste-followBehavior Analysts of New York, LLC – Compliance With the Reimbursable Cost Manual
… in accordance with applicable State Education Department (SED) requirements. The audit covered costs reported on BANY’s … year ended June 30, 2015. About the Program BANY is an SED-approved, for-profit provider of preschool special … BANY is reimbursed for these services through rates set by SED, which are based on financial information, including …
https://www.osc.ny.gov/state-agencies/audits/2020/01/31/behavior-analysts-new-york-llc-compliance-reimbursable-cost-manualHebrew Academy for Special Children, Inc. – Compliance With the Reimbursable Cost Manual
… Children, Inc. (Hebrew Academy) on its Consolidated Fiscal Reports (CFRs) were reasonable, necessary, directly … on expenses claimed on Hebrew Academy’s CFR for the fiscal year ended June 30, 2017 and included certain expenses claimed on its CFRs for the two fiscal years ended June 30, 2016. About the Program Hebrew …
https://www.osc.ny.gov/state-agencies/audits/2020/02/04/hebrew-academy-special-children-inc-compliance-reimbursable-cost-manualDo Not Call Enforcement Efforts (Follow-Up)
… consumers to register their personal mobile and landline phone numbers on a central national registry to reduce … in 2001. Initially, New York consumers registered their phone numbers on a statewide registry. In 2003, the Federal … by State residents had more than doubled since 2014, the number of cases referred to counsel for further action …
https://www.osc.ny.gov/state-agencies/audits/2020/02/19/do-not-call-enforcement-efforts-followEmpire BlueCross – Controls Over Payments for Special Items (Follow-Up)
… retired State, participating local government and school district employees, and their dependents. The Empire Plan is … plan for NYSHIP. Empire BlueCross (Empire) administers the hospital portion of the Empire Plan. Empire processes claims for hospital services according to contracts it negotiates with …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/empire-bluecross-controls-over-payments-special-items-followEmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits
… To determine whether EmblemHealth Plan, Inc. overpaid dental claims for members covered by two subscriber plans under the New York State Dental Insurance Program. The audit covered the period from … To determine whether EmblemHealth Plan Inc overpaid dental claims for members covered by two subscriber plans …
https://www.osc.ny.gov/state-agencies/audits/2024/01/08/emblemhealth-plan-inc-overpayments-services-requiring-coordination-benefitsMaximizing Incentives for Individuals With Disabilities (Follow-Up)
… in our initial audit report, Maximizing Incentives for Individuals With Disabilities ( 2021-S-26 ). About the … adults with a disability was 31% compared to 72% for working-age adults without a disability. Employment can … and potentially reduced costs of publicly funded benefits for people with disabilities. The New York Employment …
https://www.osc.ny.gov/state-agencies/audits/2024/02/20/maximizing-incentives-individuals-disabilities-followOversight of Child Protective Services (Follow-Up)
… had not yet developed a plan on how to do so. Further, closure codes for non-report calls could more accurately reflect the nature of closure and why the call did not result in a report. …
https://www.osc.ny.gov/state-agencies/audits/2024/09/06/oversight-child-protective-services-followArtificial Intelligence Governance
… Yet even as AI generates value, it is also giving rise to a host of unwanted, and sometimes serious, consequences. New … The U.S. Government Accountability Office (GAO) noted that a lack of transparency reduces effective oversight in … was required by Executive Order 50 of 2019 to establish a reporting framework of algorithmic tools, policies, and …
https://www.osc.ny.gov/state-agencies/audits/2023/02/16/artificial-intelligence-governanceCompliance With Special Education Requirements – Evaluations (Follow-Up)
… included in our initial audit report, Compliance With Special Education Requirements – Evaluations (Report … included in our initial audit report Compliance With Special Education Requirements Evaluations Report 2017N3 …
https://www.osc.ny.gov/state-agencies/audits/2023/03/15/compliance-special-education-requirements-evaluations-followOversight of Chemical Dependence Residential Services (Follow-Up)
… 819 and Part 820 programs. Before issuing an operating certificate, OASAS is required to inspect programs for … viability review before the program’s current operating certificate expires. The objective of our initial audit, …
https://www.osc.ny.gov/state-agencies/audits/2023/10/30/oversight-chemical-dependence-residential-services-followOversight of New York State Forest Tax Programs (Follow-Up)
… produce forest crops and increase the likelihood of both healthy forests and a stable forest economy, in 1974, New … Tax Law 480a – a tax incentive program (480a Program) for qualifying private forest landowners. The Department of … (Department) has general oversight responsibility for the 480a Program, which is executed by its Central Office …
https://www.osc.ny.gov/state-agencies/audits/2023/12/05/oversight-new-york-state-forest-tax-programs-followImplementation of the Security Guard Act (Follow-Up)
… Act ( 2019-S-42 ). About the Program The Department of State (Department), through its Division of Licensing Services (Division), oversees the licensure, registration, and regulation of 36 occupations throughout New … individuals and businesses and uses its licensing and business filing capacities to promote business growth while …
https://www.osc.ny.gov/state-agencies/audits/2023/09/29/implementation-security-guard-act-followImproper Managed Care Payments for Misclassified Patient Discharges (Follow-Up)
… pays managed care organizations (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs …
https://www.osc.ny.gov/state-agencies/audits/2023/12/06/improper-managed-care-payments-misclassified-patient-discharges-followCompliance With School Safety Planning Requirements (Follow-Up)
… Commissioner’s Regulations (State Regulations) and DOE Chancellor’s Regulations (City Regulations) provide additional guidance. For example, DOE’s District Safety Team must develop a comprehensive district-wide school safety plan and DOE’s schools must develop school-specific emergency response …
https://www.osc.ny.gov/state-agencies/audits/2024/01/11/compliance-school-safety-planning-requirements-followOversight of Building Construction Site Safety (Follow-Up)
… Generally, DOB inspections were performed after an incident had occurred or a complaint had been received even … sites. Further, DOB had inadequate procedures for incident and fatality reporting and was not always aware of building …
https://www.osc.ny.gov/state-agencies/audits/2024/01/10/oversight-building-construction-site-safety-followOversight of Persons Convicted of Driving While Intoxicated (Follow-Up)
… of Driving While Intoxicated ( 2015-N-2 ). Background In New York City, persons convicted of DWI who are sentenced to a conditional discharge are monitored by the Queens County District Attorney’s Office (Office). Our …
https://www.osc.ny.gov/state-agencies/audits/2018/11/29/oversight-persons-convicted-driving-while-intoxicated-followOversight of Passenger Safety
… Purpose To determine whether the Office for People With Developmental Disabilities (OPWDD) ensures that its vehicles are being operated safely by employees with valid … OPWDD staff use the agency’s more than 3,000 State-owned vehicles as well as hired contractors to transport …
https://www.osc.ny.gov/state-agencies/audits/2018/10/01/oversight-passenger-safetyNew York Youth Jobs Program
… of Labor (Labor) is ensuring that employers meet New York Youth Jobs Program (Program) eligibility requirements and are certified, and that the youth they hire are eligible for the Program. This audit also … Labor Law (Law) and known formerly as both the New York Youth Works Program and the Urban Youth Jobs Program, is …
https://www.osc.ny.gov/state-agencies/audits/2019/01/09/new-york-youth-jobs-program