Search
Medicaid Program – Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance
… Health (Department) made Medicaid mainstream managed care premium payments on behalf of individuals who had … Medicaid pays managed care organizations (MCOs) a monthly premium for each enrolled Medicaid recipient, and the MCOs … paid about $1.28 billion in Medicaid managed care premium payments on behalf of enrollees who also had …
https://www.osc.ny.gov/state-agencies/audits/2018/06/13/medicaid-program-managed-care-premium-payments-recipients-comprehensive-third-partyInterdisciplinary Center for Child Development – Compliance With the Reimbursable Cost Manual
… whether the costs reported by the Interdisciplinary Center for Child Development (ICCD) on its Consolidated Fiscal … audit focused primarily on expenses claimed on ICCD’s CFR for the fiscal year ended June 30, 2015, and included certain expenses claimed on ICCD’s CFRs for the two fiscal years ended June 30, 2014. Background ICCD …
https://www.osc.ny.gov/state-agencies/audits/2018/04/05/interdisciplinary-center-child-development-compliance-reimbursable-cost-manualNursing Home Surveillance (Follow-Up)
… Purpose To determine the extent of implementation of the four recommendations included in our initial audit report, Nursing Home Surveillance ( … To determine the extent of implementation of the four recommendations included in our initial audit report Nursing Home Surveillance 2015S26 …
https://www.osc.ny.gov/state-agencies/audits/2018/03/08/nursing-home-surveillance-followOptimizing Medicaid Drug Rebates (Follow-Up)
… and, where appropriate, issue retroactive rebate invoices for the drug claims we identified. Key Findings Department … have resulted in the invoicing of $47.6 million in rebates for the period April 1, 2010 to March 31, 2017. However, we … million in additional rebates could still be collected for this period with further efforts by the Department. Given …
https://www.osc.ny.gov/state-agencies/audits/2017/12/20/optimizing-medicaid-drug-rebates-followOversight of the Agricultural Assessment Program
… Purpose To determine if the Department of Taxation and Finance’s (Department) Office of Real Property … AAVs. Other Related Audit/Report of Interest Department of Taxation and Finance: 2015 Property Tax Freeze Credit Report … To determine if the Department of Taxation and Finances Office of Real Property Tax Services is …
https://www.osc.ny.gov/state-agencies/audits/2018/02/02/oversight-agricultural-assessment-programMedicaid Program – Medicaid Claims Processing Activity April 1, 2017 Through September 30, 2017
… Purpose To determine whether the Department of Health's eMedNY system reasonably ensured that Medicaid … 2017 through September 30, 2017. Background The Department of Health (Department) administers the State’s Medicaid … 193 million claims, resulting in payments to providers of more than $31 billion. The claims are processed and paid …
https://www.osc.ny.gov/state-agencies/audits/2018/08/03/medicaid-program-medicaid-claims-processing-activity-april-1-2017-through-september-30-2017Financial Condition and Selected Expenses (Follow-Up)
… Saratoga Race Course. In 2011, Resorts World New York City Casino (Resorts) opened adjacent to Aqueduct Racetrack. According to NYRA’s Franchise Agreement with New York State, a percentage of Resorts’ Video Lottery …
https://www.osc.ny.gov/state-agencies/audits/2018/01/24/financial-condition-and-selected-expenses-followHawthorne Foundation, Inc. – Compliance With the Reimbursable Cost Manual
… with disabilities who are between three and five years of age. Hawthorne is reimbursed for preschool special … in other than personal service costs, which consisted of $11,419 in expensed equipment that was not properly … tuition reimbursement rates. Remind Hawthorne officials of the pertinent SED requirements that relate to the …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/hawthorne-foundation-inc-compliance-reimbursable-cost-manualNY-Sun Incentive Program (Follow-Up)
… electricity come from renewable energy sources such as solar and wind by 2030. NY-Sun was launched in 2012 by the … to help establish a self-sustaining and self-sufficient solar industry in the State. Our initial audit report, which …
https://www.osc.ny.gov/state-agencies/audits/2018/06/20/ny-sun-incentive-program-followOversight of Nurse Licensing
… The Department oversees the licensure and practice of the professions, as outlined in Title VIII of the New York State Education Law (Education Law). Its … active professional nursing licenses – in the titles of licensed practical nurse, registered professional nurse, …
https://www.osc.ny.gov/state-agencies/audits/2017/09/29/oversight-nurse-licensingUnited HealthCare – Empire Plan Drug Rebate Revenue (Follow-Up)
… negotiate agreements with drug manufacturers for rebates, discounts, and other considerations and pass 100 percent of …
https://www.osc.ny.gov/state-agencies/audits/2017/05/15/united-healthcare-empire-plan-drug-rebate-revenue-followImplementation of the Dignity for All Students Act
… district policies and practices comply with the Dignity for All Students Act (DASA); and school districts report … July 1, 2013 defined cyberbullying and added requirements for investigating and reporting alleged incidents. The … incident data available to the public on its website. For the school year ended June 30, 2016, school districts …
https://www.osc.ny.gov/state-agencies/audits/2017/10/13/implementation-dignity-all-students-actThe 80/20 Housing Program
… as 50 percent of an Area’s Median Income (AMI) adjusted for household size. For a New York City family of four, the 2016 income … $45,300. Applicants must earn less than the income limits for their respective household size to qualify for these …
https://www.osc.ny.gov/state-agencies/audits/2017/05/31/8020-housing-programOversight of International Offices (Follow-Up)
… Purpose To determine the extent of implementation of the two recommendations included in our initial audit … To determine the extent of implementation of the two recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/oversight-international-offices-followAdministration of Non-Competitive and Limited-Competition Contracts (Follow-Up)
… Purpose To determine the extent of implementation of the five recommendations included in our initial audit report, Administration of … about $20 million), there was inadequate documentation to justify the non-competitive methods used to award the … To determine the extent of implementation of the five …
https://www.osc.ny.gov/state-agencies/audits/2017/01/09/administration-non-competitive-and-limited-competition-contracts-followRailroad Bridge Inspection Program (Follow-Up)
… recommendations included in our original report, Railroad Bridge Inspection Program (Report 2013-S-5). Background Our … oversaw railroads in the State to ensure they meet the bridge inspection requirements. We concluded that the … monitoring whether the railroads complied with its bridge and inspection reporting requirements and made …
https://www.osc.ny.gov/state-agencies/audits/2016/10/04/railroad-bridge-inspection-program-followInfrastructure Inspection and Maintenance (Follow-Up)
… were not given priority, as the Corporation's process for determining inspection and maintenance priorities lacked … and also authorized the Power Authority to issue debt for the purposes of financing the construction, … a documented and sound system should be established for supporting capital spending decisions. Key Recommendation …
https://www.osc.ny.gov/state-agencies/audits/2017/01/12/infrastructure-inspection-and-maintenance-followSelected Financial Management Practices (Follow-Up)
… Purpose To determine the extent of implementation of the 19 recommendations included in our initial report, Selected Financial Management Practices ( … To determine the extent of implementation of the 19 recommendations included in our initial report Selected Financial Management Practices …
https://www.osc.ny.gov/state-agencies/audits/2017/09/15/selected-financial-management-practices-followExamination of Island Peer Review Organization
… expenses the Department of Health (Department) made to Island Peer Review Organization (IPRO) under contract … $180,000 in out-of-pocket expenses. Our objective was to determine whether these subcontractor expenses were in … Department entered into a $79 million contract with IPRO to provide services related to Medicaid activities. This …
https://www.osc.ny.gov/state-agencies/audits/2018/09/14/examination-island-peer-review-organizationMedicaid Claims Submitted by Accordis, Inc. on Behalf of the New York City Health and Hospitals Corporation
… Inc. submitted appropriate Medicaid claims on behalf of the New York City Health and Hospitals Corporation (HHC). … providers submit Medicaid claims to the Department of Health’s eMedNY claims processing system for payment of their services. For various reasons, eMedNY denies payment …
https://www.osc.ny.gov/state-agencies/audits/2013/03/12/medicaid-claims-submitted-accordis-inc-behalf-new-york-city-health-and-hospitals