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Medicaid Program – Inappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus
… Medicaid mainstream managed care plans and Family Health Plus managed care plans (Plans) for recipients who were no … managed care, during the audit period, Family Health Plus (FHP) was a publicly funded managed care program for … Medicaid mainstream managed care plans and Family Health Plus …
https://www.osc.ny.gov/state-agencies/audits/2017/07/11/medicaid-program-inappropriate-premium-payments-recipients-no-longer-enrolled-mainstreamSelected Payments for Special Items Made to Stony Brook University Hospital from January 1, 2011 through March 31, 2011
… Purpose To determine if Empire BlueCross BlueShield's (Empire's) payments to State University of New York's Stony … made according to the provisions of the agreement between Empire and Stony Brook. Background The New York State Health … To determine if Empire BlueCross BlueShields Empires payments to State …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-stony-brook-university-hospital-january-1-2011-throughSelected Payments for Special Items Made to St. Luke's Cornwall Hospital from January 1, 2011 through March 31, 2011
… determine if BlueCross BlueShield's (Empire's) payments to St. Luke's Cornwall Hospital (St. Luke's) for special items were made according to the provisions of the agreement between Empire and St. Luke's. Background The New York State Health Insurance …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-st-lukes-cornwall-hospital-january-1-2011-throughSelected Payments for Special Items Made to Mary Imogene Bassett Hospital from January 1, 2011 through March 31, 2011
… Purpose To determine if BlueCross BlueShield’s (Empire’s) payments to Mary Imogene Bassett Hospital (Bassett) … Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, participating local … district employees and their dependents. The Empire Plan (Plan) is the primary health benefits plan for NYSHIP. …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-mary-imogene-bassett-hospital-january-1-2011-throughMedicaid Program – Excessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans
… Medicaid program. Many Medicaid recipients are enrolled in Medicare and are referred to as “dual-eligibles.” … 1, 2021. IB-Dual offers a special (lower) MMC and HARP premium rate for certain Medicaid recipients who enroll in … the Families First Coronavirus Response Act, which, in part, increased the federal medical assistance percentage to …
https://www.osc.ny.gov/state-agencies/audits/2022/10/31/medicaid-program-excessive-premium-payments-dual-eligible-recipients-enrolled-mainstreamVillage of Holley – Transparency of Fiscal Activities (S9-24-12)
… Findings The Board did not: Conduct an annual audit, or cause to be audited, the CFO’s 2022-23 financial records and …
https://www.osc.ny.gov/local-government/audits/statewide-audit/2024/12/20/village-holley-transparency-fiscal-activities-s9-24-12Oversight of Adult Protective Services Programs (Follow-Up) (2023-F-6)
To determine the extent of implementation of the three recommendations included in our initial audit report, Oversight of Adult Protective Services Programs (2020-S-2).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-23f6.pdfOversight of Mental Health Education in Schools (Follow-Up) (2023-F-21)
To determine the extent of implementation of the two recommendations included in our initial audit report, Oversight of Mental Health Education in Schools.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-23f21.pdfEfforts to Collect Delinquent Taxes (Follow-Up) (2022-F-33)
To determine the extent of implementation of the two recommendations included in our initial audit report, Efforts to Collect Delinquent Taxes (2019-S-61).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22f33.pdfImproper Overlapping Medicaid and Essential Plan Enrollments (Follow-Up) (2023-F-40)
To assess the extent of implementation of the three recommendations included in our initial audit report, Improper Overlapping Medicaid and Essential Plan Enrollments.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2024-23f40.pdfSelected State Agencies’ Roles in Financial Literacy (Follow-Up) 2024-F-7
To assess the extent of implementation of the five recommendations included in our initial audit report, Selected State Agencies’ Roles in Financial Literacy.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2025-24f7.pdfLand Banks Enter the Fight Against Blight
This report explains what land banks are, discusses how they can help local governments cope with high concentrations of vacant and abandoned properties
https://www.osc.ny.gov/files/local-government/publications/pdf/landbanks1016.pdfThe Child Study Center of New York – Compliance With the Reimbursable Cost Manual (2017-S-13) 90-Day Response
To determine whether the costs reported by The Child Study Center of New York on its Consolidated Fiscal Report were properly calculated, adequately …
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2017-17s13-response.pdfThe Child Study Center of New York – Compliance With the Reimbursable Cost Manual (2017-S-13)
To determine whether the costs reported by The Child Study Center of New York on its Consolidated Fiscal Report were properly calculated, adequately …
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2017-17s13.pdfUnitedHealthcare Insurance Company of New York – Empire Plan Drug Rebates (Follow-Up) (2017-F-6)
To determine the implementation status of 2 recommendations made in our audit report, United HealthCare Insurance Company of New York: Empire Plan Drug Rebates.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2017-17f6.pdfHagedorn Little Village School – Compliance With the Reimbursable Cost Manual (2017-S-4) 90-Day Response
To determine whether costs reported by Hagedorn Little Village School on its Consolidated Fiscal Report were properly calculated, adequately documented, and allowable under ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2017-17s4-response.pdfHagedorn Little Village School – Compliance With the Reimbursable Cost Manual (2017-S-4)
To determine whether costs reported by Hagedorn Little Village School on its Consolidated Fiscal Report were properly calculated, adequately documented, and allowable under ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2017-17s4.pdfCVS Health - Temporary Holding Account Rebate Revenue (Follow-Up) (2020-F-25)
To determine the extent of implementation of the two recommendations included in our initial audit report, Temporary Holding Account Rebate Revenue (2019-S-27).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20f25.pdfLow-Income Housing Trust Fund Program (Follow-Up) (2019-F-44) 30-Day Response
To determine the extent to which Homes and Community Renewal (HCR) implemented the recommendations in our initial audit report, Low-Income Housing Trust Fund...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-19f44-response.pdfOversight of Selected Fiscal Aspects of Homeless Shelter Services (Follow-Up) (2019-F-54)
To determine the extent to which the New York City Department of Homeless Services (DHS) implemented the recommendations in our initial audit report ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-19f54.pdf