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Incorrect Payments by CVS Caremark for Medicare Rx Drug Claims That Were Improperly Paid Under the Commercial Plan (Follow-up)
… by the Department of Civil Service (Civil Service), is one of the nation’s largest public sector health insurance … district employees, and their dependents. The Empire Plan is the primary health benefits plan for NYSHIP, covering over …
https://www.osc.ny.gov/state-agencies/audits/2025/06/18/incorrect-payments-cvs-caremark-medicare-rx-drug-claims-were-improperly-paid-underMedicaid Program – Managed Care Payments for Services Not Coordinated Through Recipient Restriction Program Providers
… designated providers or that designated providers made referrals as required. One MCO had its Restriction Program …
https://www.osc.ny.gov/state-agencies/audits/2024/11/26/medicaid-program-managed-care-payments-services-not-coordinated-through-recipientJoin Our Information Technology Team
… or as transfers into more advanced roles. We also offer a paid one-year apprenticeship in application … 2024. Please check back for future opportunities. We offer a paid one-year apprenticeship in application … and Introduction to Database Concepts with Microsoft Access Participants will be required to take three …
https://www.osc.ny.gov/jobs/information-technologyMedicaid Program – Inappropriate Payments Related to Procedure Modifiers
… 1, 2012 to March 31, 2017. Background The Medicaid program is a federal, state, and locally funded program that provides … services normally performed by the provider. This is commonly known as the global surgery period. All routine …
https://www.osc.ny.gov/state-agencies/audits/2018/04/17/medicaid-program-inappropriate-payments-related-procedure-modifiersCentral Office – Controls Over Bank Accounts
… York’s (CUNY) Central Office adequately ensured that all bank accounts were authorized and only used for appropriate … and transactions. The audit covers CUNY Central Office bank accounts for the period January 1, 2013 through July 13, … requires the University Controller to ensure that each bank account complies with University policies and …
https://www.osc.ny.gov/state-agencies/audits/2017/11/29/central-office-controls-over-bank-accountsThe New Interdisciplinary School – Compliance With the Reimbursable Cost Manual
… costs reported by The New Interdisciplinary School (NIS) on its Consolidated Fiscal Reports (CFR) were properly … (SED) guidelines, including the Reimbursable Cost Manual (RCM). The audit covered the expenses reported on NIS’ CFR for the fiscal year ended June 30, 2015, and …
https://www.osc.ny.gov/state-agencies/audits/2017/12/08/new-interdisciplinary-school-compliance-reimbursable-cost-manualHawthorne Foundation, Inc. – Compliance With the Reimbursable Cost Manual
… not-for-profit special education provider located in Westchester County, New York. Hawthorne provides preschool … 30, 2015, Hawthorne reported approximately $2.8 million in reimbursable costs on its CFR for one rate-based preschool … the fiscal year ended June 30, 2015, we identified $75,189 in ineligible costs that Hawthorne reported on its CFR for …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/hawthorne-foundation-inc-compliance-reimbursable-cost-manualPrograms for Little Learners – Compliance With the Reimbursable Cost Manual
… the two fiscal years ended June 30, 2014. Background PFLL is an SED-approved, for-profit special education provider … Director, $4,084 in unsupported salary costs, $749 in medical expenses that were not related to the Program, and … and $429 in ineligible expenses related to the purchase of water for staff. Key Recommendations To SED: Review the …
https://www.osc.ny.gov/state-agencies/audits/2018/09/24/programs-little-learners-compliance-reimbursable-cost-manualNew York Therapy Placement Services, Inc. – Compliance With the Reimbursable Cost Manual
… years ended June 30, 2014, NYTPS reported $23.5 million in reimbursable costs on its CFRs for its rate-based … fiscal years ended June 30, 2014, we identified $841,392 in reported costs that did not comply with SED’s … $31,560 in non-program-related costs, $11,331 in costs for a different reporting period, $6,047 in non-reimbursable …
https://www.osc.ny.gov/state-agencies/audits/2018/12/31/new-york-therapy-placement-services-inc-compliance-reimbursable-cost-manualDriver Responsibility Assessment Program
… Purpose To determine whether the Department of Motor Vehicles (Department) has accurately assessed and attempted … Related Audits/Reports of Interest Department of Motor Vehicles: Oversight and Collection of Snowmobile Registration Fees (2011-S-54) Department of Motor Vehicles: Motor Vehicle Financial Security and Safety …
https://www.osc.ny.gov/state-agencies/audits/2014/10/09/driver-responsibility-assessment-programSelected Financial Management Practices
… Purpose To determine if the Hudson River Park Trust has established adequate controls over the … 2010 through March 26, 2014. Background The Hudson River Park Trust (Trust) is a public benefit corporation authorized under the Hudson River Park Act (Act) in 1998. The Act also created Hudson River …
https://www.osc.ny.gov/state-agencies/audits/2014/12/26/selected-financial-management-practicesUnity House of Troy – Compliance With the Reimbursable Cost Manual
… calendar year ended December 31, 2012. Background Unity is an SED-approved, not-for-profit special education provider … between the ages of three and five years. Unity is reimbursed for preschool special education services …
https://www.osc.ny.gov/state-agencies/audits/2015/11/05/unity-house-troy-compliance-reimbursable-cost-manualInspire (Orange County Cerebral Palsy Association) – Compliance With the Reimbursable Cost Manual
… Department’s (SED) guidelines, including the Reimbursable Cost Manual (RCM). Our audit covered the fiscal year ended … Educational Resources: Compliance With the Reimbursable Cost Manual ( 2014-S-49 ) Hear 2 Learn PLLC: Compliance With the Reimbursable Cost Manual ( 2014-S-74 ) …
https://www.osc.ny.gov/state-agencies/audits/2015/12/29/inspire-orange-county-cerebral-palsy-association-compliance-reimbursable-cost-manualThe Arc of Orange County – Compliance With the Reimbursable Cost Manual
… Department’s (SED) guidelines, including the Reimbursable Cost Manual (RCM). We audited costs that Arc Orange reported … Rivendell School - Compliance With the Reimbursable Cost Manual (2015-S-25) State Education Department: Starting … Services for Children - Compliance With the Reimbursable Cost Manual (2014-S-64) …
https://www.osc.ny.gov/state-agencies/audits/2016/03/17/arc-orange-county-compliance-reimbursable-cost-manualSky Light Center Inc. – Supported Housing Program
… supported housing providers, such as Sky Light, to locate apartments and negotiate leases on behalf of clients, help the clients move into their apartments, and provide necessary related services. Sky Light … his personal property, and rental payments for unoccupied apartments. Sky Light officials cannot account for over …
https://www.osc.ny.gov/state-agencies/audits/2014/05/05/sky-light-center-inc-supported-housing-programOverpayments of Claims for Selected Professional Services (Follow-Up)
… of Claims for Selected Professional Services (Report 2010-S-73). Background Our initial audit report, which was issued … and 2011. In each case, both the provider and the provider's affiliated medical group received Medicaid payments for the … of Claims for Selected Professional Services (2010-S-73) …
https://www.osc.ny.gov/state-agencies/audits/2013/09/23/overpayments-claims-selected-professional-services-followLong 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-incLow-Income Housing Trust Fund Program
… The Housing Trust Fund Corporation's (Corporation) mission is to create decent affordable housing for persons of low … housing. One way the Corporation accomplishes this mission is through the Program. Each year since 1985, the Program was …
https://www.osc.ny.gov/state-agencies/audits/2014/08/28/low-income-housing-trust-fund-programOvertime and Other Time and Attendance Matters Found in the Use of Certain Federal Funds
… the hours they are paid for, require that all overtime is preapproved and justified prior to being worked, and consider whether it is the most efficient practice and whether government funds …
https://www.osc.ny.gov/state-agencies/audits/2014/01/24/overtime-and-other-time-and-attendance-matters-found-use-certain-federal-funds-0North Country Kids, Inc. – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by North County Kids, Inc. (North Country) on its Consolidated Fiscal Reports … To determine whether costs reported by North County Kids Inc on its Consolidated Fiscal Reports were properly …
https://www.osc.ny.gov/state-agencies/audits/2017/04/12/north-country-kids-inc-compliance-reimbursable-cost-manual