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Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… audit report, Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Report 2014-S-5 ). … Medicaid inappropriately paid 29,289 fee-for-services pharmacy claims totaling $978,251 on behalf of 18,010 Medicaid recipients whose pharmacy benefits were covered by managed care. We …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followControls Over Cash Advance Accounts (Follow-Up)
… Purpose To determine the extent of implementation of the eight … accounts received little scrutiny and made recommendations to improve internal controls over these accounts. As of March 31, 2016, Parks was authorized to have three advance accounts with a total value of …
https://www.osc.ny.gov/state-agencies/audits/2016/06/03/controls-over-cash-advance-accounts-followUnited HealthCare – Overpayments for Services Provided by Dr. John Gomes
… routinely waived Empire Plan members outofpocket costs if so to quantify overpayments made by United …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-dr-john-gomesTuition Assistance Program – College of Westchester
… Rules and Regulations when certifying students for State financial aid. Background The College of Westchester, … costs to eligible students. Schools receiving State financial aid awards certify student eligibility. For the … Department: Higher Education Services Corporation: Tuition Assistance Program – Metropolitan Learning Institute …
https://www.osc.ny.gov/state-agencies/audits/2016/06/30/tuition-assistance-program-college-westchesterTuition Assistance Program – Wagner College
… Purpose To determine whether Wagner College officials complied with the Education Law and the … of Education’s Rules and Regulations when certifying students for State financial aid. Background TAP is the … are responsible for certifying student eligibility. Wagner College (Wagner) is a four-year private college located on …
https://www.osc.ny.gov/state-agencies/audits/2016/05/19/tuition-assistance-program-wagner-collegeTuition Assistance Program – LIM College
… Rules and Regulations when certifying students for State financial aid. Background TAP is the largest student grant … of State scholarship programs. Schools receiving State financial aid payments are responsible for certifying student … Education Department: Audit of the Tuition Assistance Program at LaGuardia Community College (2013-T-4) …
https://www.osc.ny.gov/state-agencies/audits/2015/10/01/tuition-assistance-program-lim-collegeThe Alcott School – Compliance With the Reimbursable Cost Manual
… (RCM). We audited costs that Alcott reported on its CFR for the year ended June 30, 2014. Background Alcott is an SED-approved, not-for-profit special education provider located in Westchester … We also identified $15,030 in potentially reimbursable salary expenses for a marketing position that SED disallowed …
https://www.osc.ny.gov/state-agencies/audits/2016/07/25/alcott-school-compliance-reimbursable-cost-manualCrossroads Center for Children – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Crossroads Center for Children, (Crossroads) on its Consolidated Fiscal Report (CFR) were … covered the fiscal year ended June 30, 2014. Background Crossroads is an SED-approved, not-for-profit organization … To determine whether the costs reported by Crossroads Center for Children Crossroads on its Consolidated …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/crossroads-center-children-compliance-reimbursable-cost-manualNewmeadow, Inc. – Compliance With the Reimbursable Cost Manual
… year ended June 30, 2014. Background Newmeadow, a not-for-profit organization located in Malta, New York, provides preschool special education services to children with … the ages of three and five years. Newmeadow is reimbursed for preschool special education services through rates set by …
https://www.osc.ny.gov/state-agencies/audits/2015/12/29/newmeadow-inc-compliance-reimbursable-cost-manualInspecting Highway Bridges and Repairing Defects (Follow-Up)
… Our initial audit issued on May 19, 2014, found that the Port Authority of New York and New Jersey (Authority) did not …
https://www.osc.ny.gov/state-agencies/audits/2016/06/30/inspecting-highway-bridges-and-repairing-defects-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… Program: Empire BlueCross BlueShield Selected Payments for Special Items for the Period July 1, 2012 Through … Hospitals may be entitled to additional payments for special items (implants, drugs and blood) that are not …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… made in our initial audit report, United HealthCare Insurance Company of New York: Empire Plan Drug Rebate … made in our intl audit report United HealthCare Insurance Company of New York Empire …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followThe ARC of Ulster-Greene – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by The ARC of Ulster-Greene (Ulster-Greene) on its Consolidated Fiscal … To determine whether the costs reported by The ARC of UlsterGreene UlsterGreene on …
https://www.osc.ny.gov/state-agencies/audits/2016/09/02/arc-ulster-greene-compliance-reimbursable-cost-manualUse of State Appropriations
… Purpose To determine whether the New York Wine and Grape Foundation (Foundation) has spent State funding in compliance … relevant statutory and contractual requirements, including the need to leverage the appropriations with funds from other … To determine whether the New York Wine and Grape Foundation has spent State …
https://www.osc.ny.gov/state-agencies/audits/2016/06/16/use-state-appropriationsInternal Control System Components
… of Motor Vehicles’ (Department) management of its internal control system appropriately addresses all five components of internal control. Our audit scope included the period January 1, 2013 … York State Governmental Accountability, Audit and Internal Control Act requiring each State agency to institute a …
https://www.osc.ny.gov/state-agencies/audits/2016/03/17/internal-control-system-componentsUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… September 1, 2012 to August 31, 2013, United paid over $82.3 million for about 1.3 million services with modifier 59. …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59Audit of the Tuition Assistance Program at Stony Brook University
… Purpose To determine whether Stony Brook University complied with the Education Law and the … Assistance Program (TAP) awards. Background Stony Brook University (Stony Brook) is a university within the State University of New … To determine whether Stony Brook University complied with the Education Law and the …
https://www.osc.ny.gov/state-agencies/audits/2014/12/26/audit-tuition-assistance-program-stony-brook-universityTuition Assistance Program – LaGuardia Community College
… status, and one student who did not maintain good academic standing. Key Recommendations The Higher Education Services … relating to full-time attendance and good academic standing. Other Related Audits/Reports of Interest Higher …
https://www.osc.ny.gov/state-agencies/audits/2014/12/04/tuition-assistance-program-laguardia-community-collegeContracts for Personal and Miscellaneous Services (Follow-Up)
… contracts were still needed, or whether they could be suspended or scaled-back to help reduce costs. We also found …
https://www.osc.ny.gov/state-agencies/audits/2015/01/06/contracts-personal-and-miscellaneous-services-followHousing Preferences for Veterans (Follow-Up)
… (Report 2011-N-3 ). Background Our initial report, issued on June 6, 2012, found that, although the New York State … found two housing companies in Manhattan (Hamilton House and Clinton Towers) filled vacant apartments with non-veterans even though veterans had been identified on their waiting lists. NYC HPD approved many of these …
https://www.osc.ny.gov/state-agencies/audits/2015/01/29/housing-preferences-veterans-follow