Search
Medicaid Program – Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance
… Purpose To determine whether the Department of Health (Department) made Medicaid mainstream managed care … on behalf of individuals who had comprehensive third-party health insurance coverage. The audit covered the period … and locally funded program that provides a wide range of health care services to those who are economically …
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
… Purpose To determine whether the costs reported by the … (CFRs) were reasonable, necessary, directly related to the special education program, and sufficiently documented pursuant to the State Education Department’s (SED) Reimbursable Cost … To determine whether the costs reported by the …
https://www.osc.ny.gov/state-agencies/audits/2018/04/05/interdisciplinary-center-child-development-compliance-reimbursable-cost-manualNursing Home Surveillance (Follow-Up)
… in New York State through its Division of Nursing Homes and Intermediate Care Facilities for Individuals with Intellectual … and Medicaid Services (CMS) in monitoring quality of care in nursing homes. The Division is responsible for …
https://www.osc.ny.gov/state-agencies/audits/2018/03/08/nursing-home-surveillance-followOptimizing Medicaid Drug Rebates (Follow-Up)
… the Department had overlooked multiple sources of drug rebate revenue. As a result, the Department did not collect … audit period. We determined that some of the Department’s rebate policies undermined its ability to collect all drug … quarter of 2018. Key Recommendation Officials are given 30 days after the issuance of the follow-up report to provide …
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 Tax Services (ORPTS) is properly calculating and communicating the annual per-acre Agricultural Assessment Values that local … To determine if the Department of Taxation and Finances Office of Real …
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
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … 2017, eMedNY processed over 193 million claims, resulting in payments to providers of more than $31 billion. The claims …
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)
… with New York State, a percentage of Resorts’ Video Lottery Terminal (VLT) revenues is to be directed to NYRA for …
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
… Purpose To determine whether the costs reported by Hawthorne Foundation, Inc. (Hawthorne) … calculated, sufficiently documented, and allowable under the State Education Department’s (SED) guidelines, including the Reimbursable Cost Manual (RCM). The audit covered the …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/hawthorne-foundation-inc-compliance-reimbursable-cost-manualNY-Sun Incentive Program (Follow-Up)
… Incentive Program (NY-Sun), which is part of New York's Clean Energy Standard (CES). The CES is designed to fight …
https://www.osc.ny.gov/state-agencies/audits/2018/06/20/ny-sun-incentive-program-followUnited HealthCare – Empire Plan Drug Rebate Revenue (Follow-Up)
… of the recommendation made in our audit report, United HealthCare: Empire Plan Drug Rebate Revenue (2016-S-7). … of Civil Service (Department) contracted with United HealthCare (United) to administer the Empire Plan’s … Interest New York State Health Insurance Program: United HealthCare - Empire Plan Drug Rebate Revenue ( 2016-S-7 ) …
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
… policies and practices comply with the Dignity for All Students Act (DASA); and school districts report material … some DASA incidents or may not be reporting them at all. In addition, several schools were not able to identify …
https://www.osc.ny.gov/state-agencies/audits/2017/10/13/implementation-dignity-all-students-actThe 80/20 Housing Program
… Program requirements regarding the number of designated affordable units and tenant eligibility; and to analyze the … HFA’s mission is to create and preserve high-quality, affordable, multifamily rental housing. Its 80/20 Program … these low-income units. Also, once tenants move into an affordable apartment, they may continue to reside in their …
https://www.osc.ny.gov/state-agencies/audits/2017/05/31/8020-housing-programOversight of International Offices (Follow-Up)
… of implementation of the two recommendations included in our initial audit report, Oversight of International … State Development (ESD) made significant improvements in managing payments to foreign offices, it did not have an … only reimbursed for actual and necessary expenses incurred in the operation of foreign offices. Key Findings ESD has …
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 Non-Competitive and Limited-Competition Contracts (Report … To determine the extent of implementation of the five recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2017/01/09/administration-non-competitive-and-limited-competition-contracts-followRailroad Bridge Inspection Program (Follow-Up)
… the six recommendations included in our original report, Railroad Bridge Inspection Program (Report 2013-S-5). … recommendations to improve the Department’s oversight. The Railroad Bridge Inspection Program will potentially be … Bill, if enacted, would amend existing State laws to align railroad bridge inspection with federal regulations and …
https://www.osc.ny.gov/state-agencies/audits/2016/10/04/railroad-bridge-inspection-program-followInfrastructure Inspection and Maintenance (Follow-Up)
… critical structures most in need of repair were not given priority, as the Corporation's process for determining … greatly inhibited the Corporation’s ability to address its priority maintenance needs. On April 1, 2016, legislation … and sound system should be established for supporting capital spending decisions. Key Recommendation Officials are …
https://www.osc.ny.gov/state-agencies/audits/2017/01/12/infrastructure-inspection-and-maintenance-followSelected Financial Management Practices (Follow-Up)
To determine the extent of implementation of the 19 recommendations included in our initial report Selected Financial Management Practices 2013S56
https://www.osc.ny.gov/state-agencies/audits/2017/09/15/selected-financial-management-practices-followExamination of Island Peer Review Organization
… C027596. These expenses included more than $112,000 in administrative charges and nearly $180,000 in out-of-pocket expenses. Our objective was to determine whether these subcontractor expenses were in compliance with the contract and related subcontractor …
https://www.osc.ny.gov/state-agencies/audits/2018/09/14/examination-island-peer-review-organizationWhitestone School for Child Development – Compliance With the Reimbursable Cost Manual
… determine whether the costs reported on the Consolidated Fiscal Reports (CFRs) of the Whitestone School for Child … (Manual). The audit included all expenses claimed for the fiscal year 2012-13 and certain expenses for the two fiscal years ended June 30, 2012. Background Whitestone is a …
https://www.osc.ny.gov/state-agencies/audits/2015/04/07/whitestone-school-child-development-compliance-reimbursable-cost-manualNursing Home Surveillance
… other enforcement actions, are effective in improving the quality of care and safety in nursing homes. This audit … for Medicare and Medicaid Services (CMS) in monitoring quality of care in nursing homes. Division staff assess …
https://www.osc.ny.gov/state-agencies/audits/2016/02/19/nursing-home-surveillance